Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product
To compare a novel cooling product, Physicool (P, Physicool Ltd, London, England, UK) with a well-established cryotherapy system, Cryocuff (C, Aircast, DJO Global, Vista, California, USA) using pain scores, range of movement (ROM), and cost as outcome measures in the early phase following total knee...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-12-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151458515609722 |
| _version_ | 1818048946739609600 |
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| author | Aadil Mumith MBBS, MRCS Paul Pavlou FRCS(Tr&Orth) Matthew Barrett MBBCh, MRCS Benjamin Thurston MBBS Simon Garrett FRCS(Tr&Orth) |
| author_facet | Aadil Mumith MBBS, MRCS Paul Pavlou FRCS(Tr&Orth) Matthew Barrett MBBCh, MRCS Benjamin Thurston MBBS Simon Garrett FRCS(Tr&Orth) |
| author_sort | Aadil Mumith MBBS, MRCS |
| collection | DOAJ |
| description | To compare a novel cooling product, Physicool (P, Physicool Ltd, London, England, UK) with a well-established cryotherapy system, Cryocuff (C, Aircast, DJO Global, Vista, California, USA) using pain scores, range of movement (ROM), and cost as outcome measures in the early phase following total knee arthroplasty. We prospectively studied 90 consecutive patients undergoing unilateral total knee arthroplasty by a single surgeon. Following exclusions, 40 patients were recruited to each group. Visual analogue scale (VAS) for pain and ROM before and after application of cooling device was recorded at 24 and 48 hours after surgery. The cost of treatment per patient was also calculated. The VAS were significantly reduced in P on day 1 postsurgery ( p = 0.013) and day 2 ( p = 0.001) compared to C . A significant increase in ROM was recorded in P at 24 hours ( p = 0.004) and at 48 hours ( p = 0.009) postsurgery compared to C . The cost benefit of using P over C was approximately £25 per patient. The Physicool system is a safe and effective cooling method for improving pain and ROM in the early postoperative phase following total knee arthroplasty. Furthermore, it offers substantial cost savings. |
| first_indexed | 2024-12-10T10:29:46Z |
| format | Article |
| id | doaj.art-1916193585194b47ab9e753f019752ad |
| institution | Directory Open Access Journal |
| issn | 2151-4585 2151-4593 |
| language | English |
| last_indexed | 2024-12-10T10:29:46Z |
| publishDate | 2015-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-1916193585194b47ab9e753f019752ad2022-12-22T01:52:37ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45852151-45932015-12-01610.1177/2151458515609722Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy ProductAadil Mumith MBBS, MRCS0Paul Pavlou FRCS(Tr&Orth)1Matthew Barrett MBBCh, MRCS2Benjamin Thurston MBBS3Simon Garrett FRCS(Tr&Orth)4 Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, London, England Department of Trauma and Orthopaedics, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, United Kingdom Department of Trauma and Orthopaedics, Poole Hospital, Longfleet Road, Poole, United Kingdom Department of Trauma and Orthopaedics, Dorset County Hospital, Williams Avenue, Dorchester, England Department of Trauma and Orthopaedics, Dorset County Hospital, Williams Avenue, Dorchester, EnglandTo compare a novel cooling product, Physicool (P, Physicool Ltd, London, England, UK) with a well-established cryotherapy system, Cryocuff (C, Aircast, DJO Global, Vista, California, USA) using pain scores, range of movement (ROM), and cost as outcome measures in the early phase following total knee arthroplasty. We prospectively studied 90 consecutive patients undergoing unilateral total knee arthroplasty by a single surgeon. Following exclusions, 40 patients were recruited to each group. Visual analogue scale (VAS) for pain and ROM before and after application of cooling device was recorded at 24 and 48 hours after surgery. The cost of treatment per patient was also calculated. The VAS were significantly reduced in P on day 1 postsurgery ( p = 0.013) and day 2 ( p = 0.001) compared to C . A significant increase in ROM was recorded in P at 24 hours ( p = 0.004) and at 48 hours ( p = 0.009) postsurgery compared to C . The cost benefit of using P over C was approximately £25 per patient. The Physicool system is a safe and effective cooling method for improving pain and ROM in the early postoperative phase following total knee arthroplasty. Furthermore, it offers substantial cost savings.https://doi.org/10.1177/2151458515609722 |
| spellingShingle | Aadil Mumith MBBS, MRCS Paul Pavlou FRCS(Tr&Orth) Matthew Barrett MBBCh, MRCS Benjamin Thurston MBBS Simon Garrett FRCS(Tr&Orth) Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product |
| title_full | Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product |
| title_fullStr | Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product |
| title_full_unstemmed | Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product |
| title_short | Enhancing Postoperative Rehabilitation Following Knee Arthroplasty Using a New Cryotherapy Product |
| title_sort | enhancing postoperative rehabilitation following knee arthroplasty using a new cryotherapy product |
| url | https://doi.org/10.1177/2151458515609722 |
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