Application of cryoanalgesia for accelerated rehabilitation after total knee arthroplasty: review

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Abstract

Cryoanalgesia is a modern and increasingly popular technique for managing acute and chronic pain. It involves the percutaneous insertion of a cryoprobe at extremely low temperatures to disrupt nerve function. This review attempts to summarize and evaluate the existing evidence on the benefits and safety of cryoneurolysis as a method of perioperative analgesia in total knee arthroplasty (TKA), with a focus on its role in accelerating patient rehabilitation.

The authors conducted a literature search across databases including PubMed (MEDLINE), eLibrary.Ru, Google Scholar, Springer Library, Cochrane Library, and Wiley Online Library, covering the period from 2014 to 2024. Fifteen articles on the use of cryoanalgesia in TKA were identified and analyzed. The data obtained were summarized and interpreted. The analysis indicated that cryoanalgesia is a promising approach for prolonged perioperative pain control as part of a multimodal analgesia strategy. A clinically significant advantage of cryoneurolysis may be the early rehabilitation of patients after surgery. However, the significant risk of systematic bias and clinical heterogeneity in the existing literature precludes a reliable quantitative assessment of any efficacy measures. Future studies should ensure transparent and unbiased reporting of treatment parameters and outcomes to improve scientific reproducibility.

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About the authors

Nikita E. Pinchuk

Krasnoyarsk Interdistrict Clinical Hospital of Emergency Medical Care named after N.S. Karpovich; Northern State Medical University

Author for correspondence.
Email: nikitapinchuk78@gmail.com
ORCID iD: 0000-0002-0405-4888
SPIN-code: 7268-3350
Russian Federation, Krasnoyarsk; Arkhangelsk

Alexey A. Ushakov

Northern State Medical University; Federal Research Centre «Kola Science Centre of the Russian Academy of Sciences»; Pain Management and Rehabilitation Center «Anesta»

Email: smushakov@gmail.com
ORCID iD: 0000-0002-1437-7162
SPIN-code: 9270-6158
Russian Federation, Arkhangelsk; Apatity; Arkhangelsk

Eduard E. Antipin

Northern State Medical University; Federal Research Centre «Kola Science Centre of the Russian Academy of Sciences»; Pain Management and Rehabilitation Center «Anesta»

Email: vard67@mail.ru
ORCID iD: 0000-0002-2386-9281
SPIN-code: 8850-2071

MD, Dr. Sci. (Medicine), associate professor

Russian Federation, Arkhangelsk; Apatity; Arkhangelsk

Maxim P. Yakovenko

Northern State Medical University; Pain Treatment Clinic

Email: alter83@mail.ru
ORCID iD: 0000-0002-1267-9781
SPIN-code: 2074-3953

MD, Cand. Sci. (Medicine)

Russian Federation, Arkhangelsk; Ussuriysk

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