Cryotherapy with Dynamic Intermittent Compression Improves Recovery from Revision Total Knee Arthroplasty
Abstract Purpose The goal of this study was to Assess the efficacy of cryotherapy with dynamic intermittent compression (CDIC) in Relieving post operative pain, decreasing blood loss and improving functional scores after revision total knee arthroplasty (rTKA). Methods we conducted a prospective cas...
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| Veröffentlicht in: | The Journal of arthroplasty 2017-09, Vol.32 (9), p.2788-2791 |
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| creator | Murgier, J Cailliez, J Wargny, M Chiron, P Cavaignac (, E Laffosse, J.M |
| description | Abstract Purpose The goal of this study was to Assess the efficacy of cryotherapy with dynamic intermittent compression (CDIC) in Relieving post operative pain, decreasing blood loss and improving functional scores after revision total knee arthroplasty (rTKA). Methods we conducted a prospective case-control study. (Level of evidence: I) to evaluate the efficacy of CDIC on postoperative bleeding, pain and functional outcomes after rTKA. 43 cases were included at a single institution and divided in two groups: a control group without CDIC (n = 19) and an experimental group with CDIC (n = 24).Bleeding was evaluated by calculating total blood loss; pain at rest was evaluated with a visual analogue scale (VAS) on postoperative day 3; function was assessed using the Oxford score at 6 months postoperative. The comparative analysis was performed using Fisher’s exact test Results The CDIC group had significantly lower total blood loss (260 ml vs 465 ml, P < 0.05), significantly less pain on day 3 (1 vs 3, P < 0.05) and a significantly higher functional score (42 vs 40, P < 0.05) than the control group. Conclusion This is the first report dealing with the use of CDIC after rTKA. According to our results , it improves the recovery of patients who underwent revision TKA, thus it should be integrated into our daily practice. |
| doi_str_mv | 10.1016/j.arth.2017.03.052 |
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Methods we conducted a prospective case-control study. (Level of evidence: I) to evaluate the efficacy of CDIC on postoperative bleeding, pain and functional outcomes after rTKA. 43 cases were included at a single institution and divided in two groups: a control group without CDIC (n = 19) and an experimental group with CDIC (n = 24).Bleeding was evaluated by calculating total blood loss; pain at rest was evaluated with a visual analogue scale (VAS) on postoperative day 3; function was assessed using the Oxford score at 6 months postoperative. The comparative analysis was performed using Fisher’s exact test Results The CDIC group had significantly lower total blood loss (260 ml vs 465 ml, P < 0.05), significantly less pain on day 3 (1 vs 3, P < 0.05) and a significantly higher functional score (42 vs 40, P < 0.05) than the control group. Conclusion This is the first report dealing with the use of CDIC after rTKA. According to our results , it improves the recovery of patients who underwent revision TKA, thus it should be integrated into our daily practice.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2017.03.052</identifier><identifier>PMID: 28465126</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; arthroplasty ; Arthroplasty, Replacement, Knee ; Bioengineering ; blood loss ; Case-Control Studies ; Compression Bandages ; compressive cryotherapy ; Cryotherapy ; Female ; Hemorrhage ; Hemostasis ; Human health and pathology ; Humans ; knee ; Knee Joint - surgery ; Life Sciences ; Male ; Middle Aged ; Orthopedics ; pain ; Pain Measurement ; Pain, Postoperative ; Postoperative Complications ; Postoperative Hemorrhage ; Postoperative Period ; Prospective Studies ; Reoperation ; Rhumatology and musculoskeletal system ; Surgery ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2017-09, Vol.32 (9), p.2788-2791</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-7a217ec042a8cb49c7b522914d2f7b94b79329a376b4143c7707359b0f4f102e3</citedby><cites>FETCH-LOGICAL-c489t-7a217ec042a8cb49c7b522914d2f7b94b79329a376b4143c7707359b0f4f102e3</cites><orcidid>0000-0002-9237-1372 ; 0000-0001-6027-9486</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2017.03.052$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28465126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02101410$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Murgier, J</creatorcontrib><creatorcontrib>Cailliez, J</creatorcontrib><creatorcontrib>Wargny, M</creatorcontrib><creatorcontrib>Chiron, P</creatorcontrib><creatorcontrib>Cavaignac (, E</creatorcontrib><creatorcontrib>Laffosse, J.M</creatorcontrib><title>Cryotherapy with Dynamic Intermittent Compression Improves Recovery from Revision Total Knee Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Purpose The goal of this study was to Assess the efficacy of cryotherapy with dynamic intermittent compression (CDIC) in Relieving post operative pain, decreasing blood loss and improving functional scores after revision total knee arthroplasty (rTKA). Methods we conducted a prospective case-control study. (Level of evidence: I) to evaluate the efficacy of CDIC on postoperative bleeding, pain and functional outcomes after rTKA. 43 cases were included at a single institution and divided in two groups: a control group without CDIC (n = 19) and an experimental group with CDIC (n = 24).Bleeding was evaluated by calculating total blood loss; pain at rest was evaluated with a visual analogue scale (VAS) on postoperative day 3; function was assessed using the Oxford score at 6 months postoperative. The comparative analysis was performed using Fisher’s exact test Results The CDIC group had significantly lower total blood loss (260 ml vs 465 ml, P < 0.05), significantly less pain on day 3 (1 vs 3, P < 0.05) and a significantly higher functional score (42 vs 40, P < 0.05) than the control group. Conclusion This is the first report dealing with the use of CDIC after rTKA. According to our results , it improves the recovery of patients who underwent revision TKA, thus it should be integrated into our daily practice.