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

  title={Removable Rigid Dressings for Postoperative Management of Transtibial Amputations: A Review of Published Evidence},
  author={James P. Reichmann and Phillip M Stevens and John Rheinstein and Christopher Kreulen},

Removable Rigid Dressings for the Post-Operative Management of Leg Amputations

Overall, there was limited evidence suggesting that removable rigid dressings had beneficial or neutral effects compared to soft dressings, and both types of dressings were associated with few adverse events.


There is very little evidence supporting self-management related interventions and that further research is required in this area, indicating how it may impact residual limb health or prosthesis use.

Utilizing of Removable Rigid Dressing to Decrease Below the Knee Amputations to Above the Knee Amputations Conversion Rates.

Utilizing a RRD after BKA can improve wound healing, protect the residual limb, and help prevent conversions to AKA, and Ridged removal dressings should be considered first-line therapy in the post-operative care of BKA patients.

Amputaciones y desarticulaciones de los miembros: miembro superior

Amputation Surgeries for the Lower Limb

Postoperative and Preprosthetic Care

  • M. Lusardi
  • Medicine
    Orthotics and Prosthetics in Rehabilitation
  • 2020



Stump management after trans-tibial amputation: A systematic review

The literature is not conclusive on the effects of early weight bearing on stump healing, volume reduction, and functional outcome, and more research is needed for the development of evidence-based clinical practice guidelines concerning management after trans-tibial amputation.

Results of Managing Transtibial Amputations With a Prefabricated Polyethylene Rigid Removable Dressing

It was concluded that the clinical outcome of wound healing was improved with the prefabricated RRD compared with the soft dressings, and the rationale for using a rigid dressing for postoperative management of the residual limb after transtibial amputation is reviewed.

Removable rigid dressings: A retrospective case-note audit to determine the validity of post-amputation application

It is shown that the application of RRDs reduces acute LOS and time-to-first-prosthetic-casting, thereby providing substantial benefits in preparing the trans-tibial amputee for early rehabilitation and prosthetic intervention.

Postoperative management of transtibial amputations in VA hospitals.

The application of a rigid dressing or IPOP did not correlate well with the total number of transtibial amputations performed by the surgeon, hospital bed size, or academic affiliation.

Postoperative Dressing and Management Strategies for Transtibial Amputations: A Critical Review

The literature supports that rigid plaster cast dressings result in significantly accelerated rehabilitation times and significantly less edema compared withsoft gauze dressings, and prefabricated pneumatic prostheses were found to be associated with significantly fewer postoperative complications and required fewer higher-level revisions compared with soft gauze Dressings.

Comparison of removable rigid dressings and elastic bandages in preprosthetic management of patients with below-knee amputations.

The results indicated that the removable rigid dressing is more effective in preprosthetic management than the elastic bandage.

Removable Rigid Dressings Versus Soft Dressings

Performing a randomized clinical trial in this sort of population is unfeasible and the lack of benefits of the rigid dressing method might be attributed to confounders, such as hospital, surgeon, post-amputation rehabilitation programme, or inappropriate assessment instruments.

Use of removable rigid dressing for transtibial amputees rehabilitation: A Greenwich Hospital experience.

A randomised trial of rigid stump dressing following trans-tibial amputation for peripheral arterial insufficiency

Background: A multicentre randomised controlled trial to determine the effect of a rigid plaster dressing applied at the time of trans-tibial amputation on the number of days to casting for a