The test winner among the MTPS (medical thrombosis prophylaxis stockings)
mediven thrombexin 18 is a clinical compression stocking that is used for physical thrombosis prophylaxis in hospital. The indications for the mediven thrombexin 18 are:
- Physical thrombosis prophylaxis in immobile patients – pre-, intra- and post-operative 3, 4, 5, 6
- Prevention and therapy of post-operative and post-traumatic oedema 7,8
Immobile patients have particular needs while they are in hospital: the inactivity of the calf muscle pump reduces the speed of the venous blood flow back to the heart. This results in an increased risk of thrombosis and for the formation of postoperative and posttraumatic oedema. Standardised compression with graduated pressure acts on the veins and the tissue. This boosts the blood flow back to the heart and can reduce postoperative and post-traumatic oedema and effectively prevent thromboses.
A prerequisite for an effective thrombosis and oedema prophylaxis is the pressure gradient that decreases from distal to proximal. In a comparative test 1, mediven thrombexin 18 achieved the best results with regard to biomechanical properties such as the pressure gradient. The authors emphasise that the test winner is the medical thrombosis prophylaxis stocking (MTPS) from the company medi. This was the only stocking that could satisfy all of the test criteria 2. The mediven thrombexin offers benefits for patients and nursing staff alike:
The high elasticity and the particularly soft and breathable knitted fabric with its antibacterial toe area provide a pleasant wearing comfort.
The silicone topband with its size indicator ensures a secure hold. The colour-coded size system and the indicator on the topband assist in the selection of the correct size and facilitate donning of the stockings. The heel marking also makes it possible to position the mediven thrombexin 18 correctly. In the particularly vulnerable heel area, the mediven thrombexin 18 consists of a fleecy soft heel and material with high capillary action. This transports the moisture away from the skin, so the risk of maceration is reduced. Incidentally: mediven thrombexin 18 is suitable for thigh circumferences of up to 100 cm.
- Anatomically knitted stocking with precisely defined compression gradient
- Antibacterial toe area
- Inspection opening on the sole of the foot allows to check the circulation and reduces the risk of falling
- Optimum care thanks to silicone topband with size indicator
- Soft heel for pressure relief
- Colour marking at the heel for easy and correct positioning
- Colour-coded size system for quick and simple selection of the stocking size
- Suitable for thigh circumferences up to 90 cm
- Also available with waist attachment
Benefits
- Correctly applied, the textile fabric avoids painful constrictions and window oedema 9
- Simple handling and saving of time make things easier for nursing staff and improves patient care 8, 10
- Increased compliance due to high elasticity and the especially soft, skin-friendly and breathable knit 11
- Highly cost-effective due to reusability 12
Round knitted clinical compression stocking for compression of the lower extremities, mainly for prevention of diseases of the venous system.
- Physical thrombosis prophylaxis in immobile patients - pre-, intra- and post-operative 3, 4, 5, 6
- Prevention and therapy of post-operative and post-traumatic oedema 7, 8
- Advanced peripheral arterial occlusive disease (if one of these parameters is present: ABPI < 0.5, ankle arterial pressure < 60 mmHg, toe pressure< 30 mmHg or TcPO2 < 20 mmHg on dorsum of foot)
- Decompensated heart failure (NYHA III + IV)
- Septic phlebitis
- Phlegmasia cerulea dolens
- Massive oedema of the leg
Particular attention to
- Severe weeping dermatosis
- Intolerance to compressive material
- Severe paraesthesia in the limbs
- Advanced peripheral neuropathy (e.g. as seen in diabetes mellitus)
- Primary chronic polyarthritis
