| Excellent Clinical Outcomes in Total Knee Arthroplasty Performed Without a Tourniquet. | |
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MedLine Citation:
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PMID: 22504990 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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D Alex Stroh; Aaron J Johnson; Michael A Mont; Peter M Bonutti |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-01 |
Journal Detail:
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Title: Surgical technology international Volume: XXI ISSN: 1090-3941 ISO Abbreviation: - Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-4-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9604509 Medline TA: Surg Technol Int Country: - |
Other Details:
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Languages: ENG Pagination: 189-193 Citation Subset: - |
Affiliation:
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Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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