Graded compression stockings: custom vs noncustom. 1982

G Johnson, and C Kupper, and D J Farrar, and R T Swallow

Graded compression stockings of the leg (high pressure at the ankle and low pressure at the thigh) seem to help the return of venous blood to the heart and reduce the incidence deep-vein thrombosis and pulmonary emboli in supine patients. Recent advances allow noncustom stockings to be chosen for mesomorphic patients by leg length and calf circumference yet deliver the desired level of graded compression. To test the hypothesis that custom-tailored and noncustom, low-modulus. circular-knit stockings are equally efficient, a Doppler instrument and recorder were used to continually monitor femoral-vein velocity both when the patient had the stocking on and after it was removed. The changes in venous velocity after removal of custom and noncustom stockings were similar (-19% and -27%, respectively). In the five patients with whom both types of stocking were evaluated, the changes were -24% for custom and -22% for noncustom stockings. Using Laplace's law and measuring the tension created by a given stretch (circumference), low-modulus stockings were shown to deliver a more uniform pressure over a greater range of leg circumference than did high-modulus stockings. These results justify the use of noncustom, low-modulus, circular-knit elastic stockings to increase femoral-vein velocity in supine, mesomorphic patients.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D011187 Posture The position or physical attitude of the body. Postures
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D011655 Pulmonary Embolism Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS. Pulmonary Thromboembolism,Thromboembolism, Pulmonary,Embolism, Pulmonary,Embolisms, Pulmonary,Pulmonary Embolisms,Pulmonary Thromboembolisms,Thromboembolisms, Pulmonary
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D005263 Femoral Artery The main artery of the thigh, a continuation of the external iliac artery. Common Femoral Artery,Arteries, Common Femoral,Arteries, Femoral,Artery, Common Femoral,Artery, Femoral,Common Femoral Arteries,Femoral Arteries,Femoral Arteries, Common,Femoral Artery, Common
D005268 Femoral Vein The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein. Femoral Veins,Vein, Femoral,Veins, Femoral
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001458 Bandages Material used for wrapping or binding any part of the body. Dressings,Bandage,Dressing
D013924 Thrombophlebitis Inflammation of a vein associated with a blood clot (THROMBUS). Phlegmasia Alba Dolens,Dolens, Phlegmasia Alba,Thrombophlebitides

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