University of Colorado, Denver
To determine if inelastic adjustable compression garment results in improved surgical limb swelling control (bioimpedance assessment - primary outcome) after TKA compared to control (TED hose).
Total knee arthroplasty (TKA) is commonly performed to address disability from end-stage osteoarthritis (OA) in older adults and is expected to increase five-fold by 2040 to 3.5 million TKAs annually. Although TKA is effective at reducing pain, it is a substantial acute trauma to the joint that exacerbates the underlying weakness and disability common with OA, leading to long-term atrophy and further disability. Attenuation of this acute loss of strength and function leads to improved long-term outcomes. Key to preventing this acute loss is effectively managing postoperative knee swelling. Kn…
Inclusion Criteria: * Primary, unilateral total knee arthroplasty (TKA) * Age 50 years or older Exclusion Criteria: * Surgical complication necessitating an altered course of rehabilitation * Unable to attend outpatient rehabilitation 2x/week for 3 weeks following surgery * Inability to don/doff garment * Neurological, cardiovascular, or unstable orthopedic conditions that limit function * Medical conditions that cause chronic lower extremity swelling * Contralateral TKA within past year * Pain \>5/10 in their contralateral knee or definite plans on having their other knee replaced in the n…
Immediately following surgery, participants randomized to INCOM will wear an inelastic adjustable compression garment set to a minimum of 30mm Hg of compression utilizing a standardized garment tensioning tool. Participants will be instructed to wear the compression garment during waking hours with a target wear time of 80% of waking hours. Participants will participate in a standardized rehabilitation program
Immediately following surgery, participants randomized to CONTROL will wear a thigh-length elastic compression garment (thromboembolism-deterrent \[TED\] hose) for the first 3 weeks after TKA. Participants will be instructed to wear the compression garment during waking hours with a target wear time of 80% of waking hours. Participants will participate in a standardized rehabilitation program
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