Frostbite of the Feet After Cryotherapy: A Report of Two Cases
The use of cryotherapy for the reduction of postoperative swelling and pain has become commonplace in orthopedic, podiatric, and cosmetic surgery. Prolonged exposure to extreme cold may induce an injury nearly identical to that of frostbite. The authors report on 2 patients who underwent podiatric o...
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Veröffentlicht in: | The Journal of foot and ankle surgery 2009-09, Vol.48 (5), p.577-580 |
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description | The use of cryotherapy for the reduction of postoperative swelling and pain has become commonplace in orthopedic, podiatric, and cosmetic surgery. Prolonged exposure to extreme cold may induce an injury nearly identical to that of frostbite. The authors report on 2 patients who underwent podiatric orthopedic surgery and were exposed to prolonged cold therapy, which resulted in limb-threatening problems. Both patients had prolonged and essentially uninterrupted application of cryotherapy for 4 to 7 days, resulting in rewarming injuries of tissue necrosis. A team of specialists used limb salvage therapy to successfully treat the patients. Because of the problems encountered with the cold therapy devices, the authors caution against unmonitored and prolonged cold exposure. Newer devices that prevent cold exposure below 65°F for longer than 2 hours could be a better option in cases in which cryotherapy is used. Level of Evidence: 4. |
doi_str_mv | 10.1053/j.jfas.2009.06.003 |
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Prolonged exposure to extreme cold may induce an injury nearly identical to that of frostbite. The authors report on 2 patients who underwent podiatric orthopedic surgery and were exposed to prolonged cold therapy, which resulted in limb-threatening problems. Both patients had prolonged and essentially uninterrupted application of cryotherapy for 4 to 7 days, resulting in rewarming injuries of tissue necrosis. A team of specialists used limb salvage therapy to successfully treat the patients. Because of the problems encountered with the cold therapy devices, the authors caution against unmonitored and prolonged cold exposure. Newer devices that prevent cold exposure below 65°F for longer than 2 hours could be a better option in cases in which cryotherapy is used. 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Prolonged exposure to extreme cold may induce an injury nearly identical to that of frostbite. The authors report on 2 patients who underwent podiatric orthopedic surgery and were exposed to prolonged cold therapy, which resulted in limb-threatening problems. Both patients had prolonged and essentially uninterrupted application of cryotherapy for 4 to 7 days, resulting in rewarming injuries of tissue necrosis. A team of specialists used limb salvage therapy to successfully treat the patients. Because of the problems encountered with the cold therapy devices, the authors caution against unmonitored and prolonged cold exposure. Newer devices that prevent cold exposure below 65°F for longer than 2 hours could be a better option in cases in which cryotherapy is used. Level of Evidence: 4.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>cold</subject><subject>cryotherapy</subject><subject>Cryotherapy - adverse effects</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>frostbite</subject><subject>Frostbite - etiology</subject><subject>Frostbite - surgery</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Injuries of the skin. Diseases of the skin due to physical agents</subject><subject>ischemic</subject><subject>Limb Salvage</subject><subject>limb savage</subject><subject>Medical sciences</subject><subject>Orthopedics</subject><subject>Pain, Postoperative - therapy</subject><subject>Risk Factors</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Injuries of the skin. Diseases of the skin due to physical agents</topic><topic>ischemic</topic><topic>Limb Salvage</topic><topic>limb savage</topic><topic>Medical sciences</topic><topic>Orthopedics</topic><topic>Pain, Postoperative - therapy</topic><topic>Risk Factors</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, William C., MD</creatorcontrib><creatorcontrib>Hahn, David B., MD</creatorcontrib><collection>Pascal-Francis</collection><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><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brown, William C., MD</au><au>Hahn, David B., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frostbite of the Feet After Cryotherapy: A Report of Two Cases</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>48</volume><issue>5</issue><spage>577</spage><epage>580</epage><pages>577-580</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>The use of cryotherapy for the reduction of postoperative swelling and pain has become commonplace in orthopedic, podiatric, and cosmetic surgery. 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subjects | Adolescent Adult Biological and medical sciences cold cryotherapy Cryotherapy - adverse effects Diseases of the osteoarticular system Female frostbite Frostbite - etiology Frostbite - surgery Humans Iatrogenic Disease Injuries of the limb. Injuries of the spine Injuries of the skin. Diseases of the skin due to physical agents ischemic Limb Salvage limb savage Medical sciences Orthopedics Pain, Postoperative - therapy Risk Factors Traumas. Diseases due to physical agents Young Adult |
title | Frostbite of the Feet After Cryotherapy: A Report of Two Cases |
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