Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial
Abstract Background Cryotherapy is a non-pharmacological option that complements drug therapy to achieve the most comprehensive multimodal analgesia. Various techniques are currently available, including the conventional gel cold pack, the cryo-cuff, and a novel mobile cold compression device (MCCD)...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Arthroplasty |
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| Online Access: | https://doi.org/10.1186/s42836-024-00287-7 |
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| author | Keerati Chareancholvanich Worawut Keesukpunt Chaturong Pornrattanamaneewong Rapeepat Narkbunnam Atthakorn Jarusriwanna |
| author_facet | Keerati Chareancholvanich Worawut Keesukpunt Chaturong Pornrattanamaneewong Rapeepat Narkbunnam Atthakorn Jarusriwanna |
| author_sort | Keerati Chareancholvanich |
| collection | DOAJ |
| description | Abstract Background Cryotherapy is a non-pharmacological option that complements drug therapy to achieve the most comprehensive multimodal analgesia. Various techniques are currently available, including the conventional gel cold pack, the cryo-cuff, and a novel mobile cold compression device (MCCD). This study aimed to evaluate and compare three cryotherapy techniques in terms of efficacy and patient satisfaction in patients undergoing total knee arthroplasty (TKA). Methods This prospective randomized study included 108 patients who were scheduled for primary unilateral TKA. The patients were allocated to 3 groups for postoperative cryotherapy techniques: gel cold pack, cryo-cuff, and MCCD. Scores on the visual analog scale (VAS) for pain intensity, morphine consumption, knee range of motion (ROM), knee swelling, length of hospital stay, and patient satisfaction were collected. Results Postoperative VAS scores showed a significant difference among the groups at 8 and 72 h after surgery (P = 0.002 and 0.026, respectively). At the earliest postoperative time point, post hoc analysis demonstrated that patients in the MCCD group had lower pain scores than those in the gel cold pack (P < 0.001) and the cryo-cuff group (P = 0.030). However, cryo-cuff reduced knee swelling significantly compared to gel cold pack (P = 0.028) and MCCD (P = 0.011) at postoperative 72 h. The total satisfaction score was 86.8, 82.8, and 89.1 with gel cold pack, cryo-cuff, and MCCD, respectively. Conclusions Cryotherapy is an adjunct to post-TKA pain control at the surgical site. MCCD has shown superior efficacy in pain reduction during the earliest postoperative period, and achieved high patient satisfaction. Trial registration This study was registered in the Thai Clinical Trials Registry database (no. TCTR20200517002). |
| format | Article |
| id | doaj-art-133ed563fda24097bf5275c6fc1cfc8a |
| institution | Kabale University |
| issn | 2524-7948 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Arthroplasty |
| spelling | doaj-art-133ed563fda24097bf5275c6fc1cfc8a2025-01-12T12:08:11ZengBMCArthroplasty2524-79482025-01-017111010.1186/s42836-024-00287-7Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trialKeerati Chareancholvanich0Worawut Keesukpunt1Chaturong Pornrattanamaneewong2Rapeepat Narkbunnam3Atthakorn Jarusriwanna4Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityBone and Joint Center, Thonburi HospitalDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Orthopaedics, Faculty of Medicine, Naresuan UniversityAbstract Background Cryotherapy is a non-pharmacological option that complements drug therapy to achieve the most comprehensive multimodal analgesia. Various techniques are currently available, including the conventional gel cold pack, the cryo-cuff, and a novel mobile cold compression device (MCCD). This study aimed to evaluate and compare three cryotherapy techniques in terms of efficacy and patient satisfaction in patients undergoing total knee arthroplasty (TKA). Methods This prospective randomized study included 108 patients who were scheduled for primary unilateral TKA. The patients were allocated to 3 groups for postoperative cryotherapy techniques: gel cold pack, cryo-cuff, and MCCD. Scores on the visual analog scale (VAS) for pain intensity, morphine consumption, knee range of motion (ROM), knee swelling, length of hospital stay, and patient satisfaction were collected. Results Postoperative VAS scores showed a significant difference among the groups at 8 and 72 h after surgery (P = 0.002 and 0.026, respectively). At the earliest postoperative time point, post hoc analysis demonstrated that patients in the MCCD group had lower pain scores than those in the gel cold pack (P < 0.001) and the cryo-cuff group (P = 0.030). However, cryo-cuff reduced knee swelling significantly compared to gel cold pack (P = 0.028) and MCCD (P = 0.011) at postoperative 72 h. The total satisfaction score was 86.8, 82.8, and 89.1 with gel cold pack, cryo-cuff, and MCCD, respectively. Conclusions Cryotherapy is an adjunct to post-TKA pain control at the surgical site. MCCD has shown superior efficacy in pain reduction during the earliest postoperative period, and achieved high patient satisfaction. Trial registration This study was registered in the Thai Clinical Trials Registry database (no. TCTR20200517002).https://doi.org/10.1186/s42836-024-00287-7Total knee arthroplastyKnee osteoarthritisMultimodal analgesiaCryotherapyCold packCryo-cuff |
| spellingShingle | Keerati Chareancholvanich Worawut Keesukpunt Chaturong Pornrattanamaneewong Rapeepat Narkbunnam Atthakorn Jarusriwanna Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial Arthroplasty Total knee arthroplasty Knee osteoarthritis Multimodal analgesia Cryotherapy Cold pack Cryo-cuff |
| title | Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial |
| title_full | Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial |
| title_fullStr | Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial |
| title_full_unstemmed | Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial |
| title_short | Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial |
| title_sort | comparison of three cryotherapy techniques for early post tka pain control in terms of efficacy and patient satisfaction a randomized controlled trial |
| topic | Total knee arthroplasty Knee osteoarthritis Multimodal analgesia Cryotherapy Cold pack Cryo-cuff |
| url | https://doi.org/10.1186/s42836-024-00287-7 |
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