Temperature-controlled continuous cold flow device versus traditional icing regimen following

anterior cruciate ligament reconstruction: a prospective randomized comparative trial.

Ruffilli A1, Buda R2, Castagnini F3, Di Nicolantonio D1, Evangelisti G4, Giannini S2, Faldini C2,5.

Author information

Abstract

INTRODUCTION:

Anterior cruciate ligament (ACL) reconstruction requires an intensive rehabilitation program to be

completely successful. Cryotherapy has been described to be helpful in reducing post-operative pain
and edema. Aim of this prospective randomized study is to compare two homogeneous groups of
patients, one receiving traditional icing regimen and the other a temperature-controlled continuous
cold flow device, in post-operative setting after ACL reconstruction.

MATERIALS AND METHODS:

Forty-seven patients treated for ACL reconstruction using "over the top" technique were enrolled for
this study. All patients received the same elastocompressive bandage. Regarding the coolant device,
23 patients were randomized to temperature-controlled continuous cold flow device (Hilotherm®
group) and 24 patients were randomized to receive ice bag (control group). The two groups were
homogenous for pre-operative (age, sex, and time "lesion to surgery") and intra-operative
parameters (duration of the procedure, meniscectomy, and chondral damage). NRS (numeric rating
scale), blood loss, knee volume increase at three established sites, ROM, and pain killers
consumption were assessed. The subjective evaluation of the device including practicality and
usefulness of the device was investigated.

RESULTS:

Hilotherm group resulted in lower pain perception (NRS), blood loss, knee volume increase at the
patellar apex and 10 cm proximal to the superior patellar pole, and higher range of motion (p < 0.05)
in the first post-operative day. No difference in pain killers consumption was noted. Hilotherm device
was considered "comfortable" and "useful" by the majority of patients.

CONCLUSIONS:

Hilotherm group showed significant better results in first post-operative day. Further studies with
higher number of patients and longer follow-up are required to assess the beneficial effects on
rehabilitation and the cost-effectiveness of the routinely use of this device.

LEVEL OF EVIDENCE:

II.

KEYWORDS:

ACL reconstruction; Continuous cool flow device; Cryotherapy; Hilotherm

PMID:

26141535

DOI:

10.1007/s00402-015-2273-z
[Indexed for MEDLINE]

  Publication type, MeSH terms

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