Cryotherapy After Total Knee Arthroplasty A Systematic Review and Meta-Analysis of Randomized Controlled Trials

被引：71
作者：
Adie, Sam [1 ,2 ]
Naylor, Justine M. [1 ,2 ]
Harris, Ian A. [1 ,2 ]
机构：
[1] Liverpool Hosp, Whitlam Orthopaed Res Ctr, Liverpool, NSW, Australia
[2] Univ New S Wales, SW Sydney Clin Sch, Sydney, NSW, Australia
来源：
JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 05期
关键词：
total knee arthroplasty; cryotherapy; cold therapy; Cryo/Cuff; COLD COMPRESSION DRESSINGS; HIP-REPLACEMENT; BLOOD-LOSS; MANAGEMENT; QUALITY;
D O I：
10.1016/j.arth.2009.07.010
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Cryotherapy has theoretical and practical applications in the reduction of pain, swelling, and blood loss after trauma. We performed a systematic review and meta-analysis of randomized controlled trials on the efficacy of cryotherapy after total knee arthroplasty (TKA). Eleven studies involving 793 TKAs were included. There was considerable clinical and methodological heterogeneity. Cryotherapy resulted in small benefits in blood loss and discharge knee range of motion. There were no benefits in transfusion and analgesia requirements, pain, swelling, length of stay, and gains in knee range of motion after discharge. Despite some early gains, cryotherapy after TKA yields no apparent lasting benefits. Patient-centered outcomes remain underinvestigated. The current evidence does not support the routine use of cryotherapy after TKA.
引用
收藏
页码：709 / 715
页数：7
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