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Clinical Trial
. 2001;25(4):250-2.
doi: 10.1007/s002640100227.

Cryotherapy compared with Robert Jones bandage after total knee replacement: a prospective randomized trial

C E Gibbons  1 , M C Solan, D M Ricketts, M Patterson
Affiliations
Clinical Trial

Cryotherapy compared with Robert Jones bandage after total knee replacement: a prospective randomized trial

C E Gibbons et al. Int Orthop. 2001.

Abstract
in English, French

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.

Etude randomisée de 60 patients qui, immédiatement après une arthroplastie totale du genou ont eu soit un pansement compressif froid de type “Cryocuff” soit un pansement compressif de type Robert Jones. Le pansement froid a été utilisé 6 heures par jour pendant la durée de l'hospitalisation tandis que le pansement compressif de type Robert Jones a été laisse en place pendant 48 heures après l'opération. Aucune différence statistiquement significative n'a pu être mise en évidence entre les deux groupes, à l'exception des pertes sanguines dans le drainage, moins importantes dans le premier groupe de patients. Nous avons eu des complications post opératoires dans les deux groupes mais aucune corrélation n'a pu être établie entre ces complications et le type de bandage appliqué.

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