Document Detail


Excellent Clinical Outcomes in Total Knee Arthroplasty Performed Without a Tourniquet.
MedLine Citation:
PMID:  22504990     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Although tourniquet use is the standard protocol for total knee arthroplasties it may lead to postoperative complications including thigh pain, compressive soft-tissue problems, and thromboembolic events. The purpose of this study was to explore the perioperative and clinical outcomes of total knee arthroplasty performed without a tourniquet. Thirty consecutive total knee arthroplasties were performed in 30 patients without a tourniquet and compared with 30 procedures (30 matched patients) performed with a tourniquet. Tourniquet patients had statistically lower mean intraoperative blood loss, total blood loss, and change in hematocrit, but these did not have any clinical impact or change the transfusion rate between the groups. At a mean follow-up of 3 years, both groups achieved excellent mean Knee Society scores with similar improvements between groups. There were no complications or radiographic abnormalities in either group. Total knee arthroplasty performed with or without a tourniquet yields similar intraoperative surgical and postoperative clinical outcomes.
Authors:
D Alex Stroh; Aaron J Johnson; Michael A Mont; Peter M Bonutti
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-01
Journal Detail:
Title:  Surgical technology international     Volume:  XXI     ISSN:  1090-3941     ISO Abbreviation:  -     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-4-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  189-193     Citation Subset:  -    
Affiliation:
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.
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