The use of tourniquet is useful in terms of blood loss and soft tissue damage in arthroscopic anterior cruciate ligament reconstruction: a retrospective study

被引：1

作者：

Nagashima, Masaki ^{[1
,2
]}

Sasaki, Ryo ^{[2
]}

Tanaka, Kentaro ^{[2
]}

Takeshima, Kenichiro ^{[1
,3
]}

机构：

[1] Int Univ Hlth & Welf, Sch Med, Dept Orthopaed Surg, 4-3 Kozunomori, Narita City, Chiba 2868686, Japan

[2] Int Univ Hlth & Welf, Mita Hosp, Dept Orthopaed Surg, 1-4-3 Mita,Minato Ku, Tokyo 1088329, Japan

[3] Int Univ Hlth & Welf, Narita Hosp, Dept Orthopaed Surg, 852 Hatakeda, Narita City, Chiba 2868520, Japan

来源：

SCIENTIFIC REPORTS | 2023年 / 13卷 / 01期

关键词：

TOTAL KNEE ARTHROPLASTY; SURGERY;

D O I：

10.1038/s41598-023-45159-3

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Whether a tourniquet should be used for anterior cruciate ligament reconstruction (ACLR) when the operative field is secured remains controversial. Little is known about the influence of not using a tourniquet on total perioperative blood loss and soft tissue damage. The aim of this study was to compare total perioperative blood loss and soft tissue damage with and without tourniquet use during ACLR. Seventy-seven consecutive ACLRs in 76 patients were performed without tourniquet use at our hospital and enrolled in this study (T- group) between November 2018 and September 2021. The control group (T + group) comprised 55 historical ACLRs in 55 patients performed with tourniquet use at our hospital between April 2017 and September 2018. Total perioperative blood loss, calculated from the change in hemoglobin between that preoperatively and on postoperative day (POD) 1, and indicators of soft tissue damage including serum white blood cell (WBC) counts, creatine phosphokinase (CPK), and C-reactive protein (CRP) values measured on POD 1 and POD 7 were compared between groups. Total blood loss was significantly higher in the T- group (339 +/- 216 mL) than in the T + group (258 +/- 199 mL; P = 0.030). On POD 1, WBC counts were significantly higher in the T - group (9.7 +/- 2.4 x 10(3) cells/mu L) than in the T + group (9.1 +/- 2.5 x 10(3) cells/mu L; P = 0.043), CPK levels were significantly higher in the T - group (294 +/- 417 U/L) than in the T + group (255 +/- 88 U/L; P = 0.046), and CRP levels were also significantly higher in the T- group (1.40 +/- 1.12 mg/dL) than in the T + group (0.91 +/- 0.76 mg/dL; P = 0.016). No significant differences in WBC counts or CPK or CRP levels were seen between groups on POD 7. Total blood loss and soft tissue damage were significantly increased without tourniquet use during ACLR. No advantage was found for not using a tourniquet in terms of blood loss or soft tissue damage.

引用

页数：7