PURPOSE: The purpose of this study was to determine the effects of tourniquet use for routine knee arthroscopy based on both subjective and objective functional outcome measures. TYPE OF STUDY: The study was a prospective, double-blind, randomized clinical trial. MATERIALS AND METHODS: There were 120 patients randomized totourniquet inflation (300 mm Hg) or no tourniquet inflation during routine knee arthroscopy. Patients recorded their average pain on a visual analog scale and their narcotic use for the previous 24 hours, for the first 5 postoperative days. Patients also completed a preoperative and postoperative (2 week, 6 week, 3 month) Western Ontario and McMaster University Osteoarthritis Index (WOMAC), 6-minute walk, 30-second stair climb, 1-leg standing vertical leap, range of motion, and isokinetic strength testing. Time to return to work and sport was documented. RESULTS: No statistically significant difference was found between tourniquet-up and tourniquet-down groups for the WOMAC quality of life measure, functional tests, isokinetic muscle strengthening, or time to return to work or sport (t test/repeated measures analysis of variance). However, there was a trend for less early postoperative pain and slightly better isokinetic strength testing at 2 weeks in the tourniquet-down group. Visualization was rated by surgeons to be 3 times better in the tourniquet-up group, although mean operative time did not differ between the groups. CONCLUSION: The use of a pneumatic tourniquet at 300 mm Hg does not significantly effect overall patient quality of life or functional outcome following routine knee arthroscopy.
RCT Entities:
PURPOSE: The purpose of this study was to determine the effects of tourniquet use for routine knee arthroscopy based on both subjective and objective functional outcome measures. TYPE OF STUDY: The study was a prospective, double-blind, randomized clinical trial. MATERIALS AND METHODS: There were 120 patients randomized to tourniquet inflation (300 mm Hg) or no tourniquet inflation during routine knee arthroscopy. Patients recorded their average pain on a visual analog scale and their narcotic use for the previous 24 hours, for the first 5 postoperative days. Patients also completed a preoperative and postoperative (2 week, 6 week, 3 month) Western Ontario and McMaster University Osteoarthritis Index (WOMAC), 6-minute walk, 30-second stair climb, 1-leg standing vertical leap, range of motion, and isokinetic strength testing. Time to return to work and sport was documented. RESULTS: No statistically significant difference was found between tourniquet-up and tourniquet-down groups for the WOMAC quality of life measure, functional tests, isokinetic muscle strengthening, or time to return to work or sport (t test/repeated measures analysis of variance). However, there was a trend for less early postoperative pain and slightly better isokinetic strength testing at 2 weeks in the tourniquet-down group. Visualization was rated by surgeons to be 3 times better in the tourniquet-up group, although mean operative time did not differ between the groups. CONCLUSION: The use of a pneumatic tourniquet at 300 mm Hg does not significantly effect overall patient quality of life or functional outcome following routine knee arthroscopy.
Authors: Simon S Jameson; Stephen P Rushton; Daniel Dowen; Paul Baker; Philip James; Mike R Reed; David Deehan Journal: Knee Surg Sports Traumatol Arthrosc Date: 2013-06-08 Impact factor: 4.342
Authors: Ali Akbar Mohammadi; Mohammad Reza Pakyari; Vahid Dastgerdi; Seyed Morteza Seyed Jafari; Mansour Jannati Journal: World J Plast Surg Date: 2014-01
Authors: Lúcio Honório de Carvalho Júnior; Luiz Fernando Machado Soares; Matheus Braga Jacques Gonçalves; Tiago Pinto de Oliveira Gomes; Juraci Rosa de Oliveira; Mauro Gualberto Coelho; Rogério Luciano Dos Santos; Marco Antônio Percope de Andrade; Guilherme de Lima E Silva; Eduardo Nilo Vasconcelos Novais Journal: Rev Bras Ortop Date: 2015-12-12
Authors: Krzysztof Hermanowicz; Adrian Góralczyk; Kinga Danowska; Dariusz Gałązka; Robert F LaPrade; Konrad Malinowski Journal: Arthrosc Tech Date: 2019-11-11