COMPARATIVE STUDY OF USE OF TOURNIQUET APPLICATION DURING CEMENTATION VERSUS USE OF FULL TIME TOURNIQUET APPLICATION DURING TOTAL KNEE ARTHROPLASTY.
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Keywords
TKA(total knee arthroplasty), cementation procedure, blood loss, transfusion, tourniquet application, rehabilitation time
Abstract
Background: Application of Tourniquet in TKA( total knee arthroplasty) surgeries is being used by many orthopedic surgeons all over the world. However, there are many debates and controversy on the usage of timing of application of tourniquet in the total knee replacement surgery. The aim of this Comparative Study was to compare the advantages and disadvantages of tourniquet application only during cementation in the total knee replacement surgery versus full time tourniquet application in the TKA.
Methods: This study is done at our institution between July 2022 and July 2024. 50 Patients (out of which 30 were men and 20 were women) were included in this Study. In the 50 patients taken, 1st Group (25 patients = 14 men and 11 women) were done . TKA surgery with the application of tourniquet only during Cementation procedure rather than full time tourniquet application. 2nd Group (25 Patients = 16 men and 9 women) were done total knee replacement with the full-time application of tourniquet.
Results Tourniquet application only during cementation procedure during total knee replacement surgery does not increase operation time and the need for blood transfusion postoperatively. Tourniquet application only during cementation procedure during total knee replacement surgery decreases pain over operated site on post-operative day 1 (POD 1), decreases time needed to raise the straight leg in the operated side, and decreases complications following total knee replacement surgery. According to the immediate pain relief and early post operative functions of the 50 patients taken under this study, the results suggested that there was a less significant amount of intraoperative blood loss and total blood loss during full time tourniquet application than during limited tourniquet usage.
Conclusions: Application of tourniquet only during cementation procedure in the total knee replacement surgery might reduce the rate of complications during the post operative period and might have faster recovery of normal functions during the immediate rehabilitation time following Total Knee Replacement Surgery compared to the full-time tourniquet application in the TKA
References
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Dr. Pranesh E
Post graduate in Dept. Of orthopaedics Sree balaji medical. College and hospital
Prof. Dr. Pugazhendhi G
Professor in dept of orthopaedics Sree Balaji Medical College and hospitals
Dr.Vasanth Kumar
Associate professor in Dept.Of orthopaedics
Dr.Shiva shankaran
Assistant professor in Dept.Of. orthopaedics Sree Balaji medical college and hospital