O68: REDUCING VENOUS CONGESTION FOLLOWING LOWER LIMB RECONSTRUCTION WITH ISOMETRIC CALF EXERCISES: A PROSPECTIVE CLINICAL STUDY

Abstract Introduction Early post-operative dependency aids healing following lower limb reconstruction although increases venostasis and reduces perfusion in the acute setting. The commonest cause of flap failure is venous congestion external compression with stockings pneumatic devices contraindicated. aim this clinical study was to determine whether could be reduced through patient-led isometric contractions reconstruction. Method A single centre prospective conducted at St. Marys Hospital, Imperial College NHS Trust. Combined tissue photospectroscopy laser Doppler (O2C, LEA, Germany) used assess superficial oxygen saturation, flow during standardised training regimens. Haemodynamic parameters were collected an outpatient rehabilitation cohort. Result In cohort, failed improve on day (POD) one (-44% ± 8). Isometric improved from POD5 (+11% 102) remained higher than measurements taken rest (+32% 54). cohort significantly increased (+16% 33, p=0.01) a mean 14 weeks since discharge. Conclusion This provides objective physiological evidence haemodynamic changes that occur contraction These evolve extremity it appears continued effect exists accommodate progressive dynamics. present findings inform enhanced recovery programmes Take-home message Simple calf reduce cutaneous