Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Zhong, Ying; Zheng, Cheng; Du, Wei; Zheng, Jiahui; Xu, Shanchun; Tong, Peijian

doi:10.1155/2021/6611614

Cited by 10 publications

(8 citation statements)

References 22 publications

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“…Zhong et al. reported that applying an ice pack after TKA is effective in relieving pain, reducing swelling, and improving the range of motion (ROM) [ 89 ].…”

Section: Components Of Eras Protocolmentioning

confidence: 99%

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Choi

Kim

Chang

et al. 2022

Knee Surg & Relat Res

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Background With increasing interest in enhanced recovery after surgery (ERAS), the literature on ERAS in orthopedic surgery is also rapidly accumulating. This review article aims to (1) summarize the components of the ERAS protocol applied to orthopedic surgery, (2) evaluate the outcomes of ERAS in orthopedic surgery, and (3) suggest practical strategies to implement the ERAS protocol successfully. Main body Overall, 17 components constituting the highly recommended ERAS protocol in orthopedic surgery were identified. In the preadmission period, preadmission counseling and the optimization of medical conditions were identified. In the preoperative period, avoidance of prolonged fasting, multimodal analgesia, and prevention of postoperative nausea and vomiting were identified. During the intraoperative period, anesthetic protocols, prevention of hypothermia, and fluid management, urinary catheterization, antimicrobial prophylaxis, blood conservation, local infiltration analgesia and local nerve block, and surgical factors were identified. In the postoperative period, early oral nutrition, thromboembolism prophylaxis, early mobilization, and discharge planning were identified. ERAS in orthopedic surgery reduced postoperative complications, hospital stay, and cost, and improved the patient outcomes and satisfaction with accelerated recovery. For successful implementation of the ERAS protocol, various strategies including the standardization of care system, multidisciplinary communication and collaboration, ERAS education, and continuous audit system are necessary. Conclusion The ERAS pathway enhanced patient recovery with a shortened length of stay, reduced postoperative complications, and improved patient outcomes and satisfaction. However, despite the significant progress in ERAS implementation in recent years, it has mainly focused on major surgeries such as arthroplasty. Therefore, further efforts to apply, audit, and optimize ERAS in various orthopedic surgeries are necessary.

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“…Zhong et al. reported that applying an ice pack after TKA is effective in relieving pain, reducing swelling, and improving the range of motion (ROM) [ 89 ].…”

Section: Components Of Eras Protocolmentioning

confidence: 99%

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Choi

Kim

Chang

et al. 2022

Knee Surg & Relat Res

View full text Add to dashboard Cite

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“…It is, therefore, a pressing need for the introduction and implementation of the enhanced recovery after surgery (ERAS) principles, which aim to optimize perioperative care, reduce complications, shorten the length of hospital stay, and reduce readmission rates and costs ( 6 – 8 ). Cryotherapy, as a nonpharmaceutical treatment, plays a vital role in addressing immediate postoperative complications, mainly for severe pain and significant swelling ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty: A systematic review and meta-analysis of randomized controlled trials

Liu

Tian²,

Luo³

et al. 2023

Front. Surg.

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BackgroundCryotherapy is widely applied to relieve pain and improve functional outcomes after total knee arthroplasty (TKA). New cryotherapy devices have recently been developed to guarantee a fixed temperature for a prolonged time. Therefore, we conducted a systematic review and meta-analysis to compare continuous cryotherapy and traditional cryotherapy (ice bag or gel pack) for patients after TKA.MethodsThis study was conducted according to a predefined protocol registered on PROSPERO. Two independent reviewers performed an electronic database search of PubMed, Embase, Cochrane, Web of Science, Google Scholar, and ClinicalTrials.gov. Dichotomous outcomes were reported as risk difference (RD) with 95% confidence intervals (CIs), and continuous outcomes were reported as mean difference (MD), or standardized mean difference (SMD) with 95% CIs.ResultsSeven trials enrolling a total of 519 patients were included. There were no differences in pain intensity (MD: −0.54, 95% CI: −1.55 to 0.47; P = 0.30), analgesics consumption (MD: −0.37, 95% CI: −1.28 to 0.55; P = 0.43), postoperative range of motion (MD: 0.47, 95% CI: −4.09 to 5.03; P = 0.84), swelling of the knee joint, blood loss, change in hemoglobin, or transfusion rate. Meanwhile, there were no differences in length of hospital stay (MD: −0.77, 95% CI: −1.62 to 0.08; P = 0.07) and adverse events (RD: 0, 95% CI: −0.02 to 0.03; P = 0.74). In addition, continuous cryotherapy leads to extra costs and resources than traditional cryotherapy.ConclusionsContinuous cryotherapy does not appear to offer significant benefits for TKA when compared with traditional cryotherapy. Based on currently available evidence, traditional cryotherapy is still recommended as continuous cryotherapy is not cost-effective. Further well-designed studies with larger sample sizes are warranted to further confirm these preliminary results. PROSPERO Registration: Identifier [CRD42022308217].

