Cryotherapy on postoperative rehabilitation of joint arthroplasty

Verfasser / Beitragende:
[Sheng-Hui Ni, Wen-Tong Jiang, Lei Guo, Yu-Heng Jin, Tian-Long Jiang, Yuyan Zhao, Jie Zhao]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/11(2015-11-01), 3354-3361
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3135-x  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3135-x 
245 0 0 |a Cryotherapy on postoperative rehabilitation of joint arthroplasty  |h [Elektronische Daten]  |c [Sheng-Hui Ni, Wen-Tong Jiang, Lei Guo, Yu-Heng Jin, Tian-Long Jiang, Yuyan Zhao, Jie Zhao] 
520 3 |a 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. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Total knee arthroplasty (TKA)  |2 nationallicence 
690 7 |a Total hip arthroplasty (THA)  |2 nationallicence 
690 7 |a Cryotherapy  |2 nationallicence 
700 1 |a Ni  |D Sheng-Hui  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
700 1 |a Jiang  |D Wen-Tong  |u Department of Medical Oncology, Shengjing Hospital of China Medical University, 39 Huaxiang Road, 110022, Shenyang, People's Republic of China  |4 aut 
700 1 |a Guo  |D Lei  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
700 1 |a Jin  |D Yu-Heng  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
700 1 |a Jiang  |D Tian-Long  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
700 1 |a Zhao  |D Yuyan  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
700 1 |a Zhao  |D Jie  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3354-3361  |x 0942-2056  |q 23:11<3354  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3135-x  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ni  |D Sheng-Hui  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jiang  |D Wen-Tong  |u Department of Medical Oncology, Shengjing Hospital of China Medical University, 39 Huaxiang Road, 110022, Shenyang, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Guo  |D Lei  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jin  |D Yu-Heng  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jiang  |D Tian-Long  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhao  |D Yuyan  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhao  |D Jie  |u Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3354-3361  |x 0942-2056  |q 23:11<3354  |1 2015  |2 23  |o 167