Metrics details. Cryotherapy and compression are recommended in the literature, but no study has shown that cryotherapy and compression combined leads to better results than cryotherapy alone.
The primary objective was to compare knee ROM after 21 days of rehabilitation post-TKA between patients who underwent rehabilitation with compressive cryotherapy with those who had cryotherapy alone. The secondary objectives were to compare other trophic, pain and functional outcomes.
The groups were compared on D1 baseline and D21 of rehabilitation. A survival analysis has compared the groups on D1, D8, D15, D Both cryotherapy methods improved joint ROM, trophic changes, pain and function. Adding dynamic compression to a cryotherapy protocol provided further benefits: a significantly faster improvement in passive knee flexion ROM, a greater reduction of swelling, and pain during activity. The study was registered in the ClinicalTrials. Peer Review reports.
Total knee arthroplasty TKA is now widely accepted as the preferred treatment for end-stage knee osteoarthritis [ 1 , 2 , 3 ]. Shichman et al. The majority of these TKA procedures are done in women, with a male-to-female ratio of 0. Despite the excellent functional outcomes in the short and medium term, better quality of life [ 1 , 2 , 6 ], and a high level of satisfaction, the postoperative period following TKA is key.
In fact, during the early postoperative period, patients often have limited joint range of motion ROM , altered muscle function and edema, with or without joint effusion [ 1 , 2 , 3 ]. These can considerably limit function, which can delay rehabilitation and increase the length of hospital stay [ 1 , 3 , 6 , 7 ].
