Evidence map›Paper›PMID 29356932›Full record

Trial reportInternational orthopaedics2018

Impact of a new cryotherapy device on early rehabilitation after primary total knee arthroplasty (TKA): a prospective randomised controlled trial.

Patrick Sadoghi, Sandro Hasenhütl, Gerald Gruber, Lukas Leitner, Andreas Leithner, Gudrun Rumpold-Seitlinger, Norbert Kastner, Rudolf W Poolman, Mathias Glehr

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05572359 (Effect of Cryo- and Compression Therapy After Total Knee and Unicompartmental Arthroplasty, A Randomised Controlled Trial), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05572359 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Cryo- and Compression Therapy After Total Knee and Unicompartmental Arthroplasty, A Randomised Controlled Trial

TypeinterventionalSponsorMartini Hospital GroningenRan2023 to 2026Enrolled208ConditionsOsteo Arthritis KneeArmscryo-and compression brace
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Cryotherapy following total knee replacement.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Trial
  5. Trial
  6. Reduced opiate use after total knee arthroplasty using computer-assisted cryotherapy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study.Evidence-based complementary and alternative medicine : eCAM · 2021
    Article
  15. Metabolites · 2020
    Article
  16. Article
  17. A Bibliometric Analysis Using CiteSpace of Publications from 1999 to 2018 on Patient Rehabilitation After Total Knee Arthroplasty.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Patrick SadoghiDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Sandro HasenhütlDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Gerald GruberDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria. Gerald.gruber@klinikum-graz.at.
Lukas LeitnerDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Andreas LeithnerDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Gudrun Rumpold-SeitlingerDivision of Special Anaesthesiology, Pain and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Norbert KastnerDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Rudolf W PoolmanDepartment of Orthopaedic Surgery and Traumatology, Joint Research, OLVG, Amsterdam, The Netherlands.
Mathias GlehrDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this prospective, randomised and single blinded study was to evaluate the efficiency and safety of a new cryotherapy device in patients undergoing unilateral, primary total knee arthroplasty (TKA). Our hypothesis was that patients administered to the new cryotherapy device would perform better than patients receiving a conventional standard cold therapy regimen.

methodsNinety-seven patients were randomised into two groups receiving either the cTreatment® (new cryotherapy device) or the standard cold therapy protocol (including cold pack application for six days after the surgical intervention). We evaluated the following endpoints consisting of range of motion (ROM), pain intensity, and knee girth on admission day and the second, fourth, and sixth post-operative day (POD).

resultsA statistically significant benefit of the new cryotherapy device was detected regarding the ROM on the sixth POD with an average gain of 7 degrees (p = 0.021). Pain in the numeric rating scale (NRS) score in motion was significantly lower in the cTreatment® group on the second POD (p = 0.034). There were no statistically significant differences between groups regarding the NRS in rest, patient controlled analgesia (PCA) consumption, and girth measurements. No adverse effects were observed in both study groups.

conclusionThe new computer-controlled cooling therapy device provides benefits in terms of early post-operative remobilisation with respect to ROM and pain, which might be attributed to a reduced inflammatory response, as well as reduced secretion and bleeding. The cTreatment® system appears to be a safe and efficient procedure.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, KneeCryotherapyFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneePain MeasurementPhysical Therapy ModalitiesPostoperative PainProspective StudiesRange of Motion, ArticularSingle-Blind MethodCryotherapyFast-track arthroplastyPain reliefProspective randomised trialTotal knee arthroplasty

Identifiers

PMID29356932
OpenAlexW2794097878

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.