Use of a tourniquet in total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials

Tai, 2012, Effects of tourniquet use on blood loss and soft-tissue damage in total knee arthroplasty: a randomized controlled trial, J Bone Joint Surg Am, 94, 2209, 10.2106/JBJS.K.00813 Smith, 2010, Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review, Knee, 17, 141, 10.1016/j.knee.2009.06.007 Abdel-Salam, 1995, Effects of tourniquet during total knee arthroplasty. A prospective randomised study, J Bone Joint Surg Br, 77, 250, 10.1302/0301-620X.77B2.7706340 Clarke, 2001, Tourniquetinduced wound hypoxia after total knee replacement, J Bone Joint Surg Br, 83, 40, 10.1302/0301-620X.83B1.10795 Wauke, 2002, Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients, Arch Orthop Traum Su, 122, 442, 10.1007/s00402-002-0404-9 Kato, 2002, Abnormal echogenic findings detected by transesophageal echocardiography and cardiorespiratory impairment during total knee arthroplasty with tourniquet, Anesthesiology, 97, 1123, 10.1097/00000542-200211000-00014 Zhou, 2013, Do we really need closed-suction drainage in total hip arthroplasty? A metaanalysis, Int Orthop, 37, 2109, 10.1007/s00264-013-2053-8 Harvey, 1997, Effect of tourniquet use on blood loss and incidence of deep vein thrombosis in total knee arthroplasty, J Arthroplasty, 12, 291, 10.1016/S0883-5403(97)90025-5 Wakankar, 1999, The tourniquet in total knee arthroplasty. A prospective, randomised study, J Bone Joint Surg Br, 81, 30, 10.1302/0301-620X.81B1.8971 Aglietti, 2000, Effect of tourniquet use on activation of coagulation in total knee replacement, Clin Orthop Relat Res, 371, 169, 10.1097/00003086-200002000-00021 Tetro, 2001, The effects of a pneumatic tourniquet on blood loss in total knee arthroplasty, Can J Surg, 44, 33 Vandenbussche, 2002, The effect of tourniquet use in total knee arthroplasty, Int Orthop, 26, 306, 10.1007/s00264-002-0360-6 Katsumata, 2005, Changes in coagulation-fibrinolysis marker and neutrophil elastase following the use of tourniquet during total knee arthroplasty and the influence of neutrophil elastase on thromboembolism, Acta Anaesthesiol Scand, 49, 510, 10.1111/j.1399-6576.2005.00621.x Matziolis, 2005, Endothelin-1 is secreted after total knee arthroplasty regardless of the use of a tourniquet, J Orthop Res, 23, 392, 10.1016/j.orthres.2004.08.021 Nishiguchi, 2005, Pilot study on the use of tourniquet: a risk factor for pulmonary thromboembolism after total knee arthroplasty?, Thromb Res, 115, 271, 10.1016/j.thromres.2004.08.018 Fukuda, 2007, Effect of tourniquet application on deep vein thrombosis after total knee arthroplasty, Arch Orthop Trauma Surg, 127, 671, 10.1007/s00402-006-0244-0 Kageyama, 2007, Increased platelet, leukocyte, and endothelial cell activity are associated with increased coagulability in patients after total knee arthroplasty, J Thromb Haemost, 5, 738, 10.1111/j.1538-7836.2007.02443.x Li, 2008, The use of a pneumatic tourniquet in total knee arthroplasty: a prospective, randomized study, Zhonghua wai ke za zhi (Chin J Surg), 46, 1054 Burg, 2009, The effects of using a tourniquet in total knee arthroplasty: a study of 77 patients, J Musculoskelet Res, 12, 137, 10.1142/S0218957709002286 Li, 2009, The effect of tourniquet use on hidden blood loss in total knee arthroplasty, Int Orthop, 33, 1263, 10.1007/s00264-008-0647-3 Zhang, 2009, Effect of tourniquet on deep venous thrombosis after total knee arthroplasty, Zhong Hua Gu Ke Za Zhi, 29, 910 Shen, 2010, Clinical effects of applying a tourniquet in total knee arthroplasty on swelling and function, Zhejiang Clin Med J, 3, 261 Yavarikia, 2010, The influence of tourniquet use and timing of its release on blood loss in total knee arthroplasty, Pak J Biol Sci, 13, 249, 10.3923/pjbs.2010.249.252 Zhang, 2010, Clinical effects of applying a tourniquet in total knee arthroplasty on blood loss, Chin Med J-Peking, 123, 3030 Bao, 2011, Tourniquet ischemia reperfusion injury after total knee arthroplasty in clinical research, Zhong Hua Chuang Shang Gu Ke Za Zhi (Chin J Orthop Trauma), 13, 242 Lou, 2011, Effect of pneumatic tourniquet on venous nitricoxide and endothelin levels in wounded of limb of patients undergoing total knee arthroplasty, Shanghai Med J, 34, 286 Zhou, 2011, Relationship between pneumatic tourniquet application in total knee arthroplasty and hypercoagulability, J Clin Rehabil Tissue Eng Res, 15, 1541 Ledin, 2012, Tourniquet use in total knee replacement does not improve fixation, but appears to reduce final range of motion, Acta Orthopaedica, 83, 499, 10.3109/17453674.2012.727078 Alcelik, 2012, A comparison of outcomes with and without a tourniquet in total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials, J Arthroplasty, 27, 331, 10.1016/j.arth.2011.04.046 Tai, 2011, Tourniquet use in total knee arthroplasty: a meta-analysis, Knee Surg Sport Tr A, 19, 1121, 10.1007/s00167-010-1342-7