Desteli Engin Eren, Imren Yunus, Aydın Nuri
Department of Orthopaedics and Traumatology, Üsküdar State Hospital İstanbul, Turkey.
Department of Orthopaedics and Traumatology, Cerrahpaşa Medical Faculty, İstanbul University İstanbul, Turkey.
Int J Clin Exp Med. 2015 Oct 15;8(10):19150-5. eCollection 2015.
We aimed to evaluate the hemostatic effects and the clinical outcomes of preoperative and postoperative cryoceutical treatment (C-tx) following total knee arthroplasty.
42 patients received C-tx both preoperatively, and postoperatively. In the control group, 45 patients did not receive any C-tx. Amount of bloody drainage and verbal rating pain scores were noted.
We found significant difference in both the preoperative and postoperative hemoglobin levels and blood drainage (P<0.001). However, there was no significant difference in the average verbally rated pain scores (P>0.05).
C-tx performed preoperatively and postoperatively for total knee arthroplasty is effective in decreasing perioperative and postoperative hemorrhage. However, it had no superior effect on the control of postoperative pain.
我们旨在评估全膝关节置换术后术前及术后冷冻治疗（C-tx）的止血效果及临床结局。
42例患者在术前及术后均接受了C-tx。在对照组中，45例患者未接受任何C-tx。记录血性引流液量及口述疼痛评分。
我们发现术前及术后血红蛋白水平和引流血量均存在显著差异（P<0.001）。然而，平均口述疼痛评分无显著差异（P>0.05）。
全膝关节置换术术前及术后进行C-tx对于减少围手术期及术后出血是有效的。然而，其在控制术后疼痛方面并无优势。
