A comparison of hematological outcomes with and without a pneumatic tourniquet in primary total knee arthroplasty
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 4
Abstract
Background: Tourniquet application is still a common practice in total knee arthroplasty surgery despite being associated with several adverse effects. We evaluated the effects of tourniquet use on hematological parameter and knee range of motion in total knee arthroplasty. Materials & Methods: This prospective, randomized study comprised 60 patients who underwent a primary total knee replacement arthroplasty in Era’s Lucknow Medical College between December 2016 to August 2018. Thirty patients were operated with the use of an arterial tourniquet (group A), and 30 patients without the use of a tourniquet (group B). Hemoglobin and haematocrit was recorded pre-operatively and at the first and third day post-operatively. Overall blood loss was calculated as the sum of compensated and non-compensated blood loss. Results: Upon comparison of the Mean measured blood loss in suction drainage between the two groups statistical significance was noted (p =0.020) Patient in the tourniquet group had less blood loss, in suction drain but on comparison of overall blood loss no significant difference were found in these groups. Conclusion: we conclude in our study that Total knee replacement can be safely done without tourniquet with respect to hematological parameter and has better knee range of motion in early postoperative period.
Authors and Affiliations
Kumar Vipin, Khan Afroz Ahmed, Qidwai Shakeel, Mishra Amit Nandan, Gupta Suchi S, Hasan Areeba
Keywords
Related Articles
- EP ID EP506957
- DOI -
- Views 47
- Downloads 0
Study of functional outcome after arthroscopic repair in recurrent traumatic anterior dislocation of shoulder
Introduction: Shoulder is a ball and socket type of joint, having wide range of motion with relative deficient support. Traumatic damage leads to laxity in the soft-tissue and bony restraints; thus, recurrent subluxation...
To assess how the surgical plan changes after introducing CT scans
Background: This study aims to assess how surgical plans changes after introducing CT scans, which is conducted at Amaltas Institute of Medical Sciences, Dewas, (M.P.) The patient‟s clinical history and examination findi...
Study of effectiveness of coracoclavicular screw fixation in management of acromioclavicular joint dislocations
Back Ground & Objectives: Operative management of acromioclavicular joint dislocations can be with plate or with coracoclavicular screw fixation. As the coracoclavicular screw fixation can be done without opening acromio...
Anterior decompression techniques in cervical myelopathy
The pathophysiology of cervical myelopathy is multifactorial with both static factors causing stenosis and dynamic factors resulting in repetitive injury to the spinal cord. The symptoms are related directly to the degre...
Effect of intra-operative cell salvage in negating the need for allogenic transfusion in patients undergoing primary hip and knee arthroplasty
Introduction: Total joint arthroplasty is the operation of choice and a reliable option for end stage arthritis of the hip and knee. With a growing and aging population, the incidence of total hip and knee arthroplasty i...