Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector63086810.17816/RA630868ReviewsНаучные обзорыReview ArticleApplication of cryoanalgesia for accelerated rehabilitation after total knee arthroplasty: reviewПрименение криоаналгезии для ускоренной реабилитации после эндопротезирования коленного сустава: обзор литературыhttps://orcid.org/0000-0002-0405-48887268-3350PinchukNikita E.ПинчукНикита Евгеньевич
Russian Federation
nikitapinchuk78@gmail.comhttps://orcid.org/0000-0002-1437-71629270-6158UshakovAlexey A.УшаковАлексей Андреевич
Russian Federation
smushakov@gmail.comhttps://orcid.org/0000-0002-2386-92818850-2071AntipinEduard E.АнтипинЭдуард Эдуардович
Russian Federation

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

д-р мед. наук, доцент

vard67@mail.ruhttps://orcid.org/0000-0002-1267-97812074-3953YakovenkoMaxim P.ЯковенкоМаксим Петрович
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

alter83@mail.ruKrasnoyarsk Interdistrict Clinical Hospital of Emergency Medical Care named after N.S. KarpovichКрасноярская межрайонная клиническая больница скорой медицинской помощи им. Н.С. КарповичаNorthern State Medical UniversityСеверный государственный медицинский университетFederal Research Centre «Kola Science Centre of the Russian Academy of Sciences»Научно-исследовательский центр медико-биологических проблем адаптации человека в Арктике Кольского научного центра РАНPain Management and Rehabilitation Center «Anesta»Многопрофильный центр лечения боли и реабилитации «Анеста»Pain Treatment ClinicКлиника лечения боли10102024211220241832452602404202422092024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-Вектор2024Eco-VectorЭко-Векторhttps://rjraap.com/1993-6508/article/view/630868

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.

Криоаналгезия — современная и набирающая популярность методика лечения острой и хронической боли. Данный метод включает чрескожное введение криозонда, подвергаемого воздействию чрезвычайно низких температур, чтобы нарушить нервы. Данный обзор представляет собой попытку обобщить и оценить имеющиеся данные о пользе и безопасности крионевролиза как метода периоперационной аналгезии при тотальном эндопротезировании коленного сустава (ТЭКС), ответить на вопрос, действительно ли периоперационное применение криоаналгезии способствует ускоренной реабилитации пациентов после ТЭКС. Авторами был проведён поиск публикаций в базах данных PubMed (Medline), eLibrary.Ru, Google Scholar, Springer Library, Cochrane Library, Wiley Online Library за период с 2014 по 2024 год, найдено и проанализировано 15 статей, посвящённых применению криоаналгезии при ТЭКС. Полученные данные были обобщены и интерпретированы. По итогам анализа авторы обзора пришли к выводу, что криоаналгезия является перспективным методом обеспечения длительного периоперационного контроля боли в составе схем мультимодальной аналгезии. Клинически значимым показателем в пользу крионевролиза может стать ранняя реабилитация пациента после оперативного вмешательства. Однако значительный риск систематической ошибки и клинической гетерогенности существующей литературы, изучающей данную проблему, исключает возможность надёжной количественной оценки любых показателей эффективности, представленных в ней. Будущие исследования должны обеспечить прозрачную, непредвзятую отчётность о параметрах лечения и результатах для улучшения научной воспроизводимости.

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