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Int J Clin Exp Med. 2015 Oct 15;8(10):19150-5. eCollection 2015.

Effect of both preoperative andpostoperative cryoceutical treatment on hemostasis and postoperative pain following total knee arthroplasty.

International journal of clinical and experimental medicine

Engin Eren Desteli, Yunus Imren, Nuri Aydın

Affiliations

  1. Department of Orthopaedics and Traumatology, Üsküdar State Hospital ?stanbul, Turkey.
  2. Department of Orthopaedics and Traumatology, Cerrahpa?a Medical Faculty, ?stanbul University ?stanbul, Turkey.

PMID: 26770547 PMCID: PMC4694447

Abstract

AIM: We aimed to evaluate the hemostatic effects and the clinical outcomes of preoperative and postoperative cryoceutical treatment (C-tx) following total knee arthroplasty.

PATIENTS AND METHOD: 42 patients received C-tx both preoperatively, and postoperatively. In the control group, 45 patients did not receive any C-tx. Amount of bloody drainage and verbal rating pain scores were noted.

RESULTS: We found significant difference in both the preoperative and postoperative hemoglobin levels and blood drainage (P<0.001). However, there was no significant difference in the average verbally rated pain scores (P>0.05).

CONCLUSION: C-tx performed preoperatively and postoperatively for total knee arthroplasty is effective in decreasing perioperative and postoperative hemorrhage. However, it had no superior effect on the control of postoperative pain.

Keywords: Cryotherapy; pain management; postoperative hemorrhage; total knee arthroplasty

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