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
Hauptverfasser: Brown, William C., MD, Hahn, David B., MD
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container_title The Journal of foot and ankle surgery
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creator Brown, William C., MD
Hahn, David B., MD
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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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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