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European study shows that stockings without compression in the heel and foot increases compliance

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    The aim of this study called "Compression stockings with 100% Donning and Doffing Success" was published by CS Buset and colleagues in the European Journal of Vascular and Endovascular Surgery.  The study tested "whether an investigational two layer stocking exerting 27-29 mmHg pressure at the medial supramalleolar level, but without compression in the foot and heel, is easier to put on and take off than a standard stocking of the same compression class (23-32 mmHg), and also to assess the prevention of diurnal (edema) with both types of stocking".

    The authors showed that "this investigational stocking, which has no compression in the foot or heel area, is significantly easier to don and doff, with no inferiority in (edem) prevention, compared with a standard stocking of the same compression class".

    The article is published in the Eur J Vasc Endovasc Surg 2020; October 28 (e publication). 

    The authors are Buset CS, Fleisher J, Kluge R, Graf NT, Mosti G, Partsch H, Seelie C, Anzengruber F, Kockaert M, Hubner M and Hafner J. 

    Dr Karamanoukian's Note:  This study makes sense as patients with arthritis and upper extremity weakness, back problems, neck pain have dificulty placing standard compression stockings over the foot and heel.  The study findings are intuitive and clinically helpful to many patients with disabilities.