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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2015

01-11-2015 | Knee

Cryotherapy on postoperative rehabilitation of joint arthroplasty

Authors: Sheng-Hui Ni, Wen-Tong Jiang, Lei Guo, Yu-Heng Jin, Tian-Long Jiang, Yuyan Zhao, Jie Zhao

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2015

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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.
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Metadata
Title
Cryotherapy on postoperative rehabilitation of joint arthroplasty
Authors
Sheng-Hui Ni
Wen-Tong Jiang
Lei Guo
Yu-Heng Jin
Tian-Long Jiang
Yuyan Zhao
Jie Zhao
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-3135-x

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