Management of pre-operative Edema
Ankle swelling can often delay surgical fixation due to risk associated with operating on swollen tissue, including wound dehiscence and subsequent infection1.
Interventions that reduce swelling and accelerate readiness to theatre for more immediate surgical fixation can provide significant benefits to patients and healthcare providers1.
Current care might typically include leg elevation plus:
The geko™ device is proven to accelerate readiness for theatre
A prospective and retrospective study, conducted by a major NHS trauma centre, investigated use of the geko™ to reduce pre-operative edema in ankle fracture patient requiring Open Reduction Surgical Fixation (ORIF), and compared the results to current standards of care.
The geko™ device was fitted above the backslab plaster. The study measured patient compliance and readiness to theatre, matched to the historical cohort.
The study data was statistically significant in accelerating readiness for theatre: p=0.0012.
Accelerating readiness to theatre in ankle fracture patients (ORIF).
The geko™ device is cost saving
Independent health economic analysis, of the study outcome, shows routine use the geko™ device + backslab plaster cast, to accelerate readiness to theatre, saves an average of £5693 per patient, compared to current standards of care.
Associated clinical benefits
Successful edema management promotes:
Associated geko™ benefits
NICE guidance (MTG19) recommends use of geko™ to:
The geko™ is clinically proven to increase blood flow velocity in the deep veins, and in patients with plaster casts: