2013
DOI: 10.1002/phy2.52
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Endoplasmic reticulum stress activation during total knee arthroplasty

Abstract: Total knee arthroplasty (TKA) is the most common remediation for knee pain from osteoarthritis (OA) and is performed 650,000 annually in the U.S. A tourniquet is commonly used during TKA which causes ischemia and reperfusion (I/R) to the lower limb but the effects of I/R on muscle are not fully understood. Previous reports suggest upregulation of cell stress and catabolism and downregulation of markers of cap-dependent translation during and after TKA. I/R has also been shown to cause endoplasmic reticulum (ER… Show more

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Cited by 14 publications
(25 citation statements)
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References 57 publications
(125 reference statements)
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“…The total tourniquet time was recorded for each subject. All subjects also had three muscle biopsies performed at baseline (prior to tourniquet inflation), during maximal ischemia, and during reperfusion from the vastus lateralis muscle of the operated leg (results not reported here) (56,60,61).…”
Section: Figurementioning
confidence: 99%
“…The total tourniquet time was recorded for each subject. All subjects also had three muscle biopsies performed at baseline (prior to tourniquet inflation), during maximal ischemia, and during reperfusion from the vastus lateralis muscle of the operated leg (results not reported here) (56,60,61).…”
Section: Figurementioning
confidence: 99%
“…Under anesthetic condition two pneumatic tourniquets were used, one in the right forelimb and the other in the left hindlimb. Capillary irrigation is not present at 230±20 mmHg (Corona & Rathbone, 2014;Hocker et al;Walters et al;Woitaske & McCarter, 1998) so, established pressure of compression was 270 mmHg during one (1) or three (3) hours. After this procedure, postoperative analgesia were provided to all animals.…”
Section: Methodsmentioning
confidence: 99%
“…Ischemia less than six hours occur frequently in two situations, the first, relates to orthopedic surgery, including arthroscopic knee, ankle and wrist, where the interval of time for these procedures is between 15 min to 60 min; the use of a pneumatic tourniquet is necessary in these surgical treatments (Hocker et al, 2013). The other condition occurs in traumatic injuries that occur in remote areas, where access to medical care, could take at least three hours of travel; in these situations a manual tourniquet is useful.…”
Section: Introductionmentioning
confidence: 99%
“…The pressure of ischemia was adjusted at 260 mmHg during one or three hours regarding to each experimental group. This pressure is suitable to perform a complete ischemic condition; due to microcirculatory blood flow is not present at 230 mmHg ± 20 mmHg [1,4,15,21]. Once the time of ischemia finished, both tourniquets were removed.…”
Section: Surgical Proceduresmentioning
confidence: 99%
“…Also, controlling bleeding due to accidents occurring in distant places and treatments for joint diseases or contractures requires a tourniquet. The use of the tourniquet entails reversible injury triggered by ischemic conditions during determined periods of time [1][2][3]. Arthroscopic procedures, for instance, are performed during 15 to 60 minutes, while to transport an injured person from far places to the nearest health institution, can require two to three hours.…”
Section: Introductionmentioning
confidence: 99%