Evidence-based impact of cryotherapy on postoperative pain, swelling, drainage and tolerance after orthopedic surgery

Pflege
Barbara Cina-Tschumi

Abstract

Cryotherapy is often used in postoperative nursing after orthopedic surgery in order to support healing. A comprehensive literature search was executed in the databases of Medline, Cinahl and The Cochrane Library to identify meta analysis and randomised controlled trials of the application of local cooling after knee, hip, shoulder and spine surgery. The focus was on effects on pain-relief swelling, drainage, and the patients' tolerance. The findings of the 17 included articles were of variable methodological quality and in several points contradictory. Generally, solely an analgesic effect was demonstrated by the use of continuous cooling. The application of cold above 4 degrees C was considered comfortable by the patients, whereas reducing effects on swelling and drainage could not been found. Crashed ice, cold packs and electric-powered cooling devices differ in handling, effect and efficiency. Therefore, exact recommendations on application time and temperature can not be given. Furthermore, the effect of local cooling is influenced by compression and wound dressing techniques and must be considered with the application.

Citations

Aug 23, 2008·Der Orthopäde·V BullmannT L Schulte
Mar 3, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Kevin E WilkJames R Andrews
Feb 14, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Martin AlfuthDennis Liem
Nov 1, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Nick C LeegwaterPeter A Nolte

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.