Total Diz Artroplastisi Sonrası Soğuk Uygulamanın Etkisi: Sistematik İnceleme

Abstract

Amaç: Bu sistematik incelemede, total diz artroplastisi sonrası lokal soğuk uygulamanın etkisini araştıran çalışmaları sistematik olarak incelenmesi amaçlanmıştır. Yöntemler: Sistematik inceleme amacıyla total diz artroplastisi sonrası ameliyat bölgesine lokal soğuk uygulama yapılarak etkilerinin araştırıldığı, 2002-2023 yılları arasında yayınlanan, yayın dili Türkçe ve İngilizce olan, prospective, randomize kontrollü deneysel ve yarı-deneysel kontrol gruplu tasarım tipinde olan ve tam metin erişimine açık makaleler incelendi. Pubmed, Google Scholar, ScienceDirect, Cochrane, Türk Medline, Scopus ve Cınahl veri tabanlarında ‘‘total diz artroplastisi ve soğuk uygulama’’, ‘‘total diz artroplastisi ve soğuk terapi’’, ‘‘total diz artroplastisi ve soğuk kompress terapi’’, ‘‘total diz artroplastisinde soğuk terapinin etkisi’’ anahtar kelimeleri tek tek ve birlikte kullanılarak gelişmiş tarama yöntemi uygulandı. Toplam 2.233 makaleye ulaşıldı. Bu makalelerden örneklem ölçütlerini sağlayan 7 çalışma inceleme kapsamına alınmıştır. Bulgular: Sistematik inceleme kapsamına alınmış çalışmaların örneklem grubunu total diz artroplastisi geçirmiş ve lokal soğuk uygulama yapılan hastalarda; ağrı ve şişkinliği azalttığı (P<.05), kanama ve hemoglobin kaybını azalttığı (P<.05), ROM hareketlerinin daha hızlı ve etkin yapılmasına katkı sağladığı (P<.05) belirlenmiştir. Sonuç: Soğuk uygulama yöntemlerinin total diz artroplastisi geçiren hastalara özellikle erken dönemde uygulanmasının hastaların ağrı, şişlik, kanama ve hemoglobin kaybı, analjezik kullanım miktarı, erken mobilize olmaları, taburculuk süresi, hasta memnuniyet oranı üzerinde pozitif bir etkisinin olduğu görülmektedir.

Keywords

• Total Diz Artroplastisi
• Cryotherapy
• Soğuk Uygulama.

The Effect of Cold Application After Total Knee Arthroplasty: A Systematic Review

Abstract

Objective: In the present systematic review, it was aimed to review the studies systematically that researched the effect of local cold application after total knee arthroplasty. Methods: The open-access full-text articles published between 2002-2023 in Turkish and English languages with prospective, randomized controlled experimental and semi-experimental control group design that researched the effects of local cold application on the operation site after total knee arthroplasty were examined to carry out a systematic review. The advanced screening method was applied using Turkish and English equivalents of the keywords ‘‘total knee arthroplasty and cold application’’, ‘‘total knee arthroplasty and cold therapy’’, ‘‘total knee arthroplasty and cold compress therapy’’, ‘‘the effect of cold therapy in total knee arthroplasty’’ separately and together in the Pubmed, Google Scholar, ScienceDirect, Cochrane, Turkish Medline, Scopus and Cinahl databases. Totally 2,233 articles were reached. 7 studies which met the sample criteria were included in the systematic review. Results: In the sample groups of the studies included in the systematic review, it was determined that cold application significantly reduced pain and swelling (P<.05), analgesic drug use (P<.05), bleeding and haemoglobin loss (P<.05), and contributed to faster and more effective ROM exercises in patients with total knee arthroplasty and local cold application. Conclusion: It was observed that application of cold methods particularly in the early period had a positive effect on pain, swelling, haemorrhage and haemoglobin loss and amount of analgesic use underwent total knee arthroplasty

Keywords

• Total Knee Arthroplasty
• Cryotherapy
• Cold Therapy

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