Tourniquet Release Prior to Dressing Application Reduces Blistering Following Total Knee Arthroplasty

The Journal of Arthroplasty
Snir HellerWilliam J Hozack

Abstract

Skin blisters occur in up to 20% of patients after total knee arthroplasty (TKA). Tourniquet release results in a limb volume increase of 10%. We hypothesized that releasing tourniquet before application of circumferential dressing will decrease blister formation. A prospective study was conducted on 135 consecutive primary TKAs. The tourniquet was released immediately after wound closure to allow for re-perfusion and then a dressing was applied. These patients were compared to a historical cohort of 200 primary TKAs, where the tourniquet was released after application of dressing. There was a significant difference in the incidence of blisters between the two groups [Late 7.5% (15/200) vs early release 2.2% (3/135) P=0.028]. Releasing the tourniquet prior to dressing application has reduced the incidence of blistering following TKA.

References

Jun 1, 1994·Journal of the American Academy of Dermatology·F BalloS J Millon
Jan 1, 1993·Journal of Orthopaedic Trauma·C D VarelaB K Slemmons
Nov 8, 2006·Journal of Orthopaedic Trauma·Eric J StraussKenneth A Egol
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Krishna Reddi Boddu Siva RamaAnand Jetti
Sep 9, 2008·The Journal of Arthroplasty·Luis PulidoWilliam J Hozack
Aug 30, 2008·International Orthopaedics·Bin LiHui Zhao
Jan 16, 2013·The Journal of Bone and Joint Surgery. American Volume·Ta-Wei TaiChyun-Yu Yang
Oct 4, 2013·The Journal of Bone and Joint Surgery. American Volume·Jai Hyung ParkJavad Parvizi
Oct 15, 2013·Arthritis Care & Research·Christian A WaimannMaria E Suarez-Almazor

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Citations

Mar 17, 2016·International Orthopaedics·Jean-Yves JennySandra Wisniewski
May 21, 2019·The Journal of Knee Surgery·Richard D RamesRobert Barrack
May 18, 2018·JRSM Open·Aadhar SharmaMuhammad Shahid
Feb 23, 2019·Clinical Orthopaedics and Related Research·Christopher N MatthewsWilliam J Hozack

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