[Effects of continuous cryotherapy on the surgically traumatized musculoskeletal system. Perioperative Cryotherapy Study Group].
The in-vivo effectiveness of continuous cold pressure therapy was evaluated in 24 patients following elective knee or hip replacement surgery. A cooling of the skin surface down to 8 degrees C resulted in a reduction of the epifascial tissue temperature to 22 degrees C. A significant reduction of subfascial pressure in combination with decreased protein leakage via redovac output were notable. Observing a constant decreased pH-level increased oxygen saturation and reduced drop of base excess were interpreted as signs of reduced enzyme-linked metabolism activity. Clinically these findings were found in correlation to a 50% decrease of postoperative analgetic demands as well as a 20% increased range of motion level.
Albrecht
S
S
Abteilungen für Orthopädie sowie Physiotherapie und Physikalische Therapie des Evangelischen Waldkrankenhauses Spandau.
Le Blond
R
R
Cordis
R
R
Kleihues
H
H
Gill
C
C
D017679:Cryotherapy / Q000295:instrumentation*; D006622:Hip Prosthesis; D006801:Humans; D007720:Knee Prosthesis; D010147:Pain Measurement; D011182:Postoperative Care; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control*; D016059:Range of Motion, Articular; D014945:Wound Healing / Q000502:physiology
Effekte kontinuierlicher Kryotherapie auf den operativ traumatisierten Bewegungsapparat. Perioperative Kryotherapie-Arbeitsgruppe.