Dynamic intermittent compression cryotherapy with intravenous nefopam results in faster pain recovery than static compression cryotherapy with oral nefopam: post‐anterior cruciate ligament reconstruction

Autor: Mohamad K. Moussa, Nicolas Lefevre, Eugenie Valentin, Alain Meyer, Olivier Grimaud, Yoan Bohu, Antoinne Gerometta, Frederic Khiami, Alexandre Hardy
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Experimental Orthopaedics, Vol 10, Iss 1, Pp n/a-n/a (2023)
Druh dokumentu: article
ISSN: 2197-1153
DOI: 10.1186/s40634-023-00639-3
Popis: Abstract Purpose To evaluate the effectiveness of dynamic intermittent compression cryotherapy (DICC) (CryoNov®) with an intravenous nefopam‐based pain management protocol (DCIVNPP) in reducing post‐operative pain following anterior cruciate ligament reconstruction (ACLR) compared to static compression cryotherapy (SCC) (Igloo®) and oral Nefopam. Methods This was a retrospective analysis of prospectively collected data including 676 patients who underwent primary ACLR in 2022. Patients were either in the DCIVNPP group or in the SCC (control group), and were matched for age, sex, and Lysholm and Tegner scores (338 per arm). The primary outcome was pain on the visual analogue scale (VAS), analyzed in relation to the minimal clinically important difference (MCID) and the Patient Acceptable Symptom State (PASS) thresholds for VAS. The secondary outcome was side effects. Results Postoperative pain in the DCIVNPP group was less severe on the VAS than in the control group (p
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