caa a22 4500 605460787 CHVBK 20210128100240.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00167-014-3135-x doi (NATIONALLICENCE)springer-10.1007/s00167-014-3135-x Cryotherapy on postoperative rehabilitation of joint arthroplasty [Elektronische Daten] [Sheng-Hui Ni, Wen-Tong Jiang, Lei Guo, Yu-Heng Jin, Tian-Long Jiang, Yuyan Zhao, Jie Zhao] 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. Springer-Verlag Berlin Heidelberg, 2014 Total knee arthroplasty (TKA) nationallicence Total hip arthroplasty (THA) nationallicence Cryotherapy nationallicence Ni Sheng-Hui Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Jiang Wen-Tong Department of Medical Oncology, Shengjing Hospital of China Medical University, 39 Huaxiang Road, 110022, Shenyang, People's Republic of China aut Guo Lei Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Jin Yu-Heng Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Jiang Tian-Long Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Zhao Yuyan Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Zhao Jie Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/11(2015-11-01), 3354-3361 0942-2056 23:11<3354 2015 23 167 https://doi.org/10.1007/s00167-014-3135-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3135-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ni Sheng-Hui Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 700 1- Jiang Wen-Tong Department of Medical Oncology, Shengjing Hospital of China Medical University, 39 Huaxiang Road, 110022, Shenyang, People's Republic of China aut NATIONALLICENCE 700 1- Guo Lei Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 700 1- Jin Yu-Heng Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 700 1- Jiang Tian-Long Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 700 1- Zhao Yuyan Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 700 1- Zhao Jie Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, 110001, Shenyang, Liaoning, People's Republic of China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/11(2015-11-01), 3354-3361 0942-2056 23:11<3354 2015 23 167