ISM (Intisari Sains Medis) : Jurnal Kedokteran
Vol. 12 No. 1 (2021): (Available online : 1 April 2021)

The use of compression stockings produces lower Interleukin-6 (IL-6) levels, Higher American Orthopaedic Foot and Ankle Society Score (AOFAS), and does not produce higher alkaline phosphatase level in postoperative patients with fracture around the ankle

Gede Agung Krisna Yudha (Resident of Orthopaedics and Traumatology, Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali.)
I Ketut Siki Kawiyana (Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali.)
Ketut Gede Mulyadi Ridia (Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali.)
I Ketut Suyasa (Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali.)
I Gede Eka Wiratnaya (Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali.)



Article Info

Publish Date
30 Apr 2021

Abstract

Background: Fractures around the ankles are common injuries. The use of compression stockings is one of the postoperative modalities that has been widely used in developing countries but is rarely used in Indonesia. This study aimed to determine the effect of using compression stockings on changes in inflammatory biomarkers level and functional outcomes in postoperative patients with fractures around the ankle.Methods: This study was a randomized clinical trial (post-operative-only design) in 26 patients with fractures around the ankle. The study subjects were divided into groups using postoperative compression stockings and groups without compression stockings. Its efficacy was assessed by measuring levels of Interleukin-6 (IL-6), Alkaline Phosphatase (ALP), and American Orthopedic Foot and Ankle Society (AOFAS) scores. Data were analyzed using SPSS version 20 for Windows.Results: Postoperative 24-hour IL-6 levels were not significantly different (p=0.200; -59.93–266.42), but they were significantly different postoperatively in 3 days (p = 0.001; 8.76-30.21), 14 days (p=0.015; 2.40-20.49), and 30 days (p=0.000; -15.49–[-5.03]). ALP was not different significantly, both at 24 hours (p=0.160; -16.0-2.80), 3 days (p=0.072; -0.65-14.19), 14 days (p=0.098; -1,310–12,54), and 30 days (p=0.419; -5.00–11.61) after surgery. The AOFAS scores was different significantly 30 days postoperatively (p=0.000; -3.915– [-1.469]).Conclusion: The use of compression stockings can be considered as postoperative therapy to lower the IL-6 levels but do not affect ALP levels in postoperative patients with fractures around the ankle. The use of compression stocking resulted in a higher AOFAS score than without wearing compression stockings in postoperative patients with fractures around the ankle.

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Journal Info

Abbrev

ism

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Description

Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and ...