Comparison of vacuum‐formed removable rigid dressing with conventional rigid dressing after transtibial amputation

Abstract

The vacuum-formed rigid dressing appears to give results similar to those of the conventional rigid dressing regarding time to prosthetic fitting and patient's function with prosthesis.

Dutch evidence-based guidelines for amputation and prosthetics of the lower extremity

“…In a study by Johannesson et al 18 (n = 27), a ‘vacuum-manufactured RRD’ was compared with a conventional RRD. The study was of sufficient methodological quality, and similar results were found for the vacuum-manufactured RRD compared with the conventional RRD with respect to time to prosthetic fitting, wound healing and function at 3 months.…”

Prosthetic interventions for people with transtibial amputation: Systematic review and meta-analysis of high-quality prospective literature and systematic reviews

“…Following article synthesis, the following empirical evidence statements were made with regard to postoperative care: 1. In persons with acute TTA from vascular disease, vacuum-formed dressings are comparably effective at preparing the limb for prosthetic use and ambulation as measured by the number of days from amputation to prosthetic fitting, wound healing rate, and mobility compared with conventional Plaster of Paris dressings [41]. 2.…”

“…The addition of vacuum to postoperative dressings represents a newer application of vacuum technology as well as a novel type of acute dressing option. In nonambulatory acute, postoperative TTAs, Johannesson et al report that vacuum-formed RRDs were not different in time from amputation to prosthetic fitting, wound healing rate, and mobility compared with conventional plaster RRDs [41].…”

“…All subjects were of dysvascular etiology, and females comprised 26 percent of subjects in this section. Accommodation to postoperative dressing type, not reported in two studies [40,44], ranged from 3 to 7 d. Three of the five intervention studies in this section covering the postoperative RRDs rated 7/10 methodologic quality [40][41][42] and the other two [43-44] rated 6/10. Common issues in this section included not blinding subjects and study raters.…”

Removable Rigid Dressings for Postoperative Management of Transtibial Amputations: A Review of Published Evidence

“…Three months postamputation, the researchers measured each patient with the Locomotor Capability Index and the Timed “Up and Go” test and found both groups performed equally. The authors concluded the RRD appears to give results similar to those of conventional RDs regarding time to prosthetic fitting and patient's function with prosthesis [26].…”