Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Effect of Leg Elevation Height on Reduced Swelling of Patients of Postoperative Acute Ankle Fractures

급성 발목 골절 환자의 술 후 부종 감소에 대한 하지 거상의 효과

  • Seo, Dong-Kyo (Department of Orthopedic Surgery, Gangneung Asan Hospital) ;
  • Kang, Hyun Wook (Department of Orthopedic Surgery, Gangneung Asan Hospital) ;
  • Ahn, Deug Suk (Department of Nursing, Gangneung Asan Hospital) ;
  • Song, Jae-Seok (Department of Preventive Medicine & Public Health, Catholic Kwandong University College of Medicine)
  • 서동교 (강릉아산병원 정형외과) ;
  • 강현욱 (강릉아산병원 정형외과) ;
  • 안득숙 (강릉아산병원 간호부) ;
  • 송재석 (가톨릭관동대학교 의과대학 예방의학교실)
  • Received : 2020.02.01
  • Accepted : 2020.03.06
  • Published : 2020.03.15
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Abstract

Purpose: Leg elevation is known as an effective method for reducing leg swelling, and it has been routinely used in medical practice. However, the effect of swelling reduction in relation to the degree of elevation height is not known. This study evaluated the swelling of the leg after acute ankle fracture operations at two different elevation heights and the elevated leg heights were compared. Materials and Methods: A total of 66 patients with postoperative acute ankle fractures were classified into two groups depending on the presence of different leg elevation heights: high-elevated (HE, case) and low-elevated groups (LE, control). We checked leg swelling, pain, subjective satisfaction for the elevation device, and the American Orthopedic Foot and Ankle Society (AOFAS) score, and we retrospectively compared them between both the groups. Results: Leg swelling and pain were reduced in both groups. However, they did not show any significant differences between both the groups (p>0.05). Nineteen patients in the HE group replied with uncomfortable, while no patients in LE group did so. The AOFAS score at 1 year postoperatively did not show any significant differences between both the groups (p=0.46). Conclusion: High elevation of the leg after ankle fractures did not show a significant difference from low elevation in regard to leg swelling, pain, and function. Furthermore, high leg elevation resulted in discomfort during the postoperative period. Thus, low elevation with a pillow is enough for acute ankle fracture patients with little discomfort and satisfactory swelling reduction.

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References

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