The use of a pneumatic tourniquet in total knee arthroplasty: a prospective, randomized study / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1054-1057, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-258381
ABSTRACT
<p><b>OBJECTIVE</b>To determine the value of the use of a pneumatic tourniquet in total knee arthroplasty.</p><p><b>METHODS</b>Sixty patients were prospectively randomized into 2 groups, one group underwent total knee replacement with a tourniquet (n = 30) and one without (n = 30). Operating time, blood loss, postoperative mean morphine requirement, swelling, ecchymosis, earlier straight-leg raising and postoperative knee flexion were measured in both groups.</p><p><b>RESULTS</b>There was no significant difference in the total blood loss between the 2 groups although the intraoperative blood loss was significantly greater in those without a tourniquet. The mean morphine requirement, postoperative swelling, scope of ecchymosis, earlier straight-leg raising and postoperative knee flexion in the patients that had surgery without a tourniquet were significantly better than those with a tourniquet.</p><p><b>CONCLUSION</b>Knee arthroplasty operation with the use of a tourniquet has only small benefits on the total blood loss, but hinder in patients' early postoperative rehabilitation exercises.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tourniquets
/
Prospective Studies
/
Blood Loss, Surgical
/
Arthroplasty, Replacement, Knee
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2008
Type:
Article
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