The effect of cryotherapy on knee surface temperature after total knee arthroplasty: A quasi-experimental study
DOI:
https://doi.org/10.12707/RVI23.68.31331Keywords:
knee arthroplasty, cryotherapy, skin temperatureAbstract
Background: Cryotherapy is used during the postoperative phase of total knee arthroplasty to reduce pain, inflammation, blood loss, cell metabolism, and edema. The therapeutic effects of cryotherapy are achieved when skin surface temperatures are at or below 15ºC.
Objective: To determine the effect of cryotherapy on the skin surface temperature of a knee undergoing total knee arthroplasty using different interfaces.
Methodology: A 1X4X6 quasi-experimental and factorial study was conducted, comparing one modality of cryotherapy (ice bag), four interfaces (Robert Jones-type bandage, tubular mesh bandage, thin pillowcase-type cloth, and non-woven compress), and six periods of cryotherapy administration (10,20, 30, 40, 50, and 60 minutes) on a knee undergoing total knee arthroplasty. The sample consisted of 60 participants randomly assigned to one of the four experimental groups (interfaces). A total of 720 cryotherapy treatments were administered.
Results: There was no decrease in skin surface temperature to therapeutic levels in any of the experimental groups. The mean values obtained were: Robert Jones-type bandage = 34.13ºC; tubular mesh bandage = 23.90ºC; thin pillowcase-type cloth = 22.84ºC, and non-woven compress = 21.92ºC.
Conclusion: Under the experimental conditions studied, cryotherapy had no therapeutic effect.
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