To determine the effect of a removable rigid dressing (RRD) on the time to residual limb maturation compared with elastic bandage (EB) in transtibial amputees.
Experimental single-blinded (assessor-blinded) randomized controlled trial.
Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital.
Transtibial amputees (N=25) with immature residual limb.
Participants were allocated to use RRD or EB to achieve residual limb maturation, and all participants in both groups were trained with the same preprosthetic program.
Main Outcome Measures
The time to residual limb maturation, patient satisfaction, and complications were compared between the 2 groups.
Median time to residual limb maturation was significantly lower in the RRD group (median, 28d [interquartile range, 17-51d]) than in the EB group (median, 54d [interquartile range, 30-77d]; P=.020). After accounting for time since amputation, maturation time remained significantly lower in the RRD group (adjusted hazard ratio, 3.32; 95% CI, 1.08-10.20; P=.036). There was no significant difference in complications or patient satisfaction.
In postoperative management of transtibial amputation, the use of RRD had a significantly shorter period to residual limb maturation when compared with the EB group.
List of abbreviations:EB (elastic bandage), RD (rigid dressing), RRD (removable rigid dressing), SD (soft dressing)
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Published online: May 21, 2020
Supported by Ratchadapisek Sompoch Endowment Fund Chulalongkorn University (grant no. RA61/002).
Clinical Trial Registration No.: TCTR20170928004.
© 2020 by the American Congress of Rehabilitation Medicine
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- CorrectionArchives of Physical Medicine and RehabilitationVol. 102Issue 8
- PreviewIn the article “Comparison of removable rigid dressing and elastic bandage for residual limb maturation in transtibial amputees: a randomized controlled trial,” published in the October 2020 issue (VOLUME 101, ISSUE 10, P1683-1688, DOI: https://doi.org/10.1016/j.apmr.2020.05.009 , https://www.archives-pmr.org/article/S0003-9993(20)30298-7/fulltext , there were errors in Table 1. Some data were switched between two columns. The corrected table is shown here.