After early release of tourniquet in total knee arthroplasty, should it be reinflated or kept deflated? A randomized trial

被引:4
|
作者
Na, Young Gon [1 ]
Bamne, Ankur B. [1 ]
Won, Ho Hyun [2 ]
Kim, Tae Kyun [1 ,3 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Joint Reconstruct Ctr, 82,Gumi Ro 173 Beon Gil, Seongnam Si 463707, Gyeonggi Do, South Korea
[2] Himchan Hosp, Dept Orthopaed Surg & Joint & Arthrit Res, 404-3,Mok Dong, Seoul 158806, South Korea
[3] Seoul Natl Univ, Coll Med, Dept Orthopaed Surg, Seoul, South Korea
关键词
Knee; Total knee arthroplasty; Tourniquet; Reinflation; Early tourniquet release; PNEUMATIC TOURNIQUET; BLOOD-CONSERVATION; METAANALYSIS; TKA; OSTEOARTHRITIS; PREVALENCE; TRACKING; SYSTEM; TRENDS; KOREA;
D O I
10.1007/s00167-015-3710-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study was undertaken to determine the efficacy of reinflation of the tourniquet after its early release in TKA compared to early release alone, in terms of surgical field visualization and operative time. We also questioned whether tourniquet reinflation after its early release is safe, with respect to post-operative blood loss, post-operative pain and other tourniquet-related complications. Two hundred and six patients undergoing TKA were randomly allocated to either the early release (deflation) group (n = 105) or reinflation after early release (reinflation) group (n = 101). Efficacy was measured in terms of surgical field visualization, specifically the number of wound clearances, and operative time. Safety outcomes were drained volume, decline in haemoglobin on post-operative days 2 and 5, the frequency of transfusion, knee and thigh pain visual analog scale, local wound complications, tourniquet site complications and other complications, including infection, deep vein thrombosis and pulmonary embolism. Surgical field visualization was better in the reinflation group; however, the operative time did not differ between the two groups. There were no differences between the two groups in post-operative blood loss, decline in haemoglobin on days 2 and 5, transfusion rate, pain level, local complications and other complications. Reinflation of tourniquet is a safe alternative to its early release after deflation in that it improves surgical field visualization during TKA. Therapeutic study, Level I.
引用
收藏
页码:2769 / 2777
页数:9
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