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 Philip Reichmann and Phillip M Stevens and John Rheinstein and Christopher Kreulen},
Forty years of clinical experience and peer‐reviewed research studies support the use of nonweight‐bearing removable rigid dressings (RRDs) as an effective means of postoperative management of transtibial amputations. We reviewed the published medical evidence regarding the use of RRDs as a postoperative management strategy, culminating in an evidence‐based practice recommendation. Published peer‐reviewed literature on the topic was searched and classified by level of evidence based on the… Expand
Comparison of removable rigid dressing and elastic bandage for residual limb maturation in transtibial amputees: a randomized controlled trial.
In post-operative management of transtibial amputation, the use of RRD had a significantly shorter period to residual limb maturation when compared with EB group. Expand


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. Expand
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. Expand
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. Expand
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. Expand
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. Expand
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. Expand
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. Expand
Use of removable rigid dressing for transtibial amputees rehabilitation: A Greenwich Hospital experience.
The outcome for transtibial amputees is improved by the use of a post amputation removable rigid dressing (RRD), which includes reduction of stump trauma and oedema, early weight bearing and desensitisation. Expand
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 aExpand
A comparison of immediate postoperative rigid and soft dressings for below-knee amputations.
Below-knee amputees had a significantly quicker healing time, as measured by the time to be cast for prosthesis, when a rigid dressing was used compared with a soft dressing. Expand