Steroid Use in Tourniquet Paralysis
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Introduction: Tourniquet paralysis is an infrequent but devastating complication and a real nightmare for a treating orthopaedic surgeon. Most likely this is due to a neuropraxia. . Mechanical pressure seems more important in the injury than distal ischaemia Methods: 90 patients were studied in Government Hospital Miraj over six month interval and the patients were followed fortnightly up till 3 months of surgery. 8 cases of tourniquet palsy were studied. These patients were followed up for nerve healing and functional recovery. All patients of nerve injury were treated with intravenous Dexamethasone 8mg twice a day for 3 days, and this gradually being tapered off. All patients were given vitamins for a month. Results: All the cases had tourniquet time more than an hour. 6 cases (75%) were associated with Esmarch bandage. Females were affected more than males. 6/8 (75%). Upper limb was more involved than lower limb. 5/8 (62%). The average time for recovery in our study after giving steroids was 4 weeks. Conclusions: One must not forget the remote possibility of a nerve paralysis after a tourniquet application. A pneumatic tourniquet is preferred as compared to an Esmarch bandage. Steroids are certainly helpful in reducing the average recovery time. Almost all cases of tourniquet paralysis have a complete recovery
Authors and Affiliations
Dr Yash Shah
Keywords
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