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Ni 2015 | TKA
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Ni SH, Jiang WT, Guo L, Jin YH, Jiang TL, Zhao Y, Zhao J. Cryotherapy on postoperative rehabilitation of joint arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3354-61.
Design: Systematic Review
Methods: Comprehensive literature searches of several databases including Cochrane Library, MEDLINE, and Embase were performed. Randomised controlled trials that compared the experimental group received any form of cryotherapy with any control group after joint arthroplasty were included.
Outcomes included: Postoperative blood loss, adverse events, pain.
Key message: Cryotherapy significantly reduces blood loss after TKA without increasing the risk of adverse events.
Results:
• 10 trials comprised 660 total knee arthroplastys and 3 trials comprised 122 total hip arthroplastys (THAs) met the inclusion criteria. • Blood loss was significantly decreased by cryotherapy (Mean difference (MD) = -109.68; P = 0.03), especially in TKA patients.
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Pubmed
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• Cryotherapy did not increase the risk of adverse effect (P>0.05)
• Cryotherapy decreased pain at the second day of postoperative (MD = -1.32; P = 0.0003) but did not decreased pain at the first and third day of postoperative (P>0.05).
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