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>arthroplasty</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Bioengineering</subject><subject>blood loss</subject><subject>Case-Control Studies</subject><subject>Compression Bandages</subject><subject>compressive cryotherapy</subject><subject>Cryotherapy</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Hemostasis</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>knee</subject><subject>Knee Joint - surgery</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative</subject><subject>Postoperative Complications</subject><subject>Postoperative Hemorrhage</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Rhumatology and musculoskeletal system</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkuP0zAUhS0EYsrAH2CBsmQWCdeP1LGEkKrymIpKSDCsLce9UV2SuNhuUf49Dh1mwYLV9eO7R_Y5l5CXFCoKdPnmUJmQ9hUDKivgFdTsEVnQmrOyEbB8TBbQNLysBfAr8izGAwCldS2ekivWiGVN2XJB3DpMPu0xmONU_HJpX7yfRjM4W2zGhGFwKeGYirUfjgFjdH4sNnnpzxiLr2hzDVPRBT_k3dn9ub_zyfTF5xGxWOX3BX_sTUzTc_KkM33EF_f1mnz_-OFufVtuv3zarFfb0opGpVIaRiVaEMw0thXKyrZmTFGxY51slWil4kwZLpetoIJbKUHyWrXQiY4CQ35Nbi66e9PrY3CDCZP2xunb1VbPZ8Cye4LCmWb29YXNP_p5wpj04KLFvjcj-lPUtFFC0RqkyCi7oDb4GAN2D9oU9ByHPug5Dj3HoYHrHEduenWvf2oH3D20_PU_A28vAGZHzg6DjtbhaHHnAtqkd979X__dP-22d6Ozpv-BE8aDP4Uxe62pjkyD_jYPxDwPVHJgjVL8N8MlsIE</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Murgier, J</creator><creator>Cailliez, J</creator><creator>Wargny, M</creator><creator>Chiron, P</creator><creator>Cavaignac (, E</creator><creator>Laffosse, J.M</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-9237-1372</orcidid><orcidid>https://orcid.org/0000-0001-6027-9486</orcidid></search><sort><creationdate>20170901</creationdate><title>Cryotherapy with Dynamic Intermittent Compression Improves Recovery from Revision Total Knee Arthroplasty</title><author>Murgier, J ; Cailliez, J ; Wargny, M ; Chiron, P ; Cavaignac (, E ; Laffosse, J.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-7a217ec042a8cb49c7b522914d2f7b94b79329a376b4143c7707359b0f4f102e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>arthroplasty</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Bioengineering</topic><topic>blood loss</topic><topic>Case-Control Studies</topic><topic>Compression Bandages</topic><topic>compressive cryotherapy</topic><topic>Cryotherapy</topic><topic>Female</topic><topic>Hemorrhage</topic><topic>Hemostasis</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>knee</topic><topic>Knee Joint - surgery</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>pain</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative</topic><topic>Postoperative Complications</topic><topic>Postoperative Hemorrhage</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Rhumatology and musculoskeletal system</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murgier, J</creatorcontrib><creatorcontrib>Cailliez, J</creatorcontrib><creatorcontrib>Wargny, M</creatorcontrib><creatorcontrib>Chiron, P</creatorcontrib><creatorcontrib>Cavaignac (, E</creatorcontrib><creatorcontrib>Laffosse, J.M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murgier, J</au><au>Cailliez, J</au><au>Wargny, M</au><au>Chiron, P</au><au>Cavaignac (, E</au><au>Laffosse, J.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cryotherapy with Dynamic Intermittent Compression Improves Recovery from Revision Total Knee Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>32</volume><issue>9</issue><spage>2788</spage><epage>2791</epage><pages>2788-2791</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Purpose The goal of this study was to Assess the efficacy of cryotherapy with dynamic intermittent compression (CDIC) in Relieving post operative pain, decreasing blood loss and improving functional scores after revision total knee arthroplasty (rTKA). Methods we conducted a prospective case-control study. (Level of evidence: I) to evaluate the efficacy of CDIC on postoperative bleeding, pain and functional outcomes after rTKA. 43 cases were included at a single institution and divided in two groups: a control group without CDIC (n = 19) and an experimental group with CDIC (n = 24).Bleeding was evaluated by calculating total blood loss; pain at rest was evaluated with a visual analogue scale (VAS) on postoperative day 3; function was assessed using the Oxford score at 6 months postoperative. The comparative analysis was performed using Fisher’s exact test Results The CDIC group had significantly lower total blood loss (260 ml vs 465 ml, P < 0.05), significantly less pain on day 3 (1 vs 3, P < 0.05) and a significantly higher functional score (42 vs 40, P < 0.05) than the control group. Conclusion This is the first report dealing with the use of CDIC after rTKA. 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| subjects | Aged Aged, 80 and over arthroplasty Arthroplasty, Replacement, Knee Bioengineering blood loss Case-Control Studies Compression Bandages compressive cryotherapy Cryotherapy Female Hemorrhage Hemostasis Human health and pathology Humans knee Knee Joint - surgery Life Sciences Male Middle Aged Orthopedics pain Pain Measurement Pain, Postoperative Postoperative Complications Postoperative Hemorrhage Postoperative Period Prospective Studies Reoperation Rhumatology and musculoskeletal system Surgery Treatment Outcome |
| title | Cryotherapy with Dynamic Intermittent Compression Improves Recovery from Revision Total Knee Arthroplasty |
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