How heel oxygenation changes under pressure

• Published in: Wound repair and regeneration 2007-11, Vol.15 (6), p.786-794
• Main Authors: Wong, Vivian K., Stotts, Nancy A., Hopf, Harriet W., Froelicher, Erika S., Dowling, Glenna A.
• Format: Article
• Language: English
• Subjects: Analysis of Variance; Bandages; Female; Foot Ulcer - physiopathology; Foot Ulcer - prevention & control; Heel - blood supply; Hip Joint - surgery; Humans; Male; Middle Aged; Oximetry; Pain Measurement; Postoperative Complications - physiopathology; Postoperative Complications - prevention & control; Pressure; Pressure Ulcer - physiopathology; Pressure Ulcer - prevention & control; Prospective Studies; Stress, Mechanical
• ISSN: 1067-1927; 1524-475X
• DOI: 10.1111/j.1524-475X.2007.00309.x

ABSTRACT The mechanism of heel pressure ulcers after hip surgery is not entirely understood. The purpose of this one‐group, prospective, repeated‐measures design study was to examine how the external pressure of the bed surface affects heel skin oxygen tension in adults on the first 3 days after hip surgery. Transcutaneous oxygen sensors were placed on the plantar surface of each foot, close to the heels. Measures were taken on room air and with an oxygen challenge with the heels (1) suspended above the bed surface (preload), (2) on the bed surface for 15 minutes (loading), and (3) again suspended above the bed surface for 15 minutes (unloading). Eighteen hip surgery patients (mean age 58.3±16.1 years) from two hospitals participated. When compared with preload on room air, both loading and unloading on all 3 days resulted in a reduction in heel oxygen tension bilaterally (p