Postoperative edema is a common condition affecting wound healing and function. Traditionally, manual lymphatic drainage and compressive bandages have been employed to reduce swelling. Kinesiotaping might be an alternative approach. To analyse the efficacy, cost-effectiveness, satisfaction, quality of life, functional outcome and and morbidity of the use of kinesiotape for the treatment of postoperative edema after knee replacement surgery, compared to standard manual lymphatic drainage with compression (i.e. compressive stockings or bandages) or sham taping.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
190
lymphtaping using Easytape® on day 1 after surgery by specifically trained physiotherapists. If possible the taping will be left for 7 days.
manual lymphatic drainage followed by compression treatment using compressive stockings or compressive bandaging
sham taping with Leukotape® Classic, a non-elastic tape, that in all other respects resembles Easytape®.
Department of Orthopaedics and Trauma Surgery (DOTS).
Basel, Switzerland
Change in leg circumference between day 1 and day 8 (in cm)
Leg circumference will be measured at three levels (joint space, 5cm proximal, 5cm distal) with each three measurements performed by one assessor in all patients and time points. The primary endpoint will be the mean of the three measurements
Time frame: day 1 postoperatively before start of intervention and every day thereafter for 7 days
Change in leg circumference between day 0 and day 8 (in cm)
Leg circumference will be measured at three levels (joint space, 5cm proximal, 5cm distal) with each three measurements performed by one assessor in all patients and time points. The primary endpoint will be the mean of the three measurements
Time frame: day 0 preoperative and day 1 postoperatively before start of intervention and every day thereafter for 7 days
Change in leg circumference between day 0 and after 6 weeks and 12 weeks (in cm)
Leg circumference will be measured at three levels (joint space, 5cm proximal, 5cm distal) with each three measurements performed by one assessor in all patients and time points. The primary endpoint will be the mean of the three measurements
Time frame: day 0 preoperative and after 6 weeks and 12 weeks after start of intervention
Change in range of motion of knee (in degree)
range of motion measured using the neutral zero method
Time frame: day 1 postoperatively before start of intervention and at day 8 after start of intervention and after 6 and 12 weeks after start of intervention
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