The Sterile Elastic Exsanguination Tourniquet vs. the Pneumatic Tourniquet for Total Knee Arthroplasty

被引：18
|
作者：
Brin, Yaron S. [1 ]
Feldman, Viktor [1 ]
Gal, Itai Ron [1 ]
Markushevitch, Michael [1 ]
Regev, Amit [1 ]
Stern, Abraham [1 ]
机构：
[1] Tel Aviv Univ, Meir Med Ctr, Dept Orthoped Surg, Kefar Sava, Israel
来源：
JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期
关键词：
sterile elastic tourniquet; pneumatic tourniquet; total knee arthroplasty; hemoglobin reduction; blood loss; BLOOD-LOSS; MICROBIAL COLONIZATION; TRANEXAMIC ACID; DRAINAGE; SURGERY; LIMB;
D O I：
10.1016/j.arth.2014.11.022
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We compared the sterile elastic exsanguination tourniquet and the pneumatic tourniquet for total knee arthroplasty. 145 patients were operated on using a pneumatic tourniquet and 166 with the sterile elastic exsanguination tourniquet. Patients with the sterile elastic exsanguination tourniquet had a smaller decrease in hemoglobin on post-operative days one (P < 0.028) and three (P < 0.045). The amount of blood collected from drains at 24 h was significantly lower in the sterile elastic exsanguination group. A trend towards a higher rate of wound complications within 3 months following the operation was found in the pneumatic tourniquet group. The sterile elastic exsanguination tourniquet works at least as good as the pneumatic one. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：595 / 599
页数：5
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