Full Text (PDF)
Original Article

Role of Upper Limb Elevation in the Management of Hand Edema in a Patient with External Fixator Our Experience

Ravi Kumar Chittoria, Nishad K, Neljo Thomas, Barath Kumar Singh, Jacob Antony Chakiath

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


New Indian Journal of Surgery 14(1):p 27-30, January-March 2023. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.14123.4

How Cite This Article:

Nishad K, Thomas N, Chittoria RK, et al. Role of upper limb elevation in the management of hand edema in a patient with external fixator: our experience. New Indian J Surg. 2023;14(1):27-30.

Timeline

Received : December 11, 2022         Accepted : January 05, 2023          Published : March 28, 2023

Abstract

Upper limb edema after any trauma or after any surgical procedure is very common. The edema of the hands can cause many complications including the stiffness of the joints. So, the edema of the hands should be managed promptly to get optimal results. There are many methods to reduce hand edema. Hand elevation is one of the time-tested methods to deal with hand edema. Hand elevation can be done by various methods. But in a certain number of patients who are on skeletal stabilization with an external fixator can find it difficult to elevate using a conventional cuff and collar or pillow. In such a patient we tried hand elevation using cloth and IV stand. The hand circumference of the patient was measured daily using a fabric tape and the findings were noted serially for two weeks results showed that edema reduced considerably following and elevation. The method is easy, safe, reproducible, and less costly.


References

  • 1.   Hurley JV. Acute infl ammation. Edinburgh, London: Churchill Livingstone; 1972
  • 2.   Villeco JP. Edema: a silent but important factor. J Hand Ther. 2012;25(2):153–161.
  • 3.   Urden LD, Stacy KM, Lough ME. Thelan’s critical care nursing diagnosis and management. St Louis: Mosby Elsevier; 2010
  • 4.   Kawasaki T, Uemura T, Matsuo K, Masumoto K, Harada Y, Chuman T, et al. The e-ect of di-erent positions on lower limbs skin perfusion pressure. Indian J Plast Surg. 2013;46(3):50812
  • 5.   Boland RA, Adams RD. The e-ects of arm elevation and overnight head-up tilt on forearmand hand volume. J Hand Ther. 1998;11(3):180–190
  • 6.   Fagan DJ, Evans A, Ghandour A, Prabhkaran P, Clay NR. A controlled Clinical trial of postoperative hand elevation at home following day-case surgery. J Hand Surg Br.2004;29(5):458–460

Data Sharing Statement

There are no additional data available.

Funding

This research received no funding

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval

Acknowledgements

Information Not Provided

Conflicts of Interest

No conflicts of interest in this work.


About this article


Cite this article

Nishad K, Thomas N, Chittoria RK, et al. Role of upper limb elevation in the management of hand edema in a patient with external fixator: our experience. New Indian J Surg. 2023;14(1):27-30.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


Received Accepted Published
December 11, 2022 January 05, 2023 March 28, 2023

DOI: https://dx.doi.org/10.21088/nijs.0976.4747.14123.4

Keywords

Upper limb OedemaHand ElevationExternal FixatorNecrotizing Soft Tissue Injury.Upper limb OedemaHand ElevationExternal FixatorNecrotizing Soft Tissue Injury.

Article Level Metrics

Last Updated

Saturday 28 February 2026, 14:15:16 (IST)


507

Accesses

0
158
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received December 11, 2022
Accepted January 05, 2023
Published March 28, 2023

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


Access this article



Share