Preliminary Review of Cold and Active Compression Therapy for Traumatic Calcaneus or Ankle Fractures

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Overview

This study will examine the initial efficacy and cost-effectiveness of using the cryocompression therapy model both pre-operatively and post-operatively in patients that have recently suffered a traumatic calcaneus or ankle fracture compared to the standard pre-operative RICE therapy procedures.

Initial research has shown that cryocompression therapy applied post-operatively has been effective in reducing recovery time and improving health and pain factors related to patient recovery. However, there has been limited research into how this translates into positive economic outcomes for both the hospital and the patient. In addition, it can be reasonably hypothesized that the use of the cryocompression therapy system before surgery will lead to an increased rate of reduction in swelling necessary to allow proper operative procedures to take place when compared to the standard ice and elevation (RICE) therapy techniques and cryocompression therapy applied only post-operatively. This should lead to decreased hospital costs and possible improved patient outcomes related to recovery. Study Objectives This study will examine the initial efficacy and cost-effectiveness of using the cryocompression therapy model both pre-operatively and post-operatively in patients that have recently suffered a traumatic calcaneus or ankle fracture compared to the standard pre-operative RICE therapy procedures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Ankle Fractures

Interventions

GameReadyDEVICE

Cryotherapy and compression

RICEOTHER

SOC ice and elevation

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients over 18 years of age 2. Able to provide informed consent 3. Recent calcaneus or ankle fracture requiring fixation 4. Injury is determined (by physician) to be an isolated, closed, low-energy bimalleolar fracture Exclusion Criteria: 1. Unable to provide informed consent 2. History of Dementia or mental instability 3. No recent additional fractures (within one year) at or around injury site 4. Persons with symptoms of any kind of psychosocial disorder 5. Any condition that the clinician feels would contraindicate for the postoperative test or control treatments 6. Any conditions that would contraindicate using the Game Ready 7. If the patient is prevented from transfer to the OR due to reasons other than medically necessary

Locations (1)

Florida Hospital

Orlando, Florida, United States

Outcomes

Primary Outcomes

Time until surgery/Time until discharge (LOS)

Reduction in length of stay (LOS) and time of effect (pre-/post-op)

Time frame: Measured from intake to time of surgery (days) and upon discharge from hospital (days). Estimated period of time to be up to 10 days until surgery and up to 7 days after surgery until discharge.

Change in Swelling as measured by point of largest swollen area (tape measure)

Measured at circumference of swelling point

Time frame: Measured at baseline and all follow-up assessments (2, 8, 16, & 24-weeks post-op)

Total Narcotic Use as recorded on MR chart and Knee Pain Assessment

reported as yes/no and amount/type on assessment form

Time frame: Measured daily while inpatient (approx 2-3 days) and retroactively at all follow-up assessments (2, 8, 16, & 24-weeks post-op)

Change in Patient reported pain as measured on VAS and Knee Pain Assessment

As reported by VAS scale

Time frame: Reported at baseline, daily while inpatient (approx 2-3 days), and at all follow-up assessments (2, 8, 16, & 24-weeks post-op)

Secondary Outcomes

Change in Quality of Life (QALY) as measured on QOL and SF-8

Quality of Life by QALY score

Time frame: At baseline and all follow-up assessments (2, 8, 16, & 24-weeks post-op)

Data from ClinicalTrials.gov

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