Do patients benefit from tourniquet in arthroscopic surgeries of the knee?

Zhang, Yang; Li, Le; Wang, Jian; Li, Zhi-han; Shi, Zhanjun

doi:10.1007/s00167-012-2094-3

Cited by 20 publications

(19 citation statements)

References 33 publications

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“…Considering almost all RCTs included supported that there was no statistically significant difference in the operative time between the tourniquet group and the nontourniquet group, we preferred that not using the tourniquet during the operation did not contribute to a longer operation time. These results were also consistent with previous meta-analysis 12 which suggested that there was no significant difference in visualization and operative time between the tourniquet and the nontourniquet groups. We also found that arthroscopy without tourniquet was associated with less blood loss in the drain than tourniquet group postoperatively.…”

Section: Discussionsupporting

confidence: 92%

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Wang

2019

J Knee Surg

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The use of tourniquet in knee arthroscopic surgery is a routine technique and provides convenience for the operation. However, the adverse effects caused by tourniquet during the operation are noticed by more and more researchers. The purpose of our study was to perform a systematic review and meta-analysis to assess the effects of tourniquet use in knee arthroscopy. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we searched databases like PubMed, Cochrane library, EMBASE, and Web of Science from inception of the database up to November 20, 2018, using the keywords “ anterior cruciate ligament,” “meniscectomy,” “arthrocopy,” etc. to identify randomized clinical trials. A total of 16 randomized controlled trials involving 1,132 participants fulfilled the inclusion criteria with 582 patients in tourniquet group and 550 patients in nontourniquet group. Compared with tourniquet group, nontourniquet group had less postoperative blood loss and less consumption of analgesic. There was no significant difference between the two groups in intraoperatively arthroscopic visualization, postoperative pain score, postoperative quadriceps muscle strength, and operation time. Our study suggested that compared with tourniquet use, arthroscopic surgery of the knee without tourniquet did not appear to have any disadvantage, and the current evidence was more inclined not to use tourniquet as a routine procedure during the knee arthroscopic surgery.

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Section: Discussionsupporting

confidence: 92%

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Wang

2019

J Knee Surg

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“…25 Tourniquet use is thought to allow improved visibility and reduce operative time. However, this has not been demonstrated in well-designed clinical studies on ankle arthroscopy.…”

Section: Pitfallsmentioning

confidence: 99%

Anterior Ankle Arthroscopy

Epstein

Black

Sherman

2015

Foot and Ankle Clinics

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“…Nonetheless, like other surgical techniques, tourniquet can also cause different complications [11] such as neurovascular injuries, deep vein thrombosis, edema, bruising, rhabdomyolysis, pulmonary embolism, acute pulmonary edema, cardiac arrest, increased postoperative bleeding, hypoxia of skin flaps, delayed wound healing, muscular ischemia, delayed reversal of muscular strength due to microscopic alterations of myofibrils [12], limited range of motion (ROM), and high levels of postoperative pain [10]. Ischemic or compressive effects of tourniquet can alter neural conduction and muscular function and cause a wide spectrum of complications from mild transient dysfunction to irreversible damages [13].…”

Section: Introductionmentioning

confidence: 99%