Do patients benefit from tourniquet in arthroscopic surgeries of the knee?

  • Yang Zhang
  • Le Li
  • Jian Wang
  • Zhi-han Li
  • Zhan-jun ShiEmail author



To undertake a meta-analysis of randomized controlled trials to determine whether routine use of a tourniquet is a better choice for knee arthroscopic procedures.


Randomized controlled trials which evaluated the application of a tourniquet were selected, gathering information about arthroscopic visualization and operative time. The random-effects meta-analysis was performed using relative risk calculated from the raw data.


A total of five eligible studies were selected in this meta-analysis with 471 participants. There was no significant difference in visualization or operative time between the tourniquet and the non-tourniquet group.


There is insufficient evidence to support the hypothesis that patients would benefit from routinely applying a tourniquet. The use of a tourniquet did not show any advantage to arthroscopic procedures.

Level of evidence

Therapeutic randomized controlled trials, Level I.


Tourniquet Knee arthroscopy Meta-analysis Randomized controlled trials 


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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Yang Zhang
    • 1
  • Le Li
    • 2
  • Jian Wang
    • 1
  • Zhi-han Li
    • 1
  • Zhan-jun Shi
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryNanfang HospitalGuangzhouChina
  2. 2.Department of AnesthesiologyZhujiang HospitalGuangzhouChina

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