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Advertising in the issue 1-2 (147-148) – I/IV 2022
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1-2 (147-148) – I/IV 2022 :
  • Research article

Comparative results of knee arthroplasty in patients with gonarthrosis with and without the use of a tourniquet

Osadchuk T.I.1, Kalashnikov A.V.1, Hits O.V.2

  • 1SI «Institute of Traumatology and Orthopedics of the NAMS of Ukraine», Kyiv, Ukraine
  • 2CNE «Consulting and Diagnostic Center» of the Podilsk district Branch № 2, Kyiv, Ukraine

Summary. Today, a significant number of surgeons continue to routinely use a tourniquet in total knee arthroplasty (TKA), although more and more evidence is emerging in favor of performing TKA without a tourniquet. The article reviews the literature on the technology of TKA without a tourniquet, its effectiveness and safety. The results of our own comparative analysis of 311 operated patients with osteoarthritis of the knee are presented on the basis of the State institution «Institute of Traumatology and Orthopedics of the NAMS of Ukraine», which underwent TKA with/without the use of a tourniquet.

УДК 616.728.3:616.72-002.1
DOI: 10.32471/umj.1680-3051.147.228648

References

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  • 2. Abdel M.P., Berry J.D. (2019) Current practice trends in primary hip and knee arthroplasties among members of the American Association of Hip and Knee Surgeons: A long-term update. J. Arthroplasry, 34: S24.
  • 3. Dennis D.A., Kittleson A.J., Yang C.C. et al. (2016) Does tourniquet use in TKA affects recovery of lower extremity strength and function? A randomized trial. Clin. Orthop. Relat. Res., 474: 69.
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  • 11. Herndon C.L., Grosso M.J., Sarpong N.O. et al. (2020) Tibial cement mantle thickness is not affected by tourniquetless total knee arthroplasty when performed with tranexamic acid. Knee Surg. Sports Traumatol. Arthrosc., 28: 1526–1531.
  • 12. Liu D., Graham D., Gillies K. et al. (2014) Effects of tourniquet use on quadriceps function and pain in total knee arthroplasty. Knee Surg. Relat. Res., 26: 207.
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  • 14. Tai T.W., Lin C.J., Jou I.M. et al. (2011) Tourniquet use in total knee arthroplasty: A meta-analysis. Knee Surg. Sports Traumatol. Arthosc., 19: 1121.
  • 15. Zhang W., Li N., Chen S. et al. (2014) The effects of a tourniquet used in total knee arthroplasty: A meta-analysis. J. Оrthopaedic. Surg. Res., 9: 13.
  • 16. Wakankar H.M., Nicholl J.E., Koka R. et al. (1999) The tourniquet in total knee arthroplasty. A prospective, randomized study. J. Bone Joint Surg. Br., 81: 30.
  • 17. Parvizi J., Pulido L., Slenker N. et al. (2008) Vascular injuries after total joint arthroplasty. J. Arthropasty., 23: 1115.
  • 18. Kumar S.N., Chapman J.A., Rawlins I. (1998) Vascular injuries in total knee arthroplasty. A review of the problem with special reference to the possible effects of the tourniquet. J. Arthroplasty, 13: 211.
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Full article in pdf format
Keywords:
endoprosthesis without tourniquet, gonarthrosis, osteoarthritis, osteoarthritis of the knee joint, osteoarthrosis, total knee arthroplasty, tourniquet
Specialties:
Orthopedics and Traumatology, Surgery
Views: 11
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