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Raynor 2005
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Raynor MC, Pietrobon R, Guller U, Higgins LD. Cryotherapy after ACL reconstruction: a meta-analysis. J Knee Surg. 2005 Apr;18(2):123-9.
Design: Meta-analysis.
Methods: Electronic databases and bibliographic references of relevant articles were used to identify all relevant randomized clinical trials comparing cryotherapy to a placebo group after ACL reconstruction.
Outcomes included: Postoperative drainage, Range of motion, Pain.
Results:
• 7 randomized clinical trials were included in the meta-analysis.
Key message: Cryotherapy reduces postoperative pain significantly and is therefore beneficial in the postoperative management of knee surgery.
• Patients undergoing cryotherapy experienced significantly less pain during the early postoperative period. • The reduction in postoperative fluid drainage and improvement of postoperative range of motion were both nonsignificant. • As the cryotherapy apparatus is fairly inexpensive, easy to use, has a level of patient satisfaction, and is rarely associated with adverse events, it is justified in the postoperative management of knee surgery.
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