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A randomized, controlled trial comparing bandaging and cold therapy in postoperative total knee replacement surgery
Smith J, Stevens J, Taylor M, Tibbey J
Orthopaedic Nursing 2002 Mar-Apr;21(2):61-66
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: To examine the difference between compression bandaging and cold therapy after total knee arthroplasty. SAMPLE: Eighty-four postoperative, unilateral, total knee replacement, surgical clients. PROCEDURE: Clients were randomized into two groups: those receiving compression bandaging, and those receiving cryo-pad technology. Subjects were assessed for total length of stay, blood loss, blood transfusion, swelling, flexion, pain, and opiate use. FINDINGS: Unlike other studies, the results of these data showed no significant differences between groups on the measured outcomes. A simple cost benefit analysis shows that the compression bandage is cheaper and more labor efficient than the cold therapy as delivered by cryo-pad technology.

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