Abstract
We recorded the usage of foot pumps during the post-operative period in 29 patients undergoing knee or hip arthroplasty and made 621 recordings. Effective utilisation of foot pumps was seen in 37.2% of cases. There was a gradual reduction in correct utilisation with each day that passed post-operatively (day 1, 60.4%; day 2, 48.8%; day 3, 28.8%; day 4, 21.4%; day 5, 23%). This gradual reduction was statistically significant (P=0.001) and mainly occurred between the second and third post-operative days. Effective usage was 60.2% overall at night and 36.4% during the day. Our results question the efficiency of foot pumps in deep venous thrombosis prophylaxis in the context of a true clinical setting.
Résumé
Nous avons étudié l'usage de pompes plantaires chez 29 malades pendant la période postopératoire aprés arthroplastie du genou ou de la hanche. Un total de 621 enregistrements a été fait. Une utilisation efficace des pompes a été notée dans 37.2% de cas. Il y avait une réduction graduelle de l'utilisation correcte au fil des jours post-opératoires (1er jour, 60.4%; 2e jour, 48.8%; 3e jour, 28.8%; 4e jour, 21.4%; 5e jour, 23%). Cette réduction graduelle était statistiquement significative (P=0.001) et s'est principalement produite entre les 2e et 3e jours postopératoires. L'usage efficace était de 60.2% la nuit et 36.4% dans la journée. Nos résultats questionnent l'efficacité des pompes plantaires dans la prophylaxie de la thrombose veineuse profonde dans un contexte clinique réel.
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