THE EFFICACY OF TOURNIQUET RELEASE IN BLOOD CONSERVATION AFTER TOTAL KNEE ARTHROPLASTY

被引:1
作者
BURKART, BC [1 ]
BOURNE, RB [1 ]
RORABECK, CH [1 ]
KIRK, PG [1 ]
NOTT, L [1 ]
机构
[1] UNIV WESTERN ONTARIO HOSP,LONDON N6A 5A5,ON,CANADA
关键词
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
One hundred consecutive primary total knee arthroplasties performed by a single surgeon were prospectively randomized into two groups to study the effect of tourniquet release for hemostasis on postoperative blood loss and transfusion requirements. The two groups were comparable. Variables such as antiinflammatory drug use; anesthetic: soft-tissue release; and component fixation were analyzed. There was no significant difference between the groups in terms of perioperative blood loss, decrease in hemoglobin or hematocrit level, transfusion need, or incidence of wound or thromboembolic complications. Tourniquet release for hemostasis is not an effective means of limiting postoperative blood loss or reducing transfusion need after primary total knee arthroplasty.
引用
收藏
页码:147 / 152
页数:6
相关论文
共 50 条
[31]   Current trends in blood conservation in total knee arthroplasty [J].
Lee, GC ;
Hawes, T ;
Cushner, FD ;
Scott, WN .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (440) :170-174
[32]   Use of a Tourniquet in Total Knee Arthroplasty Causes a Paradoxical Increase in Total Blood Loss [J].
Schnettler, Timothy ;
Papillon, Natalie ;
Rees, Harold .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2017, 99 (16) :1331-1336
[33]   BLOOD-LEVELS AND HALF-LIFE OF METHYLMETHACRYLATE AFTER TOURNIQUET RELEASE DURING KNEE ARTHROPLASTY [J].
SVARTLING, N ;
PFAFFLI, P ;
TARKKANEN, L .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1986, 105 (01) :36-39
[34]   The effect of tourniquet use in total knee arthroplasty [J].
Vandenbussche, E ;
Duranthon, LD ;
Couturier, M ;
Pidhorz, L ;
Augereau, B .
INTERNATIONAL ORTHOPAEDICS, 2002, 26 (05) :306-309
[35]   Total Knee Arthroplasty Without Cement or a Tourniquet [J].
Sonn, Kevin A. ;
Buller, Leonard T. ;
Meneghini, R. Michael .
OPERATIVE TECHNIQUES IN ORTHOPAEDICS, 2021, 31 (04)
[36]   The effect of tourniquet use in total knee arthroplasty [J].
Eric Vandenbussche ;
Louis-Denis Duranthon ;
Monique Couturier ;
Louis Pidhorz ;
Bernard Augereau .
International Orthopaedics, 2002, 26 :306-309
[37]   Efficacy and safety of limb position on blood loss and range of motion after total knee arthroplasty without tourniquet: A randomized clinical trial [J].
Wu, Yuangang ;
Lu, Xiaoxi ;
Ma, Yimei ;
Zeng, Yi ;
Xiong, Huazhang ;
Bao, Xianchao ;
Shen, Bin .
INTERNATIONAL JOURNAL OF SURGERY, 2018, 60 :182-187
[38]   A blood-conservation algorithm to reduce blood transfusions after total hip and knee arthroplasty [J].
Pierson, JL ;
Hannon, TJ ;
Earles, DR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (07) :1512-1518
[39]   The effects of tourniquet use on blood loss and perioperative complications in total knee arthroplasty [J].
Tan, Yang ;
Guo, Shun ;
Wang, Hua ;
Tie, Kai ;
Qin, Jun ;
Zhao, Xinyu ;
Chen, Liaobin .
BMC MUSCULOSKELETAL DISORDERS, 2023, 24 (01)
[40]   Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application [J].
Diri, Doried ;
Alasaad, Hakam ;
Mhana, Sedra Abou Ali ;
Muhammed, Hussain ;
Ibrahim, Jaber .
JBJS OPEN ACCESS, 2023, 8 (04)