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.
Artigo
em Chinês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Torniquetes
/
Estudos Prospectivos
/
Perda Sanguínea Cirúrgica
/
Artroplastia do Joelho
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2008
Tipo de documento:
Artigo
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