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Effects of different methods of using pneumatic tourniquet in patients undergoing total knee arthroplasty: a randomized control trial

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Abstract

Background

The goal of this work was to investigate the effects of different methods of using pneumatic tourniquet on reducing blood loss in patients undergoing cemented total knee arthroplasty (TKA).

Methods

One hundred and fifty patients undergoing unilateral cemented TKA were randomly divided into three groups (50 patients per group). The tourniquet was used during the entire operation (Group A), used from the beginning of operation to the completion of joint replacement (Group B), and from the beginning of osteotomy to the completion of arthroplasty (Group C). The following parameters were recorded: intraoperative blood loss (IBL), postoperative blood loss (PBL), hidden blood loss (HBL), and total blood loss (TBL); operation time and tourniquet time; incidence of postoperative complications; and hospital for special surgery (HSS) score.

Results

IBL, HBL, and TBL in group C was significantly less than that in group B (all P < 0.05). Tourniquet time in group C was significantly less than that in groups A and B (all P < 0.05). The incidence of tourniquet-related complications in group C (6%) was relatively lower than that in group A (10%) during hospitalization (P > 0.05). Post-operative HSS scores at 2 weeks after the operation in group C was significantly higher than that in group A and group B (all P < 0.05).

Conclusions

Our results suggest that using a tourniquet from the beginning of osteotomy to the completion of arthroplasty could significantly reduce TBL in TKA, and decrease the incidence of complications; thereby facilitating early post-operative functional recovery.

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Authors and Affiliations

  1. Department of Orthopedics, Qilu Hospital of Shandong University, No. 107 Wenhuaxi Road, Lixia District, Jinan, 250012, China

    Y. Zhang, D. Li, P. Liu, X. Wang & M. Li

Authors
  1. Y. Zhang
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  2. D. Li
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  3. P. Liu
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  4. X. Wang
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  5. M. Li
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Corresponding authors

Correspondence to D. Li or M. Li.

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None.

Conflict of interest

The authors Yuankai Zhang, Deqiang Li, Peilai Liu, Xing Wang, and Ming Li declare that they have no conflict of interest.

Ethical approval

The study was approved by the ethical committee of Qilu Hospital of Shandong University and was in accordance with the Helsinki declaration.

Informed consent

Informed consent was obtained from all individual participants.

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Zhang, Y., Li, D., Liu, P. et al. Effects of different methods of using pneumatic tourniquet in patients undergoing total knee arthroplasty: a randomized control trial. Ir J Med Sci 186, 953–959 (2017). https://doi.org/10.1007/s11845-017-1585-0

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  • DOI: https://doi.org/10.1007/s11845-017-1585-0

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