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Effect of cryotherapy devices in the postoperative setting
Naohiro Shibuya1, Theresa L Schinke, Michael B Canales
1Orthopaedics/Podiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Journal of the American Podiatric Medical Association
|November 21, 2007
Summary
Applying cryotherapy devices over one layer of Jones compression dressing ensures safe and effective postoperative foot and ankle temperatures. Thicker dressings minimized temperature reduction, while thinner ones led to unpredictable cooling.
Area of Science:
- Orthopedics
- Therapeutic Modalities
Background:
- Water-circulating cryotherapy devices are increasingly used for postoperative foot and ankle care.
- This study evaluated the efficacy and safety of three specific devices: Iceman, EBIce, and Ankle Cryo/Cuff.
Purpose of the Study:
- To investigate the optimal application method for cryotherapy devices in the postoperative foot and ankle setting.
- To determine the safe and effective temperature ranges achieved with different dressing layers.
Main Methods:
- Three cryotherapy units (Iceman, EBIce, Ankle Cryo/Cuff) were tested on healthy individuals.
- Devices were applied over zero, one, or two layers of Jones compression bandage.
- Skin temperature was monitored every 15 minutes for 180 minutes.
Main Results:
- Application over one layer of Jones dressing maintained temperatures between 20°C and 30°C.
- The Iceman device required discontinuation in one subject when applied over surgical dressings alone.
- Two layers of Jones dressing resulted in minimal temperature reduction.
Conclusions:
- Applying cryotherapy devices over one layer of Jones compression dressing provides a safe and effective therapeutic range.
- Cryotherapy device performance is less predictable with thinner surgical dressings.
- Thicker Jones compression dressings (two layers) significantly minimize surface skin temperature reduction.

