Literature DB >> 25983513

Evaluation of pain in bilateral total knee replacement with and without tourniquet; a prospective randomized control trial.

Nishikant Kumar1, Chandrashekhar Yadav2, Swapnil Singh2, Ashok Kumar2, Aruljothi Vaithlingam2, Sanjay Yadav2.   

Abstract

AIM: Thigh pain following tourniquet application is a common complaint in early post operative period following total knee arthroplasty.
METHOD: Post operative Thigh pain was evaluated in 30 consecutive simultaneous bilateral total knee arthroplasty patients between July 2013 and January 2014. Patient thigh pain was evaluated with the VAS score. The scale was applied on first, second, third day & second and six weeks after surgery. RESULT: There were statistically significant difference in VAS score in non-tourniquet group on first, second, third post operative day. We did not find statistically significant difference at Second and Six weeks post operatively.
CONCLUSION: This Randomized trial demonstrates that non-tourniquet use in TKA has less early postoperative pain and leads to better recovery.

Entities:  

Keywords:  Bilateral; Thigh pain; Total knee arthroplasty; Tourniquet

Year:  2015        PMID: 25983513      PMCID: PMC4411338          DOI: 10.1016/j.jcot.2015.01.095

Source DB:  PubMed          Journal:  J Clin Orthop Trauma        ISSN: 0976-5662


  22 in total

Review 1.  The arterial tourniquet: pathophysiological consequences and anaesthetic implications.

Authors:  P C Kam; R Kavanagh; F F Yoong; R Kavanaugh
Journal:  Anaesthesia       Date:  2001-06       Impact factor: 6.955

2.  The effect of tourniquet use on hidden blood loss in total knee arthroplasty.

Authors:  Bin Li; Yu Wen; Haishan Wu; Qirong Qian; Xiangbo Lin; Hui Zhao
Journal:  Int Orthop       Date:  2008-08-27       Impact factor: 3.075

Review 3.  Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review.

Authors:  Toby O Smith; Caroline B Hing
Journal:  Knee       Date:  2009-07-19       Impact factor: 2.199

4.  Friction burns to thigh caused by tourniquet.

Authors:  S Choudhary; C Koshy; J Ahmed; J Evans
Journal:  Br J Plast Surg       Date:  1998-03

5.  Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty.

Authors:  R L Worland; J Arredondo; F Angles; F Lopez-Jimenez; D E Jessup
Journal:  J Arthroplasty       Date:  1997-12       Impact factor: 4.757

6.  Wide contoured thigh cuffs and automated limb occlusion measurement allow lower tourniquet pressures.

Authors:  Alastair S E Younger; James A McEwen; Kevin Inkpen
Journal:  Clin Orthop Relat Res       Date:  2004-11       Impact factor: 4.176

7.  Ultrastructural changes in rat peripheral nerve following pneumatic tourniquet compression.

Authors:  A J Nitz; D H Matulionis
Journal:  J Neurosurg       Date:  1982-11       Impact factor: 5.115

8.  Effects of tourniquet use on blood loss and soft-tissue damage in total knee arthroplasty: a randomized controlled trial.

Authors:  Ta-Wei Tai; Chih-Wei Chang; Kuo-An Lai; Chii-Jeng Lin; Chyun-Yu Yang
Journal:  J Bone Joint Surg Am       Date:  2012-12-19       Impact factor: 5.284

9.  Optimizing tourniquet application and release times in extremity surgery. A biochemical and ultrastructural study.

Authors:  A A Sapega; R B Heppenstall; B Chance; Y S Park; D Sokolow
Journal:  J Bone Joint Surg Am       Date:  1985-02       Impact factor: 5.284

10.  The influence of tourniquet use and operative time on the incidence of deep vein thrombosis in total knee arthroplasty.

Authors:  Arnaldo José Hernandez; Adriano Marques de Almeida; Edmar Fávaro; Guilherme Turola Sguizzato
Journal:  Clinics (Sao Paulo)       Date:  2012-09       Impact factor: 2.365

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  16 in total

1.  [Prehospital application of tourniquets for life-threatening extremity hemorrhage : Systematic review of literature].

Authors:  B Hossfeld; R Lechner; F Josse; M Bernhard; F Walcher; M Helm; M Kulla
Journal:  Unfallchirurg       Date:  2018-07       Impact factor: 1.000

Review 2.  Soft-tissue damage during total knee arthroplasty: Focus on tourniquet-induced metabolic and ionic muscle impairment.

Authors:  Constantin Mayer; Alexander Franz; Jan-Frieder Harmsen; Fina Queitsch; Michael Behringer; Johannes Beckmann; Rüdiger Krauspe; Christoph Zilkens
Journal:  J Orthop       Date:  2017-06-24

3.  Does Tourniquet Use in TKA Increase Postoperative Pain? A Systematic Review and Meta-analysis.

Authors:  Eoin McCarthy Deering; Shu Yang Hu; Ali Abdulkarim
Journal:  Clin Orthop Relat Res       Date:  2019-03       Impact factor: 4.176

4.  Influence of a Tourniquet on Opioid Consumption After Local Infiltration Analgesia for Total Knee Arthroplasty.

Authors:  Sietske M K Bakker; Nienke M Kosse; Sakib Crnic; Gert-Jan Scheffer; Rudolf Stienstra
Journal:  Turk J Anaesthesiol Reanim       Date:  2019-02-14

5.  Lower tourniquet pressure does not affect pain nor knee-extension strength in patients after total knee arthroplasty: a randomized controlled trial.

Authors:  David Mateu Vicent; Laura Sola Ruano; Josep Lluís Cabré Serrés; Daniel Haro Fernandez; Rodrigo Luna Gutiérrez; Mercè Torra Parra
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2021-03-19       Impact factor: 4.342

Review 6.  Impact of tourniquet during knee arthroplasty: a bayesian network meta-analysis of peri-operative outcomes.

Authors:  Filippo Migliorini; Nicola Maffulli; Paolo Aretini; Andromahi Trivellas; Markus Tingart; Jörg Eschweiler; Alice Baroncini
Journal:  Arch Orthop Trauma Surg       Date:  2021-01-08       Impact factor: 3.067

7.  Tourniquet use for knee replacement surgery.

Authors:  Imran Ahmed; Amit Chawla; Martin Underwood; Andrew J Price; Andrew Metcalfe; Charles Hutchinson; Jane Warwick; Kate Seers; Helen Parsons; Peter Dh Wall
Journal:  Cochrane Database Syst Rev       Date:  2020-12-08

8.  Efficacy and safety of a new elastic tourniquet cuff in total knee arthroplasty: a prospective randomized controlled study.

Authors:  O-Sung Lee; Myung Chul Lee; Hyuk-Soo Han
Journal:  Biomed Eng Online       Date:  2017-08-08       Impact factor: 2.819

9.  Elastic pneumatic tourniquet cuff can reduce postoperative thigh pain after total knee arthroplasty: a prospective randomized trial.

Authors:  Jae-Young Park; Sung Eun Kim; Myung Chul Lee; Hyuk-Soo Han
Journal:  BMC Musculoskelet Disord       Date:  2020-08-21       Impact factor: 2.362

10.  A small difference in recovery between total knee arthroplasty with and without tourniquet use the first 3 months after surgery: a randomized controlled study.

Authors:  Maria Alexandersson; Eugen Yuhui Wang; Staffan Eriksson
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2018-10-17       Impact factor: 4.342

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