Gibbons C E, Solan M C, Ricketts D M, Patterson M
Princess Royal Hospital, Haywards Heath, West Sussex, UK.
Int Orthop. 2001;25(4):250-2. doi: 10.1007/s002640100227.
Sixty patients undergoing total knee replacement were randomized to receive either a cold compression dressing (Cryo/Cuff, Aircast, UK) or a modified Robert Jones bandage immediately after surgery. The cold compression dressing was used for a minimum of 6 h per day throughout the hospital stay, and the modified Robert Jones bandage remained in place for 48 h from the time of operation. The 2 groups of patients were compared during their hospital stay for blood loss, range of movement, pain scores and need for analgesia. No difference was found between the 2 groups except for less blood loss in the surgical drains in the cold compression group (P < 0.05). Postoperative complications were seen in both groups, but no complication was associated with either the cold compression dressing or the modified Robert Jones bandage.
60例行全膝关节置换术的患者在术后随即被随机分为两组,分别接受冷压缩敷料(Cryo/Cuff,Aircast,英国)或改良罗伯特·琼斯绷带治疗。在整个住院期间,冷压缩敷料每天至少使用6小时,改良罗伯特·琼斯绷带从手术时起固定48小时。比较两组患者住院期间的失血量、活动范围、疼痛评分及镇痛需求。结果发现,除冷压缩组手术引流管的失血量较少外(P<0.05),两组之间无差异。两组均出现术后并发症,但未发现任何并发症与冷压缩敷料或改良罗伯特·琼斯绷带有关。