The evaluation of the effectiveness of cryotherapy after a knee replacement in the early postoperative period. Systematic review

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Abstract

A literature review of the clinical efficacy of various methods of local cryotherapy after knee endoprosthesis in the early postoperative period is presented. A literature search using the keywords “cryotherapy” and “knee arthroplasty” was conducted in the databases Medline.Ru, CyberLeninka, E-Library, PubMed, and Cochrane. The search date was January 7, 2023. The review included studies that assessed the effectiveness of cryotherapy after knee replacement in the early postoperative period. After electronic search, 562 abstracts were found, and 16 studies were included in the review. Although the patients had similar characteristics, significant heterogeneity was noted in the studies according to cryotherapy modality, duration, and frequency of cold exposure. This may have been the reason for the contradictory results of the review. It is challenging to draw a clear conclusion on the advantages and disadvantages of using cryotherapy after knee replacement. Thus, high-quality studies should examine the effectiveness of cryotherapy.

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About the authors

Dmitriy I. Kazantsev

Federal Center for Traumatology, Orthopedics and Endoprosthetics

Author for correspondence.
Email: dmitry.kazantsev@inbox.ru
ORCID iD: 0000-0002-5498-3861
Russian Federation, Barnaul

Aleksandr A. Ochkurenko

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: cito-omo@mail.ru
ORCID iD: 0000-0002-1078-9725
SPIN-code: 8324-2383

MD, Dr. Sci. (Med.), professor

Russian Federation, Moscow

Vladimir A. Peleganchuk

Federal Center for Traumatology, Orthopedics and Endoprosthetics

Email: 297501@mail.ru
ORCID iD: 0000-0002-2386-4421

MD, Dr. Sci. (Med.), professor

Russian Federation, Barnaul

Yurii M. Batrak

Federal Center for Traumatology, Orthopedics and Endoprosthetics

Email: dr_yu.batrak@mail.ru
ORCID iD: 0000-0003-0489-1480

MD, Cand. Sci. (Med.)

Russian Federation, Barnaul

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2. Fig. 1. A literature source selection scheme for cryotherapy after knee endoprosthesis.

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