Albrecht S, Le Blond R, Cordis R, Kleihues H, Gill C
Abteilungen für Orthopädie sowie Physiotherapie und Physikalische Therapie des Evangelischen Waldkrankenhauses Spandau.
Unfallchirurgie. 1996 Aug;22(4):168-75.
The in-vivo effectiveness of continuous cold pressure therapy was evaluated in 24 patients following elective knee or hip replacement surgery. A cooling of the skin surface down to 8 degrees C resulted in a reduction of the epifascial tissue temperature to 22 degrees C. A significant reduction of subfascial pressure in combination with decreased protein leakage via redovac output were notable. Observing a constant decreased pH-level increased oxygen saturation and reduced drop of base excess were interpreted as signs of reduced enzyme-linked metabolism activity. Clinically these findings were found in correlation to a 50% decrease of postoperative analgetic demands as well as a 20% increased range of motion level.
