Use of a Pneumatic Tourniquet Improves Outcome Following Trans-tibial Amputation

Abstract

The use of a pneumatic tourniquet is safe and significantly reduces both blood loss and transfusion requirements during trans-tibial amputation. A pneumatic tourniquet reduces revision rates by over 50%, with subsequent cost savings.

Dutch evidence-based guidelines for amputation and prosthetics of the lower extremity

“…Following evaluation, the remaining six articles are all related to TTAs. [6][7][8][9][10] No items of sufficient academic quality were found on TFA or KD. This finding has been described earlier in the 'ISPO consensus conference (1990) report on amputation surgery', published in 1992.…”

“…Use of a tourniquet resulted in less blood loss and lower transfusion requirements. In an observational pilot study in 89 patients who underwent a TTA, Wolthuis et al 10 looked at the effect of a tourniquet on the same and several additional outcome parameters. Similar reductions in blood loss and transfusion requirements were seen, but they also reported a significant reduction in the number of stump revisions.…”

Perioperative Differences between Bone Bridging and Non-Bone Bridging Transtibial Amputations for Wartime Lower Extremity Trauma

“…The use of a tourniquet has been shown to be beneficial in the peripheral vascular disease patient population in terms of reducing the rates of blood loss, transfusion, and reoperation. 25 However, increased tourniquet times have been shown to have deleterious effects in other lower limb surgeries. Increased postoperative limb pain and a higher incidence of deep vein thrombosis has been established with prolonged tourniquet times during total knee arthroplasty.…”

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“…www.efsupit.ro 1085 the tasks of prosthetics and training in the use of a prosthesis. At the same time, observations of a number of specialists suggest that effective rehabilitation of this contingent depends not only on qualitative prosthetics, but is largely provided by the level of adaptation of the basic systems of vital activity of the body (Kurdybailo, 2001;Wasiak, 2006;Wolthuis, 2006;Winell, 2006).…”