The use of cold compression dressings after total knee replacement: a randomized controlled trial

Orthopedics. 1998 Jan;21(1):59-61.


This prospective, controlled study compared cold compressive dressings with wool and crepe in the postoperative management of patients undergoing total knee replacement (TKR). Forty TKR patients were assessed for blood loss, pain, swelling, and range of motion. Patients in the cold compression group had less blood loss through suction drainage (982 mL versus 768 mL). A higher proportion of patients in the treatment group did not require blood transfusion postoperatively. Mean opiate requirements were lower in the cold compression group (0.57 versus 0.71 mg/kg/48 hours). The cold compression device appeared to reduce blood loss and pain following TKR.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Bandages*
  • Biocompatible Materials
  • Cryotherapy / instrumentation
  • Cryotherapy / methods*
  • Female
  • Humans
  • Knee Joint / physiopathology
  • Male
  • Middle Aged
  • Pain, Postoperative / etiology
  • Pain, Postoperative / physiopathology
  • Pain, Postoperative / therapy*
  • Postoperative Care / methods*
  • Postoperative Complications / prevention & control*
  • Prospective Studies
  • Range of Motion, Articular
  • Suction
  • Textiles
  • Treatment Outcome
  • Wool


  • Biocompatible Materials