The effect of tourniquet use on hidden blood loss in total knee arthroplasty

International Orthopaedics - Tập 33 - Trang 1263-1268 - 2008
Bin Li1, Yu Wen2, Haishan Wu1, Qirong Qian1, Xiangbo Lin1, Hui Zhao1
1Department of Orthopaedic Surgery, Arthritis Institute Changzheng Hospital, Second Military Medical University, Shanghai, People’s Republic of China
2Department of Human Anatomy, College of Basic Medical Sciences, Second Military Medical University, Shanghai, People’s Republic of China

Tóm tắt

The objective of this study was to examine the characteristics of hidden blood loss and assess the effects of using a tourniquet on postoperative hidden loss in patients undergoing primary total knee arthroplasty. Eighty patients were randomised into two groups: one group underwent operation with a tourniquet and one without. Operating time, perioperative blood loss, hidden blood loss, free haemoglobin, swelling, ecchymosis, straight leg raising action and knee flexion were measured. There were significant differences in the hidden blood loss, free haemoglobin, postoperative swelling, extent of ecchymosis, straight leg raising and postoperative knee flexion in the early period after operation between the two groups. Our results indicate that knee arthroplasty operations with a tourniquet might promote postoperative hidden blood loss and hinder patients’ in early postoperative rehabilitation exercises.

Tài liệu tham khảo

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