Prateek Kumar Gupta1, Vishesh Khanna2, Ashis Acharya1. 1. Department of Sports Medicine, Sir Ganga Ram Hospital, New Delhi, India. 2. Wrighitngton Wigan and Leigh NHS Foundation Trust, UK.
Abstract
OBJECTIVES: Alternatives to tourniquets include portal-site epinephrine injections. This prospective, randomised-controlled, double-blinded study compared intraoperative visibility and safety of portal-site injections with tourniquets in arthroscopic meniscectomies. METHODS: Sixty eligible adults [16-55ys, excluding vascular/neuromuscular/systemic illnesses] were randomly/equally divided across 3 groups A (controls)-local portal injections; B-local injections with tourniquet; C-local and 1:200,000epinephrine injections. A single surgeon operated blinded to patient group. Intraoperative visibility, surgeon visual analogue score (VAS)and other details were recorded. RESULTS: Superior visibility [p = 0.003,p = 0.027] and VAS [p = 0.010,p = 0.042] were reported in groups B, C versus A, Visibility [p = 0.705; p = 0.805] and operating times [p = 0.05] were comparable between B and C. CONCLUSIONS: Portal-site epinephrine injections emerged as tenable surrogates for tourniquets for clear visualization in arthroscopy.
OBJECTIVES: Alternatives to tourniquets include portal-site epinephrine injections. This prospective, randomised-controlled, double-blinded study compared intraoperative visibility and safety of portal-site injections with tourniquets in arthroscopic meniscectomies. METHODS: Sixty eligible adults [16-55ys, excluding vascular/neuromuscular/systemic illnesses] were randomly/equally divided across 3 groups A (controls)-local portal injections; B-local injections with tourniquet; C-local and 1:200,000epinephrine injections. A single surgeon operated blinded to patient group. Intraoperative visibility, surgeon visual analogue score (VAS)and other details were recorded. RESULTS: Superior visibility [p = 0.003,p = 0.027] and VAS [p = 0.010,p = 0.042] were reported in groups B, C versus A, Visibility [p = 0.705; p = 0.805] and operating times [p = 0.05] were comparable between B and C. CONCLUSIONS: Portal-site epinephrine injections emerged as tenable surrogates for tourniquets for clear visualization in arthroscopy.
Authors: Alexander Tsarouhas; Michael E Hantes; Georgios Tsougias; Zoe Dailiana; Konstantinos N Malizos Journal: Arthroscopy Date: 2012-10-22 Impact factor: 4.772