Insertion Force of Articular Cartilage Transplantation Systems

Barber, F. Alan; Herbert, Morley A.; McGarry, John J.; Barber, Cameron

doi:10.1055/s-0030-1247819

Cited by 9 publications

(6 citation statements)

References 23 publications

(33 reference statements)

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“…There are many alternative schemes for effecting cold therapy to soft tissue, such as crushed ice [3], ice bags [7], cold gel packs [2], and, in particular, cryotherapy units (CTU) that can provide a continuous or intermittent circulation of ice water from an insulated container to a pliable cooling pad placed onto the treatment area [3, 8, 24, 29, 39, 43, 44]. Local cooling is sometimes combined with complementary therapeutic modalities such as transient tissue compression [24, 25].…”

Section: Introductionmentioning

confidence: 99%

Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units

Khoshnevis

Craik

Diller

2014

Knee Surg Sports Traumatol Arthrosc

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Purpose Localized cooling is widely used in treating soft tissue injuries by modulating swelling, pain, and inflammation. One of the primary outcomes of localized cooling is vasoconstriction within the underlying skin. It is thought that in some instances, cryotherapy may be causative of tissue necrosis and neuropathy via cold-induced ischaemia leading to nonfreezing cold injury (NFCI). The purpose of this study is to quantify the magnitude and persistence of vasoconstriction associated with cryotherapy. Methods Data are presented from testing with four different FDA approved cryotherapy devices. Blood perfusion and skin temperature were measured at multiple anatomical sites during baseline, active cooling, and passive rewarming periods. Results Local cutaneous blood perfusion was depressed in response to cooling the skin surface with all devices, including the DonJoy (DJO, p = 2.6 × 10−8), Polar Care 300 (PC300, p = 1.1 × 10−3), Polar Care 500 Lite (PC500L, p = 0.010), and DeRoyal T505 (DR505, p = 0.016). During the rewarming period, parasitic heat gain from the underlying tissues and the environment resulted in increased temperatures of the skin and pad for all devices, but blood perfusion did not change significantly, DJO (n.s.), PC300 (n.s.), PC500L (n.s.), and DR505 (n.s.). Conclusions The results demonstrate that cryotherapy can create a deep state of vasoconstriction in the local area of treatment. In the absence of independent stimulation, the condition of reduced blood flow persists long after cooling is stopped and local temperatures have rewarmed towards the normal range, indicating that the maintenance of vasoconstriction is not directly dependent on the continuing existence of a cold state. The depressed blood flow may dispose tissue to NFCI.

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Section: Introductionmentioning

confidence: 99%

Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units

Khoshnevis

Craik

Diller

2014

Knee Surg Sports Traumatol Arthrosc

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“…Lessard et al [27] first demonstrated the benefits of cryotherapy in simple knee arthroscopy, reporting reduction in opioid consumption and pain scores. Cryotherapy has been more extensively studied in arthroscopic ACL reconstruction where studies have demonstrated reductions in postoperative pain and opioid consumption when compared to placebo [5, 31, 63]. There is conflicting results as to whether the compressive cryotherapy outperforms non‐compressive cryotherapy [53].…”

Section: Discussionmentioning

confidence: 99%

Perioperative nonopioid analgesia reduces postoperative opioid consumption in knee arthroscopy: a systematic review and meta-analysis

Gazendam

Ekhtiari

Horner

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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PurposeThe opioid epidemic has prompted an emphasis on investigating opioid‐sparing alternatives for pain management following knee arthroscopy. This review evaluated the effects of perioperative nonopioid adjunct analgesia on postoperative opioid consumption and pain control in patients undergoing knee arthroscopy. MethodsA systematic review and meta‐analysis was performed using the following databases: PubMed, Embase, Web of Science, MEDLINE, and SCOPUS. Prospective comparative studies assessing the efficacy of various perioperative nonopioid analgesic strategies in patients undergoing knee arthroscopy were included. Twenty‐five studies (n = 2408) were included. ResultsPre‐emptive nonopioid pain medications demonstrated a reduction in cumulative postoperative oral morphine equivalent (OME) consumption by 11.8 mg (95% CI − 18.3, − 5.4, p ≤ 0.0001) and VAS pain scores by 1.5 (95% CI − 2.3, − 0.7, p < 0.001) at 24 h compared to placebo. Postoperative nonopioid pain medications significantly reduced cumulative postoperative OME consumption by 9.7 mg (95% CI − 14.4, − 5.1, p < 0.001) and VAS pain scores by 1.0 (95% CI − 1.354, − 0.633, p < 0.001) at 24 h compared to placebo. Saphenous nerve blocks significantly reduced cumulative postoperative OME consumption by 6.5 mg (95% CI − 10.3, − 2.6, p = 0.01) and VAS pain scores by 0.8 (− 1.4, − 0.3, p = 0.03) at 24 h compared to placebo. Both preoperative patient education and postoperative cryotherapy reduced postoperative opioid consumption. ConclusionPerioperative nonopioid pharmacotherapy, saphenous nerve blocks, and cryotherapy for patients undergoing knee arthroscopy significantly reduce opioid consumption and pain scores when compared to placebo at 24 h postoperatively. These interventions should be considered in efforts to reduce opioid consumption in patients undergoing knee arthroscopy. More research is needed to determine which interventions can reduce pain outside of the immediate postoperative period and the potential synergistic effects of combining interventions. Level of evidenceII.

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“…[22][23][24] Stability of the autograft in mosaicplasty is well studied in the knee joint. 16,17,[22][23][24][25][26][27] Longer grafts and larger-diameter grafts result in better primary stability. 24 Inserting grafts into flat-bottom recipient holes of the same length and adding the bottoming-out effect to press-fit is valuable.…”

Section: Discussionmentioning

confidence: 99%

Multiple Osteochondral Autograft Transfer to the Proximal Interphalangeal Joint: Case Report

Özyürekoğlu

2010

The Journal of Hand Surgery

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Insertion Force of Articular Cartilage Transplantation Systems

Cited by 9 publications

References 23 publications

Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units

Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units

Perioperative nonopioid analgesia reduces postoperative opioid consumption in knee arthroscopy: a systematic review and meta-analysis

Multiple Osteochondral Autograft Transfer to the Proximal Interphalangeal Joint: Case Report

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