What is your opinion regarding Cryocuff therapy or ice packs following total knee replacement?

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Nelson Elias

Dear Laura

These articles may be useful for you

1) Ann Phys Rehabil Med. 2012 May;55(4):229-40.

Comparison of gaseous cryotherapy with more traditional forms of cryotherapy following total knee arthroplasty.

[Article in English, French]

Demoulin C1, Brouwers M, Darot S, Gillet P, Crielaard JM, Vanderthommen M.

2) J Arthroplasty. 2010 Aug;25(5):709-15.

Cryotherapy after total knee arthroplasty a systematic review and meta-analysis of randomized controlled trials.

Adie S1, Naylor JM, Harris IA.

Naohiro Shibuya

There are two systematic reviews and meta-analyses including the Cochran's published this year. Efficacy is not as good as I thought. Someone should do a cost effective analysis. According to these reviews, they are as safe as control but I have reviewed a lot of legal cases where a plaintiff sued a surgeon or cryotherapy company for postop complications, including necrosis/gangrene and amputation. I'd definitely be careful when instructing patients.

Serdar Sargin

I think it is very effective after knee replacement. Duration of the application is very important to preventing of the complications.