Effect of tourniquet use on blood loss and incidence of deep vein thrombosis in total knee arthroplasty

被引:75
|
作者
Harvey, EJ
Leclerc, J
Brooks, CE
Burke, DL
机构
[1] Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC
[2] Divisions Hematol. Clin. Epidemiol., Montreal General Hospital, Montreal, Que.
[3] Department of Orthopaedic Surgery, Montreal General Hospital, Montreal, Que.
[4] Department of Orthopaedic Surgery, Box 3000, Duke University Medical Center, Durham
来源
JOURNAL OF ARTHROPLASTY | 1997年 / 12卷 / 03期
关键词
tourniquet; blood loss; deep vein thrombosis; total knee arthroplasty;
D O I
10.1016/S0883-5403(97)90025-5
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
Tourniquet time and its relationship to blood loss and deep vein thrombosis were studied in 80 cases of unilateral total knee arthroplasty. These data were part of a prospective multicenter double-blind study on thromboprophylaxis for knee surgery. This study reports on the cases done at one institution in which the tourniquet was used in three different ways: group 1, no tourniquet use; group 2, limited tourniquet use for cementing time only; group 3, tourniquet use throughout the whole case. Blood loss was significantly related to tourniquet time (P = .0001). The incidence of deep vein thrombosis was not related to the tourniquet group (P = .9).
引用
收藏
页码:291 / 296
页数:6
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