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Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty

BACKGROUND: During total knee arthroplasty(TKA), tourniquet is widely used by most surgeons whereas the optimal application is still controversial. With this prospective randomized controlled study, we intend to investigate the effect of lower limb lifting and squeeze exsanguination methods on clini...

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Autores principales: Zhang, Meng, Liu, Gang, Zhao, Zexue, Wu, Pengfei, Liu, Weidong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343275/
https://www.ncbi.nlm.nih.gov/pubmed/30670004
http://dx.doi.org/10.1186/s12891-019-2406-6
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author Zhang, Meng
Liu, Gang
Zhao, Zexue
Wu, Pengfei
Liu, Weidong
author_facet Zhang, Meng
Liu, Gang
Zhao, Zexue
Wu, Pengfei
Liu, Weidong
author_sort Zhang, Meng
collection PubMed
description BACKGROUND: During total knee arthroplasty(TKA), tourniquet is widely used by most surgeons whereas the optimal application is still controversial. With this prospective randomized controlled study, we intend to investigate the effect of lower limb lifting and squeeze exsanguination methods on clinical outcomes in a series of TKAs. METHODS: Prospectively enrolled a total of 236 TKA patients from March, 2012 to November, 2016. Of which 118 patients randomly constitute Group A with lower limb lifting exsanguination technique; and the other 118 patients comprise Group B with squeeze exsanguination method. A year’s follow-up measurements were recorded in detail for analysis. RESULTS: The pre-tourniquet time of Group A was significantly shorter than that in Group B (P < 0.001). Significant difference was found on skin tension blister, 3 happened in Group A and 11 happened in Group B (P = 0.031), which resulted in a difference in total complications (P = 0.039). The VAS score was significantly lower in Group A at one and seven days postoperatively, P < 0.001 and P = 0.011, respectively. No significant differences were found regarding all other clinical outcome measurements. CONCLUSION: The lower limb lifting exsanguination is a safe and effective technique. Compared with squeeze exsanguination method, it could decrease the incidence of skin tension blister and alleviate early postoperative pain reaction, no additional risks occurred regarding other clinical outcomes. Thus, it might have the potentiality to be commonly utilized in TKA procedure. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: ChiCTR1800020471. Registered on 31 December 2018 Retrospectively registered.
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spelling pubmed-63432752019-01-24 Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty Zhang, Meng Liu, Gang Zhao, Zexue Wu, Pengfei Liu, Weidong BMC Musculoskelet Disord Research Article BACKGROUND: During total knee arthroplasty(TKA), tourniquet is widely used by most surgeons whereas the optimal application is still controversial. With this prospective randomized controlled study, we intend to investigate the effect of lower limb lifting and squeeze exsanguination methods on clinical outcomes in a series of TKAs. METHODS: Prospectively enrolled a total of 236 TKA patients from March, 2012 to November, 2016. Of which 118 patients randomly constitute Group A with lower limb lifting exsanguination technique; and the other 118 patients comprise Group B with squeeze exsanguination method. A year’s follow-up measurements were recorded in detail for analysis. RESULTS: The pre-tourniquet time of Group A was significantly shorter than that in Group B (P < 0.001). Significant difference was found on skin tension blister, 3 happened in Group A and 11 happened in Group B (P = 0.031), which resulted in a difference in total complications (P = 0.039). The VAS score was significantly lower in Group A at one and seven days postoperatively, P < 0.001 and P = 0.011, respectively. No significant differences were found regarding all other clinical outcome measurements. CONCLUSION: The lower limb lifting exsanguination is a safe and effective technique. Compared with squeeze exsanguination method, it could decrease the incidence of skin tension blister and alleviate early postoperative pain reaction, no additional risks occurred regarding other clinical outcomes. Thus, it might have the potentiality to be commonly utilized in TKA procedure. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: ChiCTR1800020471. Registered on 31 December 2018 Retrospectively registered. BioMed Central 2019-01-22 /pmc/articles/PMC6343275/ /pubmed/30670004 http://dx.doi.org/10.1186/s12891-019-2406-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Zhang, Meng
Liu, Gang
Zhao, Zexue
Wu, Pengfei
Liu, Weidong
Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title_full Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title_fullStr Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title_full_unstemmed Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title_short Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
title_sort comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343275/
https://www.ncbi.nlm.nih.gov/pubmed/30670004
http://dx.doi.org/10.1186/s12891-019-2406-6
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