title: Calculating the pressure and the stiffness in three different categories of class II medical elastic compression stockings.
abstract: BACKGROUND
  Medical elastic compression stockings (MECSs) are currently classified according to the pressure they exert at the ankle at the point of its minimum girth (B level). Despite this classification, there are considerable differences between MECSs belonging to the same compression class from the same manufacturers and between different manufacturers. This makes it difficult for the clinician to choose the most suitable MECS for the patient. The stiffness may be used to distinguish between MECSs of different brands.
  
  
  OBJECTIVE
  To calculate the pressure and the stiffness at the B level in three categories of class II MECSs from nine different brands.
  
  
  METHODS
  Nine different brands of class II MECSs that were divided into three categories (flat-knitted custom-made, classic round-knitted ready-made, and modern (ultrathin) round-knitted ready-made) were tested. The tension of the textile of the MECSs was measured with the Instron tester (Instron International Ltd., Edegem, Belgium). The pressures and stiffness at the B level were calculated.
  
  
  RESULTS
  The pressures exerted by flat-knitted custom-made MECSs were higher than those exerted by the ready-made round-knitted MECSs. Surprisingly, the former showed higher pressures than those published by the European Committee for Standardization. A wide range of stiffness was observed within the different brands and within the three different categories of MECS.
  
  
  CONCLUSIONS
  Despite their assignment to compression class II, all nine brands of MECSs that were tested had widely ranging stiffness. This would indicate that the stiffness is an additional important characteristic for distinguishing between MECSs from different brands, which should be taken into account by the clinician in selecting the most suitable MECSs for the patient.
authors.affiliation: Department of Dermatology and Veneorology, Erasmus MC, University Medical Center, Rotterdam, the Netherlands. c.franken@erasmusmc.nl
authors.forename: Karin
authors.initials: K
authors.lastname: van der Wegen-Franken
authors.forename: Wim
authors.initials: W
authors.lastname: Roest
authors.forename: Bhupendra
authors.initials: B
authors.lastname: Tank
authors.forename: Martino
authors.initials: M
authors.lastname: Neumann
mesh_terms: D001458:Bandages; D004548:Elasticity; D006801:Humans; D008422:Materials Testing; D011312:Pressure; D013784:Textiles; D014689:Venous Insufficiency / Q000628:therapy