Schnetzke M, El Barbari J, Schüler S, et al. - This study was undertaken to investigate the impact of vascular impulse technology (VIT) on soft-tissue conditioning in comparison with conventional elevation. Researchers recruited a sum of 100 patients in this prospective, randomized, controlled monocentre study who allocated to the three subgroups of dislocated ankle fracture (n = 40), pilon fracture (n = 20), and intra-articular calcaneal fracture (n = 40). Individuals were assigned randomly to the two study groups in a 1:1 ratio. They examined the efficacy of VIT (intervention) compared with elevation (control) separately for the whole study population and for the three subgroups. The time from admission until operability (in days) was the primary endpoint. The results revealed that VIT results in a significant reduction in the time to achieve operability in complex joint fractures of the lower limb in comparison with elevation.