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“…e total knee arthroplasty is a new technique for treating knee joint diseases developed gradually after the successful application of artificial hip joint [17][18][19]. Zhong et al [20] studied mirabilite after TKA. Alessi et al [21] studied the functionality of a robotic surgical assistant for TKA.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Predictors of Prolonged Hospital Stay in Accelerated Rehabilitation for Patients Undergoing Orthopedic Surgery

Huang

Xie

Huang

et al. 2021

Bioinorganic Chemistry and Applications

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In this study, we performed a retrospective and prospective study of preoperative predictors of the length of stay (LOS) in three groups of surgical patients and conducted a clinical retrospective study of the current research status of preoperative predictors of LOS prolongation in three groups of patients under ERAS (enhanced recovery after surgery) mode, such as patient characteristics and comorbidities. Information such as patients’ exercise preferences, exercise time, frequency and duration, footwear, location of knee osteoarthritis, whether there is a past history of knee injury, and smoking and drinking history was collected, and the research data of 312 patients undergoing the three operations were analyzed by SPSS. Meniscal injury-knee arthroscopy sample included a total of 104 people. Surgical sample for anterior cruciate ligament reconstruction included a total of 100 subjects. Knee osteoarthritis-knee replacement surgery sample included 148 people who were divided into two groups in a ratio of 1 : 1: one group used Mailuo Shutong pills during hospitalization (intervention group) and the other group did not (control group). The research conclusions are as follows. Meniscal Knee Arthroscopy. (1) Samples from different causes of injury showed significant differences for all injured sites. (2) Samples with different smoking and drinking histories all showed significant differences for the causes of injury. (3) Exercise hobby, exercise frequency, duration of each exercise and duration of exercise, and warm-up time before exercise all showed positive correlation. Anterior Cruciate Ligament Reconstruction Surgery. (4) Samples from different causes of injury showed significant differences for all the injured sites. (5) Age has a significant negative influence on the wearing of shoes at ordinary times. (6) Exercise hobby: the warm-up time before exercise had a significant negative influence on the injured area. (7) Two groups of analysis items of exercise frequency, exercise duration and exercise duration, preexercise warm-up time, and exercise hobby were typically positively correlated. Total Knee Arthroplasty. (8) There was a significant difference of 0.01 between the hospitalization days of the intervention group and the control group ( p < 0.01 ), and the hospitalization days of the intervention group were significantly lower than those of the control group. These results indicated that Mailuo Shutong pills were of great significance for the treatment of orthopedic patients during the operation period in that it could effectively shorten the hospital stay of all orthopedic patients and strengthen the accelerated rehabilitation. (9) There was a significant positive correlation between the history of knee joint surgery and the use time of Mailuo Shutong pills. (10) There was a markable positive correlation between occupation and sports hobbies, sports time, frequency and duration, and footwear. There was a significant negative correlation between occupation and preexercise warm-up. (11) Exercise time, frequency, and duration have significant positive influence on BMI.

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Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Cited by 10 publications

References 22 publications

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty: A systematic review and meta-analysis of randomized controlled trials

Preoperative Predictors of Prolonged Hospital Stay in Accelerated Rehabilitation for Patients Undergoing Orthopedic Surgery

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