Cryotherapy compared with Robert Jones bandage after total knee replacement: a prospective randomized trial.
Sixty patients undergoing total knee replacement were randomized to receive either a cold compression dressing (Cryo/Cuff, Aircast, UK) or a modified Robert Jones bandage immediately after surgery. The cold compression dressing was used for a minimum of 6 h per day throughout the hospital stay, and the modified Robert Jones bandage remained in place for 48 h from the time of operation. The 2 groups of patients were compared during their hospital stay for blood loss, range of movement, pain scores and need for analgesia. No difference was found between the 2 groups except for less blood loss in the surgical drains in the cold compression group (P < 0.05). Postoperative complications were seen in both groups, but no complication was associated with either the cold compression dressing or the modified Robert Jones bandage.
Gibbons
C E
CE
Princess Royal Hospital, Haywards Heath, West Sussex, UK. cergibbons@ozemail.com.au
Solan
M C
MC
Ricketts
D M
DM
Patterson
M
M
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods* / Q000534:rehabilitation*; D001458:Bandages; D017679:Cryotherapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000175:diagnosis / Q000601:surgery; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control; D011182:Postoperative Care / Q000379:methods; D011336:Probability; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D012016:Reference Values; D016896:Treatment Outcome