Document Detail

Impact of multilayered compression bandages on sub-bandage interface pressure: a model.
MedLine Citation:
PMID:  21368218     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Multi-component medical compression bandages are widely used to treat venous leg ulcers. The sub-bandage interface pressures induced by individual components of the multi-component compression bandage systems are not always simply additive. Current models to explain compression bandage performance do not take account of the increase in leg circumference when each bandage is applied, and this may account for the difference between predicted and actual pressures.
OBJECTIVE: To calculate the interface pressure when a multi-component compression bandage system is applied to a leg.
METHOD: Use thick wall cylinder theory to estimate the sub-bandage pressure over the leg when a multi-component compression bandage is applied to a leg.
RESULTS: A mathematical model was developed based on thick cylinder theory to include bandage thickness in the calculation of the interface pressure in multi-component compression systems. In multi-component compression systems, the interface pressure corresponds to the sum of the pressures applied by individual bandage layers. However, the change in the limb diameter caused by additional bandage layers should be considered in the calculation. Adding the interface pressure produced by single components without considering the bandage thickness will result in an overestimate of the overall interface pressure produced by the multi-component compression systems. At the ankle (circumference 25 cm) this error can be 19.2% or even more in the case of four components bandaging systems.
CONCLUSION: Bandage thickness should be considered when calculating the pressure applied using multi-component compression systems.
J Al Khaburi; E A Nelson; J Hutchinson; A A Dehghani-Sanij
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  26     ISSN:  1758-1125     ISO Abbreviation:  Phlebology     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-03     Completed Date:  2011-06-21     Revised Date:  2011-11-10    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  75-83     Citation Subset:  IM    
University of Leeds, Mechanical Engineering, Woodhouse Lane, Leeds LS29JT, UK.
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MeSH Terms
Biophysics / methods
Compression Bandages*
Leg Ulcer / therapy*
Models, Statistical
Models, Theoretical
Reproducibility of Results
Varicose Ulcer / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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