Comparison of tourniquet application only during cementation and long-duration tourniquet application in total knee arthroplasty: a meta-analysis

Journal of Orthopaedic Surgery and Research
Cong WangZhijun Pan

Abstract

Tourniquet is widely used by orthopedic surgeons in total knee arthroplasty (TKA). However, there are still controversies on the optimal timing of tourniquet application. The aim of this meta-analysis was to compare the effect and safety of tourniquet application only during cementation with long-duration tourniquet application in TKA. An electronic literature search of PubMed, the Cochrane library, Embase, and Web of Science was conducted in July 2017. All randomized controlled trials (RCTs) comparing tourniquet application only during cementation with long-duration tourniquet application in TKA were included. RevMan 5.3 software was selected to perform the meta-analysis. Seven studies involving 440 TKAs were included for meta-analysis. The results suggested that although significant less intraoperative and total blood loss were observed with long-duration tourniquet application, tourniquet application only during cementation would not increase the number of transfusion and operation time. Tourniquet application only during cementation results in less knee pain on post-operative day 1 (POD 1), less time needed to achieve straight-leg raise, and less minor complications following TKA. Tourniquet application only during cementat...Continue Reading

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Citations

Jul 11, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuan LiuBin Shen
Jan 9, 2021·Archives of Orthopaedic and Trauma Surgery·Filippo MiglioriniAlice Baroncini
May 4, 2021·The Bone & Joint Journal·Ahmed A Magan, Fares S Haddad
May 11, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Filippo MiglioriniMarcel Betsch

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