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Silicone ring tourniquet could be a substitute for a conventional tourniquet in total knee arthroplasty with a longer surgical field: a prospective comparative study in simultaneous total knee arthroplasty

Authors
 Tae Sung Lee  ;  Kwan Kyu Park  ;  Byung Woo Cho  ;  Woo-Suk Lee  ;  Hyuck Min Kwon 
Citation
 BMC MUSCULOSKELETAL DISORDERS, Vol.24(1) : 363, 2023-05 
Journal Title
BMC MUSCULOSKELETAL DISORDERS
Issue Date
2023-05
MeSH
Arthroplasty, Replacement, Knee* / adverse effects ; Exsanguination ; Humans ; Prospective Studies ; Silicon ; Silicones ; Tourniquets* / adverse effects
Keywords
Pneumatic tourniquet ; Silicon ring tourniquet ; Total knee arthroplasty
Abstract
Introduction: This study aimed to compare the clinical outcomes of silicon ring tourniquets and conventional pneumatic tourniquets in total knee arthroplasty (TKA). The study compared the operation time, total bleeding amount, length from the tourniquet distal end to the patella superior pole (L_TP), and complications related to the two tourniquet application methods and attempted to determine whether the silicon ring tourniquet has advantages over conventional pneumatic tourniquets.

Materials and methods: This prospective comparative study included 30 patients who underwent bilateral simultaneous TKA for degenerative osteoarthritis in August to December 2021. All patients underwent TKA on one side with a conventional pneumatic tourniquet, while TKA on the other side with a silicon ring tourniquet. The primary outcomes were the L_TP, operation time, tourniquet time, total bleeding amount, total drainage amount, and postoperative visual analog scale (VAS) score of the tourniquet applied site at 6, 24, and 48 h postoperatively. The secondary outcome was tourniquet-related complications in both groups.

Results: L_TP was significantly longer in the silicon ring tourniquet group compared with that in the pneumatic tourniquet group (20.22 ± 2.74 cm versus 15.12 ± 2.40, p < 0.001). No significant difference was found in other results. The tourniquet applied site pain was less in the silicon ring tourniquet group (p = 0.037).

Conclusions: Silicon ring tourniquet application resulted in better clinical outcomes than conventional pneumatic tourniquets in TKA. Because we can obtain a wider surgical field using silicon ring tourniquets without complications, silicon ring tourniquets could be a substitute for conventional pneumatic tourniquets in total knee arthroplasty or distal femoral surgeries.
Files in This Item:
T202307210.pdf Download
DOI
10.1186/s12891-023-06469-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hyuck Min(권혁민) ORCID logo https://orcid.org/0000-0002-2924-280X
Park, Kwan Kyu(박관규) ORCID logo https://orcid.org/0000-0003-0514-3257
Lee, Woo Suk(이우석) ORCID logo https://orcid.org/0000-0002-0798-1660
Lee, Tae Sung(이태성)
Cho, Byung Woo(조병우) ORCID logo https://orcid.org/0000-0002-7472-4103
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197237
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