Abstract
ObjectiveTo determine the effect of a removable rigid dressing (RRD) on the time to residual limb maturation compared with elastic bandage (EB) in transtibial amputees. DesignExperimental single-blinded (assessor-blinded) randomized controlled trial. SettingDepartment of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital. ParticipantsTranstibial amputees (N=25) with immature residual limb. InterventionParticipants 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 MeasuresThe time to residual limb maturation, patient satisfaction, and complications were compared between the 2 groups. ResultsMedian 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. ConclusionIn postoperative management of transtibial amputation, the use of RRD had a significantly shorter period to residual limb maturation when compared with the EB group.
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