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Are cementation quality and clinical outcomes affected by the use of tourniquet in primary total knee arthroplasty?

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Total knee arthroplasty is used to treat end-stage knee osteoarthritis with great results. Tourniquet use has become popular over the years because of its various benefits, but the literature regarding functional outcomes, pain and rehabilitation and comparison between tourniquet use and improvement cement penetration and overall improve fixation is limited. The authors proposed a hypothesis that cementation quality, and clinical outcomes can be influenced by tourniquet technique.

Methods

Fifty patients were allocated randomly in two groups: (1) tourniquet was inflated throughout all the procedure and (2) only during skin incision and cementation. Radiolucent lines were analyzed by two and independent examiners, using the The Knee Society Roentgenographic Evaluation and Scoring System. The functional scores used were the Oxford knee score and improvement in visual pain scale (VAS).

Results

After a mean follow-up period of 2.4 ± 0.2 years, no difference was observed regarding partial use of tourniquet in the cementation quality (p value > 0.05). There was no difference between groups regarding gender, age, knee side, Visual VAS, Oxford Score, total range-of-motion (ROM), knee extension and knee flexion (p value > 0.05).

Conclusions

No difference was attained regarding functional outcomes and cementation quality regarding two different tourniquet protocols.

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Funding

The authors do not receive any financial support of third parties to conceive this manuscript.

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Authors and Affiliations

  1. Orthopaedic Department of Federal University of Minas Gerais, Av. Do Contorno 5351, 205, Belo Horizonte, Minas Gerais, 30110-923, Brazil

    Marco Antônio Percope Andrade & Guilherme Moreira Abreu-e-Silva

  2. Felício Rocho Hospital, Belo Horizonte, Minas Gerais, Brazil

    Luiz Fernando Ribeiro Monte, Gabriel Carvalho Lacerda, Túlio Ribeiro Dourado & Guilherme Moreira Abreu-e-Silva

  3. Department of Orthopeadic Surgery, Xiangya Hospital, Central South University, Changsha, China

    Pengfei Lei

Authors
  1. Marco Antônio Percope Andrade
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  2. Luiz Fernando Ribeiro Monte
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  3. Gabriel Carvalho Lacerda
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  4. Túlio Ribeiro Dourado
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  5. Pengfei Lei
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  6. Guilherme Moreira Abreu-e-Silva
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Contributions

MAPA and GMA-S conceived the idea for the study; GMA-S designed the study. LFRM, TRD collected the relevant data (clinical and radiographic data). PL performed the statistical analyses. GMA-S and MAPA interpreted the data and contributed to preparation of the manuscript.

Corresponding author

Correspondence to Guilherme Moreira Abreu-e-Silva.

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Andrade, M.A.P., Monte, L.F.R., Lacerda, G.C. et al. Are cementation quality and clinical outcomes affected by the use of tourniquet in primary total knee arthroplasty?. Arch Orthop Trauma Surg 142, 845–850 (2022). https://doi.org/10.1007/s00402-021-03865-5

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  • DOI: https://doi.org/10.1007/s00402-021-03865-5

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