title: [Effects of continuous cryotherapy on the surgically traumatized musculoskeletal system. Perioperative Cryotherapy Study Group].
abstract: 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.
authors.affiliation: Abteilungen für Orthopädie sowie Physiotherapie und Physikalische Therapie des Evangelischen Waldkrankenhauses Spandau.
authors.forename: S
authors.initials: S
authors.lastname: Albrecht
authors.forename: R
authors.initials: R
authors.lastname: Le Blond
authors.forename: R
authors.initials: R
authors.lastname: Cordis
authors.forename: H
authors.initials: H
authors.lastname: Kleihues
authors.forename: C
authors.initials: C
authors.lastname: Gill
mesh_terms: 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
vernacular_title: Effekte kontinuierlicher Kryotherapie auf den operativ traumatisierten Bewegungsapparat. Perioperative Kryotherapie-Arbeitsgruppe.