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The effect of active toe movement (AToM) on calf pump function and deep vein thrombosis in patients with acute foot and ankle trauma treated with cast - a prospective randomized study

Hickey, Benjamin A., Cleves, Andrew, Alikhan, Raza, Pugh, Neil D., Nokes, Leonard Derek Martin and Perera, Anthony 2017. The effect of active toe movement (AToM) on calf pump function and deep vein thrombosis in patients with acute foot and ankle trauma treated with cast - a prospective randomized study. Foot and Ankle Surgery 23 (3) , pp. 183-188. 10.1016/j.fas.2016.04.007

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Abstract

Background Patients with foot and ankle trauma treated with cast are advised to perform toe movements to prevent venous thromboembolism (VTE). Our aim was to determine the effect of active toe movement on asymptomatic deep vein thrombosis (DVT) and venous calf pump function. Methods Patients aged 18–60 years with acute foot and ankle trauma requiring below knee non weight bearing cast were randomized to intervention (regular active toe movement) or control groups (n = 100). Patients had bilateral lower limb venous ultrasound to assess for DVT on discharge from clinic. Patients requiring chemical thromboprophylaxis were excluded. Results 78 completed the study. 27% sustained asymptomatic DVT, with no statistically significant difference in calf pump function or DVT incidence between groups. All DVT's occurred in the injured lower limb. Conclusion Active toe movement is not a viable strategy for thromboprophylaxis in patients with acute foot and ankle trauma treated with cast.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Engineering
Subjects: R Medicine > R Medicine (General)
T Technology > TJ Mechanical engineering and machinery
Uncontrolled Keywords: Thromboprophylaxis; Venous thrombosis; Deep vein thrombosis
Publisher: Elsevier
ISSN: 1268-7731
Date of First Compliant Deposit: 13 July 2016
Date of Acceptance: 18 April 2016
Last Modified: 29 Jun 2019 09:51
URI: http://orca.cf.ac.uk/id/eprint/92522

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