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General Orthopaedics

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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XIX | Pages 17 - 17
1 May 2012
Thompson A Walter S Brunton L Pickering G Mehendale S Bannister GC
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Background

Venous thromboembolism deterrent (TED) stockings are recommended for all orthopaedic patients. Clinical evidence supporting their use is limited and the risk of DVT increases four-fold if pressure gradients are reversed. This study aims to investigate the efficacy of TED stockings and their application using pressure gradients as the outcome measure.

Methods

We audited TED stockings over two discrete periods. In the first, cases were assessed for sizing, cutting in and tolerance. In the second we added pressure measurements along the saphenous vein; before and 2 and 3 days after surgery. Between the 2 series, a more rigorous sizing and re-sizing protocol was implemented.