Case Studies

Open Access Journal of Sports Medicine

Cold and Compression in the Management of Musculoskeletal Injuries and Orthopedic Operative Procedures: A Narrative Review

Cold and compression are routinely appled immediately after acute injury or following surgery to alleviate pain, reduce swelling and speed functional recovery.

Studies of total knee arthroplasty, in particular, appear to offer an excellent model for evaluating the effects of cold compression on post-operative outcomes. Of the seven randomized trials evaluated, five concluded that cold compression therapy was superior to alternative treatment modalities for improving clinical outcomes after knee replacement surgery.

Authors: Jon E Block, PhD.

Department of Orthopaedic Surgery, Albert Einstein Medical Center

The Role of Cold Compression Dressings in the Posttoperative Treatment of Total Knee Arthroplasty

A prospective randomized study was performed to evaluate the role of cold compressive dressings in the postoperative treatment of total knee arthroplasty (TKA).

The use of cold compression in the postoperative period of TKA results in a dramatic decrease in blood loss. In addition, mild improvements are seen in early return of motion and injectable narcotic pain needs in the postoperative period.

Authors: Levy AS, Marmar E.

Department of Orthopaedic Surgery, Menoufyia University Hospitals

Continuous-Flow Cold Therapy After Total Knee Arthroplasty

Cryotherapy is widely used as an emergency treatment of sports trauma and postoperatively especially after anterior cruciate ligament reconstruction.

The study compared the range of motion, the volume of hemovac output and blood loss, visual analog pain score, analgesic consumption, and wound healing in the 2 limbs of the same patient. This study showed that continuous-flow cold therapy is advantageous after TKA because it provides better results in all areas compared.

Authors: Morsi E.