RETRACTED ARTICLE: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

Abstract

BackgroundIn our study, we used meta-analysis to study the efficacy of the tourniquet on ankle trauma surgery. Postoperative infection rate, deep venous thrombosis incidence, hospital stay, and joint range of motion were studied to compare the tourniquet and non-tourniquet groups and provide certain references for clinical decision.MethodsWe searched PubMed, MEDLINE, EMBASE, and the Cochrane controlled trials register for all publications about the efficacy of tourniquet published before November 2012. The quality of included studies was evaluated by two estimators. I2-test and Q-statistic were used for heterogeneity analysis. When there was heterogeneity between studies, the random effects model analysis was applied or else the fixed effects model analysis was used.ResultsThree studies were included with 166 patients suffering from ankle trauma surgery. There was no statistical difference (P >0.05) between the tourniquet and non-tourniquet groups on operation time (mean difference (MD) −5.45, 95% confidence intervals (CI): (−13.98, 3.09)), postoperative infection rate (relative risk (RR) 1.83, 95% CI: (0.65, 5.12)), and deep venous thrombosis incidence (RR 4.13, 95% CI: (0.47, 36.17)). But statistical significances were observed on hospital stays (MD 3.17, 95% CI: (1.39, 4.95)) and joint range of motion (MD − 5.25, 95% CI: (−9.61, −0.89)).ConclusionsIn general, the efficacy of the tourniquet group is comparable to that of the non-tourniquet group. The non-tourniquet group achieved greater benefits for the joint range of motion and reduced the hospital stay. However, a larger number of primary studies is still required for future evaluation of tourniquet efficacy on ankle trauma surgery.

The Impact of Tourniquet Release Time on Wound Healing in Patients Undergoing Tibia Fracture Plating Surgery

“…Certain studies have measured the amount of wound infection after surgery with tourniquet (1,17,23). Wound infection is an important criterion for wound healing, so that increased incidence of infection can be associated with a decrease in wound healing.…”

“…Saeid et al (2010) studied the effect of tourniquet in tibia fracture plating surgery, and reported no statistically significant difference in the overall "infection" items between the 2 tourniquet and non-tourniquet groups (1). In their meta-analysis of the efficacy of tourniquet on ankle trauma surgery, Jiang et al (2015) reported no significant difference between the tourniquet and non-tourniquet groups, regarding the amount of postoperative infection (23). In their study on the role of tourniquet in wound infection after fibula fracture surgery, Maffulli et al (1993) found that the use of tourniquet increases the possibility of infection (17).…”

Retraction Note: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

“…The Publisher and Editor regretfully retract this article [ 1 ] because the peer-review process was inappropriately influenced and compromised. As a result, the scientific integrity of the article cannot be guaranteed.…”