Vascular Impulse Technology versus elevation in the treatment of posttraumatic swelling of extremity fractures: study protocol for a randomized controlled trialReportar como inadecuado




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Trials

, 18:73

First Online: 16 February 2017Received: 04 August 2016Accepted: 01 February 2017DOI: 10.1186-s13063-017-1824-8

Cite this article as: Schnetzke, M., Swartman, B., Bonnen, I. et al. Trials 2017 18: 73. doi:10.1186-s13063-017-1824-8

Abstract

BackgroundFractures of the extremities are often complicated by a variable degree of swelling secondary to hemorrhage and soft tissue injury. Patients typically require up to 7 days of inpatient bed rest and elevation to reduce swelling to an acceptable level for operative treatment with internal fixation. Alternatively, an intermittent pneumatic compression device, such as the Vascular Impulse Technology VIT system, can be used at the injured extremity to reduce the posttraumatic swelling. The VIT system consists of a pneumatic compressor that intermittently rapidly inflates a bladder positioned under the arch of the hand or the foot, which results in compression of the venous hand or foot plexus. That intermittent compression induces an increased venous velocity and aims to reduce the soft tissue swelling of the affected extremity.

Methods-designThe VIT study is a prospective, monocenter, randomized controlled trial to compare the VIT system with elevation in the treatment of posttraumatic swelling in the case of a fracture of the upper and lower extremity. This study will include 280 patients with fractures of the upper and the lower extremity with nine different injury types. For each of the nine injury types a separate randomization to the two intervention groups VIT group or control group will be performed. The primary outcome parameter is the time taken for the swelling to resolve sufficiently to permit surgery. A separate analysis for each of the nine injury types will be performed.

DiscussionIn the proposed study, the effectiveness of the VIT system in the treatment of posttraumatic swelling of upper and lower extremity fractures will be evaluated.

Trial registrationGerman Clinical Trial Register, No. DRKS00010510. Registered on 17 July 2016.

KeywordsPosttraumatic swelling Elevation Vascular impulse Cryotherapy Upper extremity Lower extremity Intermittent pneumatic compression AbbreviationsCRFCase Report Form

DRKSGerman Clinical Trials Register

VITVascular Impulse Technology

Electronic supplementary materialThe online version of this article doi:10.1186-s13063-017-1824-8 contains supplementary material, which is available to authorized users.





Autor: Marc Schnetzke - Benedict Swartman - Isabel Bonnen - Holger Keil - Svenja Schüler - Paul A. Grützner - Jochen Franke

Fuente: https://link.springer.com/







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