使用弹性胶带控制石膏固定的手腕骨折患者手部水肿：试点研究

IF 1.5 Q3 NURSING International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-10-22 DOI:10.1016/j.ijotn.2023.101059

Massimo Guasconi , Dania Zilli Riboni , Andrea Civardi , Marina Bolzoni , Carlotta Granata , Maurizio Beretta , Anna Genovese , Fabio Mozzarelli , Fabrizio Quattrini , Pietro Maniscalco

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引用次数: 0

摘要

研究背景弹性胶带可用于控制水肿，但目前尚无确切证据证明其有效性。本试验研究旨在调查弹性胶带对控制前臂石膏治疗腕部骨折患者手部水肿的效果，以及未来随机对照试验的可行性。干预组在使用石膏后贴上胶带，而对照组则接受标准治疗。评估第 1 指和其余 4 指合并在一起的周长在基线和 7 天随访期间的差异。研究已获得伦理批准。与对照组相比，干预组的指围缩小幅度更大（T1-T0 无胶带与胶带的中位数差异：第 1 指为 0 厘米 vs -0.2 厘米，其余 4 指为 0.5 厘米 vs -0.5厘米），但这些变化在统计学上并不显著。鉴于胶带的低成本和易用性，我们认为在临床实践中可以考虑使用胶带：NCT04683887.

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The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study

Background

The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.

This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.

Methods

The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.

Results

23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape vs Tape: 0 cm vs −0.2 cm for the 1st finger and 0.5 cm vs −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.

Conclusion

Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.