{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:01:14Z","timestamp":1761807674517},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,9,13]],"date-time":"2011-09-13T00:00:00Z","timestamp":1315872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>Current heel protection devices used in the operating room do not comply with the consensus document of the European and National (North American) Pressure Ulcer Advisory Panels. A complying prototype has been tested. Prospective cohort study comparing interface pressures. While using the prototype device, the heel interface pressure is significantly [mean 0\u00b70 mmHg, standard deviation (SD) 0\u00b70] less than the viscose elastic gel (VEG) mat (mean 174\u00b78 mmHg, SD 64\u00b75), the Action<jats:sup>\u00ae<\/jats:sup> heel block (mean 182\u00b73 mmHg, SD 70\u00b78) and the theatre table (mean 193\u00b72 mmHg, SD 57\u00b71). At the Achilles tendon, the prototype device (mean 16\u00b72 mmHg, SD 19\u00b70) is significantly superior to the Oasis (mean 183\u00b77 mmHg, SD 67\u00b74) and Action<jats:sup>\u00ae<\/jats:sup> heel blocks (mean 112\u00b73 mmHg, SD 64\u00b77). At the lateral malleolus, the prototype device (mean 0\u00b70, SD 0\u00b70) is better than the Action<jats:sup>\u00ae<\/jats:sup> (mean 24\u00b73 mmHg, SD 53\u00b74) and Oasis heel blocks (mean 20\u00b79 mmHg, SD 49\u00b72). At the calf, the prototype (mean 53\u00b77 mmHg, SD 23\u00b70) imposed more pressure than all other devices tested but was not statistically significant compared with the theatre table or the VEG mat. It is possible to design a device that protects the heel, lateral malleolus and Achilles tendon without causing hyperextension of the knee and consequent popliteal vein compression, thereby complying with the above guidelines.<\/jats:p>","DOI":"10.1111\/j.1742-481x.2011.00865.x","type":"journal-article","created":{"date-parts":[[2011,9,13]],"date-time":"2011-09-13T07:02:50Z","timestamp":1315897370000},"page":"259-263","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A comparative assessment of interface pressures generated by four surgical theatre heel pressure ulcer prophylactics"],"prefix":"10.1111","volume":"9","author":[{"given":"Mario","family":"Malkoun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,9,13]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Prevention and treatment of pressure ulcers: quick reference guide.","author":"The European Pressure Ulcer Advisory Panel and National Pressure Advisory Panel.","year":"2009"},{"key":"e_1_2_6_3_2","first-page":"209","article-title":"Microinjection studies of capillary blood pressure in human skin.","volume":"15","author":"Landis E.","year":"1930","journal-title":"Heart"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198412000-00001"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.7748\/ns2009.07.23.46.40.c7169"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2001.10.1.26039"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200501000-00013"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7214.863"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2006.00684.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.11.015"},{"key":"e_1_2_6_11_2","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1097\/00129334-200411000-00016","article-title":"National prevalence and incidence study: 6\u2010year sequential acute care data.","volume":"17","author":"Whittingdon K","year":"2004","journal-title":"Adv Wound Care"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(05)80839-4"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1742-481X.2011.00865.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1742-481X.2011.00865.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T10:34:25Z","timestamp":1698662065000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1742-481X.2011.00865.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,13]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1111\/j.1742-481X.2011.00865.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1742-481x.2011.00865.x","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,13]]},"assertion":[{"value":"2011-09-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}