The Influence of Usage of Tourniquet in Total Knee Arthroplasty on Serum Ischemia Modified Albumin Levels
Journal Title: Bezmiâlem Science - Year 2020, Vol 8, Issue 4
Abstract
Objective: Ischaemia-modified albumin (IMA) has frequently been studied in recent years in ischaemia-based studies. In this study, IMA changes and postoperative pain were investigated in patients who underwent tourniquet and non-tourniquet knee arthroplasty, and the effect of the tourniquet on pain was investigated quantitatively. Methods: After obtaining institutional review board approval, 64 patients who underwent total knee arthroplasty were divided into two groups: tourniquet and non-tourniquet using the block randomisation technique. Blood was collected at the 15th minute and 24th hour postoperatively. A visual analogue scale (VAS) was used by patients to evaluate their pain. Results: According to the results, a significant correlation was found between VAS scores and IMA levels in the blood taken at the postoperative 15th minute (p<0.001). In addition, IMA levels were significantly higher in the tourniquet group (p<0.001). Conclusion: Less frequent loss of quadriceps muscle strength, less postoperative pain and avoidance of ischaemia-related complications are the main advantages of non-tourniquet knee arthroplasty. IMA is effective in demonstrating these advantages and can be used for problems such as compartment syndrome, which may be accompanied by muscle damage in the extremity.
Authors and Affiliations
Sadettin ÇİFTÇİ, Ömer Faruk ERKOÇAK, Ahmet YILDIRIM, Esra PAYDAŞ HATAYSAL, Bahattin Kerem AYDIN
Keywords
Related Articles
- EP ID EP689890
- DOI 10.14235/bas.galenos.2019.3361
- Views 138
- Downloads 0
Effect of Birth Ball Exercising for the Management of Childbirth Pain in Turkish Women
Objective: To investigate the effect of the birth ball exercise on management of childbirth pain during the first stage of labor in primipara pregnant women. Methods: This was a semi-experimental randomized controlled s...
Home-based Palliative Care
Palliative care (PC) is defined as the approach that improves quality of lives of patients and their families who face up with the problems accompanied with life-threatening conditions. Provided usually in an inpatient s...
Effects of Gold Nanoparticles on Angiogenesis in A Chick Chorioallantoic Membrane Model
Objective: Today, nanotechnology is widely used in many fields because of its ability to alter the structure of molecules at the atomic level. Metallic nanoparticles attracted great attention from researchers because of...
Is İt Possible to Diagnose Endometrium Cancer with the Levels of Prolactin, Eotaxin, E-selectin and Ca 125?
Objective: The aim of this study to evaluate possible serum markers for distinction of endometrial carcinoma (EC) from benign uterine gynecologic diseases. Methods: The study group consisted of 65 patients who were diag...
Evaluation of Awareness of Cervical Cancer and Pap Spear Test of Working Women by Health Belief Model
Objective: The aim of the study was to identify awareness and beliefs of working women regarding cervical cancer and Pap smear test. Methods: The data of the study designed in sectional and descriptive style were collec...