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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

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Correspondence to Zhan-jun Shi.

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Zhang, Y., Li, L., Wang, J. et al. Do patients benefit from tourniquet in arthroscopic surgeries of the knee?. Knee Surg Sports Traumatol Arthrosc 21, 1125–1130 (2013). https://doi.org/10.1007/s00167-012-2094-3

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  • DOI: https://doi.org/10.1007/s00167-012-2094-3

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