Cold injury of the knee and lower aspect of the leg after knee surgery and use of a cold therapy system

Superficial Frostbite Masquerading as Ecchymosis from Improper Cryotherapy Use After Q-Switched Laser Tattoo Treatment

“…Most commonly, they were the result of direct application on the skin for an extended duration (hours to overnight) due to improper instruction, lack of instruction, or patient misuse. [2][3][4] Unlike the cases reported in this article, all of these injuries were viewed to be the direct result of cryotherapy and not an unwarranted side effect. The authors contend that the three cases presented in this article represent the first reports of frostbite from improper cryotherapy use after QS laser tattoo removal treatment.…”

“…These effects are secondary to the vasoconstriction and decreased sensory nerve conduction from cryotherapy. 2 Despite the benefits of cryotherapy, the induction of cutaneous anesthesia creates the risk of frostbite. were the result of direct application on the skin for an extended duration (hours to overnight) due to improper instruction, lack of instruction, or patient misuse.…”

“…Depending on the severity of the injury, treatment ranges from conservative treatment with tissue debridement and application of petrolatum and dressing, to skin grafting. [2][3][4] With frostbite due to cryotherapy, subsequent refreezing must be avoided to avoid further injury. 5 Proper education is essential to prevent these injuries from happening in the future.…”

Pediatric Dermatology Photoquiz: Localized Targetoid Plaques in a Teenager

“…In the recently described entity “coldpack‐induced dermatosis,” retiform purpuric papules and plaques with foci of ulceration are described, noted specifically after knee surgery. The pathophysiology is postulated to be similar to that of frostbite, and the histology demonstrates features of lupus erythematosus and perniosis . Pernio (chilblains) is also a form of cold‐induced injury but differs from frostnip because it is mediated by an abnormal inflammatory response to nonfreezing temperatures, manifesting as pruritus, burning, erythema, and occasionally erosion or ulceration .…”

The feasibility of the application of cryotherapy and radonotherapy for the treatment of the patients presenting with osteoarthritis

“…[47] исследовали роль ОКТ в закрытой кабине (около 2,5 мин в основной камере при температуре -105 °С) для пациентов с ревматическими заболеваниями (n=120), такими как ревма-тоидный артрит, фибромиалгия, анкилозирующий спондилит и ОА. В результате было показано, что ОКТ оказывает максимальное обезболивающее действие в течение 1 мес от начала применения и является обязательной частью реабилитационной программы, включающей эрготерапию и ЛФК Криотерапия уменьшает потребность в аденозинтрифосфорной кислоте и снижает гипоксическое повреждение, что приводит к уменьшению послеоперационного отека и кровотечения, в связи с чем этот метод широко используется в раннем послеоперационном периоде после эндопротезирования коленных суставов [48].…”