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Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3354-61. doi: 10.1007/s00167-014-3135-x. Epub 2014 Jun 14.

Cryotherapy on postoperative rehabilitation of joint arthroplasty.

Author information

1
Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, Shenyang, 110001, Liaoning, People's Republic of China.
2
Department of Medical Oncology, Shengjing Hospital of China Medical University, 39 Huaxiang Road, Shenyang, 110022, People's Republic of China.
3
Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, Shenyang, 110001, Liaoning, People's Republic of China. 15241818899@163.com.

Abstract

PURPOSE:

The effectiveness of cryotherapy on joint arthroplasty recovery remains controversial. This systematic review was conducted to assess the effectiveness of cryotherapy in patients after joint arthroplasty.

METHODS:

Comprehensive literature searches of several databases including Cochrane Library (2013), MEDLINE (1950-2013), and Embase (1980-2013) were performed. We sought randomised controlled trials that compared the experimental group received any form of cryotherapy with any control group after joint arthroplasty. The main outcomes were postoperative blood loss, adverse events, and pain. Analyses were performed with Revman 5.0. Results were shown as mean differences (MD) and standard deviations or as risk difference and 95 % confidence intervals (CIs).

RESULTS:

Ten trials comprised 660 total knee arthroplastys and three trials comprised 122 total hip arthroplastys (THAs) met the inclusion criteria. Blood loss was significantly decreased by cryotherapy (MD = -109.68; 95 % CI -210.92 to -8.44; P = 0.03). Cryotherapy did not increase the risk of adverse effect (n.s.). Cryotherapy decreased pain at the second day of postoperative (MD = -1.32; 95 % CI -2.37 to -0.27; P = 0.0003), but did not decreased pain at the first and third day of postoperative (n.s.).

CONCLUSIONS:

Cryotherapy appears effective in these selected patients after joint arthroplasty. The benefits of cryotherapy on blood loss after joint arthroplasty were obvious. However, the subgroup analysis indicated that cryotherapy did not decreased blood loss after THA. Cryotherapy did not increase the risk of adverse effect. Cryotherapy decreased pain at the second day of postoperative, but did not decreased pain at the first and third day of postoperative.

LEVEL OF EVIDENCE:

II.

KEYWORDS:

Cryotherapy; Total hip arthroplasty (THA); Total knee arthroplasty (TKA)

PMID:
24928371
DOI:
10.1007/s00167-014-3135-x
[Indexed for MEDLINE]

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