Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application
Background:. Tourniquet application in total knee arthroplasty (TKA) has many benefits and may have a role in the incidence of perioperative complications. Our aims were to examine the safety of applying a tourniquet for a limited amount of time during primary unilateral TKA (specifically, during ce...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-12-01
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| Series: | JBJS Open Access |
| Online Access: | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00020 |
| _version_ | 1827397772052004864 |
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| author | Doried Diri, MD Hakam Alasaad, MD Sedra Abou Ali Mhana, MD Hussain Muhammed, MD Jaber Ibrahim, MD, PhD |
| author_facet | Doried Diri, MD Hakam Alasaad, MD Sedra Abou Ali Mhana, MD Hussain Muhammed, MD Jaber Ibrahim, MD, PhD |
| author_sort | Doried Diri, MD |
| collection | DOAJ |
| description | Background:. Tourniquet application in total knee arthroplasty (TKA) has many benefits and may have a role in the incidence of perioperative complications. Our aims were to examine the safety of applying a tourniquet for a limited amount of time during primary unilateral TKA (specifically, during cementation and final component fixation only) and to compare perioperative complications between the limited-application group and the full-application group.
Methods:. We conducted a randomized controlled study of 62 patients undergoing primary unilateral TKA. Patients were randomly allocated to either the limited or full tourniquet application. The follow-up period was 6 months. We evaluated intraoperative, postoperative, total, and hidden blood loss as the primary outcome measures and clearance of the surgical field, operative duration, and perioperative complications as the secondary outcome measures.
Results:. We found a significant difference in surgical field clearance between the groups. There was no significant difference in total, hidden, or postoperative blood loss between the groups. Mean intraoperative blood loss was significantly lower in the full-application group than in the limited-application group (171.742 ± 19.710 versus 226.258 ± 50.290 mL; p = 0.001). Perioperative complications, including allogeneic blood transfusion rates, did not significantly differ between the groups.
Conclusions:. Limited tourniquet application is safe to use in primary unilateral TKA and does not increase the incidence of perioperative complications or total blood loss when compared with a standard, full-time tourniquet application.
Level of Evidence:. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. |
| first_indexed | 2024-03-08T19:16:26Z |
| format | Article |
| id | doaj.art-581751ec7374440b93538bdaf3d3c95a |
| institution | Directory Open Access Journal |
| issn | 2472-7245 |
| language | English |
| last_indexed | 2024-03-08T19:16:26Z |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | JBJS Open Access |
| spelling | doaj.art-581751ec7374440b93538bdaf3d3c95a2023-12-27T06:51:47ZengWolters KluwerJBJS Open Access2472-72452023-12-018410.2106/JBJS.OA.23.00020JBJSOA2300020Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet ApplicationDoried Diri, MD0Hakam Alasaad, MD1Sedra Abou Ali Mhana, MD2Hussain Muhammed, MD3Jaber Ibrahim, MD, PhD41 Damascus University, Damascus, Syria1 Damascus University, Damascus, Syria1 Damascus University, Damascus, Syria1 Damascus University, Damascus, Syria1 Damascus University, Damascus, SyriaBackground:. Tourniquet application in total knee arthroplasty (TKA) has many benefits and may have a role in the incidence of perioperative complications. Our aims were to examine the safety of applying a tourniquet for a limited amount of time during primary unilateral TKA (specifically, during cementation and final component fixation only) and to compare perioperative complications between the limited-application group and the full-application group. Methods:. We conducted a randomized controlled study of 62 patients undergoing primary unilateral TKA. Patients were randomly allocated to either the limited or full tourniquet application. The follow-up period was 6 months. We evaluated intraoperative, postoperative, total, and hidden blood loss as the primary outcome measures and clearance of the surgical field, operative duration, and perioperative complications as the secondary outcome measures. Results:. We found a significant difference in surgical field clearance between the groups. There was no significant difference in total, hidden, or postoperative blood loss between the groups. Mean intraoperative blood loss was significantly lower in the full-application group than in the limited-application group (171.742 ± 19.710 versus 226.258 ± 50.290 mL; p = 0.001). Perioperative complications, including allogeneic blood transfusion rates, did not significantly differ between the groups. Conclusions:. Limited tourniquet application is safe to use in primary unilateral TKA and does not increase the incidence of perioperative complications or total blood loss when compared with a standard, full-time tourniquet application. Level of Evidence:. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00020 |
| spellingShingle | Doried Diri, MD Hakam Alasaad, MD Sedra Abou Ali Mhana, MD Hussain Muhammed, MD Jaber Ibrahim, MD, PhD Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application JBJS Open Access |
| title | Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application |
| title_full | Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application |
| title_fullStr | Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application |
| title_full_unstemmed | Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application |
| title_short | Blood Loss in Primary Unilateral Total Knee Arthroplasty with Limited Tourniquet Application |
| title_sort | blood loss in primary unilateral total knee arthroplasty with limited tourniquet application |
| url | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00020 |
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