Étude des bénéfices de la cryothérapie en post-opératoire de prothèse totale de hanche par voie antérieure
(2023) Louvain médical — Vol. 142, n° 9, p. 315-323 (2023)
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- Authors
Manon, Julie 
- Abstract
- (en) [Study of the benefits of cryotherapy in postoperative anterior total hip arthroplasty] The aim of this prospective study was to evaluate the influence of a cryotherapy device compared to conventional cold packs in postoperative anterior total hip arthroplasty to assess the benefits in terms of rehabilitation, analgesia, and blood loss. Existing literature suggests that cryotherapy may be beneficial in reducing postoperative pain (1) and blood loss in joint replacement surgery (2,3). However, no study has comprehensively evaluated these effects on patient rehabilitation and mobilization. Firstly, our cohort comprised 158 patients, 14 of whom were excluded during hospitalization. The control group, consisting of 72 patients, received cold packs twice a day and, if necessary, on demand. The interventional group, also comprising 72 patients, received the cryotherapy machine three times a day during the first two postoperative days. Secondly, our results showed a significant improvement in the revalidation score on the third postoperative day in the cryotherapy group. We could not confirm the significant impact on the clinical outcome. Moreover, no difference was noted in pain medication intake or blood loss. Finally, we can consider cryotherapy as a simple, non-invasive approach that does not increase the risk of adverse effects when used in immediate postoperative total hip arthroplasty (2).
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Citations
Ledoux, A., Meirlaen, S., Manon, J., Mbaga Ntjam, A. C., Dubuc, J.-E., Van Cauter, M., & Cornu, O. (2023). Étude des bénéfices de la cryothérapie en post-opératoire de prothèse totale de hanche par voie antérieure. Louvain médical, 142(9), 315-323. https://hdl.handle.net/2078.5/30065 (Original work published 2023)