| Circumference in cm | Measure | XS | S | S-X | M | M-X | L | L-X | XL | XL-X | XXL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Knee (AD) | cB | 17 - 19 | 20 - 22 | - | 23 - 25 | - | 26 - 28 | 26 - 28 | 29 - 31 | - | 32 - 34 |
| cC | 26 - 32 | 30 - 38 | - | 34 - 44 | - | 38 - 48 | 44 - 55 | 44 - 55 | - | 51 - 66 | |
| cD | 25 - 31 | 29 - 37 | - | 33. 43 | - | 37 - 47 | 43 - 54 | 43 - 54 | - | 50 - 65 | |
| cG | - | - | - | - | - | - | - | - | - | - | |
| lD (AD) | 35 - 46 | 35 - 46 | - | 35 - 46 | - | 35 - 46 | 35 - 46 | 35 - 46 | - | 35 - 46 | |
| Colour code heel | orange | green | - | violet | - | blue | grey | red | - | brown | |
| Colour code thigh | - | - | - | - | - | - | - | - | - | - | |
| Thigh (AG) | cB | 17 - 19 | 20 - 22 | 20 - 22 | 23 - 25 | 23 - 25 | 26 - 28 | 26 - 28 | 29 - 31 | 29 - 31 | - |
| cC | 26 - 36 | 30 - 42 | 30 - 42 | 34 - 46 | 34 - 46 | 37 - 50 | 37 - 50 | 41 - 54 | 41 -54 | - | |
| cD | 25 - 35 | 29 - 41 | 29 - 41 | 33 - 45 | 33 - 45 | 37 - 50 | 37 - 50 | 41 - 54 | 41 - 54 | - | |
| cG | 40 - 50 | 48 - 60 | 56 - 70 | 56 - 70 | 64 - 80 | 64 - 80 | 72 - 90 | 72 - 90 | 80 - 100 | - | |
| lG (AG) | 60 - 84 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | - | |
| Colour code heel | orange | green | green | violet | violet | blue | grey | red | red | - | |
| Colour code thigh | orange | green | grey | violet | grey | blue | grey | red | grey | - | |
| Hip (AG) | cB | - | 20 - 22 | - | 23 - 25 | - | 26 - 28 | 26 - 28 | - | - | - |
| cC | - | 30 - 42 | - | 34 - 46 | - | 38 - 51 | 38 - 51 | - | - | - | |
| cD | - | 29 - 41 | - | 33 - 45 | - | 37 - 50 | 37 - 50 | - | - | - | |
| cG | - | 48 - 60 | - | 56 - 70 | - | 64 - 80 | 72 - 90 | - | - | - | |
| lG (AG) | - | 65 - 89 | - | 65 - 89 | - | 65 - 89 | 65 - 89 | - | - | - | |
| Colour code heel | - | green | - | violet | - | blue | blue | - | - | - | |
| Colour code thigh | - | green | - | violet | - | blue | grey | - | - | - |
Show sources
1 Wegener U et al. Biomechanische Charakterisierung von medizinischen Thromboseprophylaxestrümpfen (MTPS). Gefäßchirurgie 2013;5(18):278–286.
2 Kraft M. Pressemeldung Medical Data Institute GmbH 2013: Experten wollen Nutzen von Medizinischen Thromboseprophylaxestrümpfen besser erforschen. Expertengruppe „Thromboseprophylaxe“ gibt erste Testergebnisse bekannt und kündigt weitere Untersuchungen an. Online veröffentlicht unter https://www.presseportal.de/pm/79730/2473640 (Letzter Zugriff 11.03.2019).
3 Sachdeva A et al. Graduated compression stockings for prevention of deep vein thrombosis. The Cochrane database of systematic reviews 11 2018:CD001484.
4 Kroeger K et al. Medizinische Thromboseprophylaxestrümpfe – große Wirkung in Zulassungsstudien von Edoxaban. Zentralblatt fur Chirurgie 2017;142(5):492–495.
5 Balajadia BC. Graduated Compression Stockings in the Prevention and Treatment of Deep Vein Thrombosis. IJIR 2017;3:576–586.
6 Rabe E et al. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement. Phlebology 2018;33(3):163–184.
7 Winge R et al. Compression therapy after ankle fracture surgery: a systematic review. European journal of trauma and emergency surgery: official publication of the European Trauma Society 2017;43(4):451–459.
8 Khoshgoftar Z et al. Comparison of compression stocking with elastic bandage in reducing postoperative edema in coronary artery bypass graft patient. Journal of vascular nursing: official publication of the Society for Peripheral Vascular Nursing 2009;27(4):103–106.
9 Partsch H et al. Compression for leg wounds. The British Journal of Dermatology 2015;173(2):359–369.
10 Macintyre, L. et al. How can the pressure in anti-embolism stockings be maintained during use? Laboratory evaluation of simulated 'wear' and different reconditioning protocols: International journal of nursing studies 2016;64:19–24.
11 Glod, A. (2019): Kompression in der Wundbehandlung bei Ödemerkrankungen. In: vasomed 31. (2), S. 82–92.
12 Amin E E et al. Clinical and economic impact of compression in the acute phase of deep vein thrombosis. Journal of Thrombosis and Haemostasis 2018; 16: 1555-1563.
