Timing of tourniquet release in knee arthroplasty: Meta-analysis of randomized, controlled trials

Journal of Bone and Joint Surgery

Volumn 89, Issue 4, 2007, Pages 699-705

  Rama, Krishna Reddi Boddu Siva ^a   Apsingi, Sunil ^b   Poovali, Sharmila ^c   Jetti, Anand ^d  

^a CHARING CROSS HOSPITAL   (United Kingdom)

^b BEDFORD HOSPITAL NHS TRUST   (United Kingdom)

^c IPSWICH HOSPITAL   (United Kingdom)

^d GLASGOW ROYAL INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN;

ARTICLE; CUFF; DEEP VEIN THROMBOSIS; HEMOSTASIS; HUMAN; KNEE ARTHROPLASTY; OPERATION DURATION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; REOPERATION; TOURNIQUET; WOUND CLOSURE;

EID: 34147132805     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.F.00497     Document Type: Article

References (55)

1. Abdel-Salam A, Eyres KS. Effects of tourniquet during total knee arthroplasty. A prospective randomised study. J Bone Joint Surg Br. 1995;77:250-3.
2. Harvey EJ, Leclerc J, Brooks CE, Burke DL. Effect of tourniquet use on blood loss and incidence of deep vein thrombosis in total knee arthroplasty. J Arthroplasty. 1997;12:291-6.
3. Tetro AM, Rudan JF. The effects of a pneumatic tourniquet on blood loss in total knee arthroplasty. Can J Surg. 2001;44:33-8.
4. Vandenbussche E, Duranthon LD, Couturier M, Pidhorz L, Augereau B. The effect of tourniquet use in total knee arthroplasty. Int Orthop. 2002;26:306-9.
5. Wakankar HM, Nicholl JE, Koka R, D'Arcy JC. The tourniquet in total knee arthroplasty. A prospective, randomised study. J Bone Joint Surg Br. 1999:81:30-3.
6. Wauke K, Nagashima M, Kato N, Ogawa R, Yoshino S. Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients. Arch Orthop Trauma Surg. 2002;122:442-6.
7. Page MH, Shepherd BD, Harrison JM. Reduction of blood loss in knee arthroplasty. Aust NZ J Surg. 1984;54:141-4.
8. Barwell J, Anderson G, Hassan A, Rawlings I. The effects of early tourniquet release during total knee arthroplasty: a prospective randomized double-blind study. J Bone Joint Surg Br. 1997;79:265-8.
9. Erratum in: J Bone Joint Surg Br. 1977;79:693.
10. Burkart BC, Bourne RB, Rorabeck CH, Kirk PG, Nott L. The efficacy of tourniquet release in blood conservation after total knee arthroplasty. Clin Orthop Relat Res. 1994;299:147-52.
11. Christodoulou AG, Ploumis AL, Terzidis IP, Chantzidis P, Metsovitis SR, Nikiforos DG. The role of timing of tourniquet release and cementing on perioperative blood loss in total knee replacement. Knee. 2004;11:313-7.
12. Hersekli MA, Akpinar S, Ozkoc G, Ozalay M, Uysal M, Cesur N, Tandogan RN. The timing of tourniquet release and its influence on blood loss after total knee arthroplasty. Int Orthop. 2004:28:138-41.
13. Ishii Y, Matsuda Y. Effect of the timing of tourniquet release on perioperative blood loss associated with cementless total knee arthroplasty: a prospective randomized study. J Arthroplasty. 2005;20;977-83.
14. Jorn LP, Lindstrand A, Toksvig-Larsen S. Tourniquet release for hemostasis increases bleeding. A randomized study of 77 knee replacements. Acta Orthop Scand. 1999;70:265-7.
15. Lotke PA, Faralli VJ, Orenstein EM, Ecker ML. Blood loss after total knee replacement. Effects of tourniquet release and continuous passive motion. J Bone Joint Surg Am. 1991;73:1037-40.
16. Newman JH, Jackson JR Waugh W. Timing of tourniquet removal after knee replacement. J R Soc Med. 1979;72:492-4.
17. Schuh A, Hausel M, Salminen S. [Effect of tourniquet use on blood loss in total knee arthroplasty]. Zentralbl Chir. 2003;128:866-70. German.
18. Widman J, Isacson J. Surgical hemostasis after tourniquet release does not reduce blood loss in knee replacement. A prospective randomized study of 81 patients. Acta Orthop Scand. 1999;70:268-70.
19. Yagi T, Ohno K, Ohtera K, Otokozawa C. The efficacy of tourniquet release in blood conservation following cementless total knee arthroplasty. Abstracts of 62nd annual meeting of American Academy of Orthopaedic Surgeons. 1995;19:332.
20. Gerbarg ZB, Horwitz RI. Resolving conflicting clinical trials: guidelines for meta-analysis. J Clin Epidemiol. 1988;41:503-9.
21. Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions 4.2.6. Updated 2006 Sep. http://www.cochrane.org/resources/ handbook/Handbook4.2.6Sep2006.pdf. Accessed 2007 Jan 18.
22. Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Quality of Reporting of Meta-analyses. Lancet. 1999;354:1896-900.
23. Moher D, Schulz KF, Altman DG. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet. 2001;357:1191-4.
24. Bourke DL, Smith TC. Estimating allowable hemodilution. Anestheslology. 1974;41:609-12.
25. Gross JB. Estimating allowable blood loss: corrected for dilution. Anesthesiology. 1983;58:277-80.
26. Hozo SR Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005;5:13.
27. Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22:719-48.
28. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557-60.
29. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177-88.
30. Berlin JA. Does blinding of readers affect the results of meta-analyses? University of Pennsylvania Meta-analysis Blinding Study Group. Lancet. 1997;350:185-6.
31. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1-12.
32. Emerson JD, Burdick E, Hoaglin DC, Mosteller F, Chalmers TC. An empirical study of the possible relation of treatment differences to quality scores in controlled randomized clinical trials. Control Clin Trials. 1990;11:339-52.
33. Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA. 1995;273:408-12.
34. Sehat KR, Evans R, Newman JH. How much blood is really lost in total knee arthroplasty? Correct blood loss management should take hidden loss into account. Knee. 2000;7:151-5.
35. Pattison E, Protheroe K, Pringle RM, Kennedy AC, Dick WC. Reduction in haemoglobin after knee joint surgery. Ann Rheum Dis. 1973;32:582-4.
36. Erskine JG, Fraser C, Simpson R, Protheroe K, Walker ID. Blood loss with knee joint replacement. J R Coll Surg Edinb. 1981;26:295-7.
37. Mc Manus KT, Velchik MG, Alavi A, Lotke PA. Non-invasive assessment of postoperative bleeding in TKA patients with Tc-99m RBCs. Proceedings of the 34th annual meeting of the Society of Nuclear Medicine. June 2-5, 1987, Toronto, Ontario, Canada. Abstracts. J NuCl Med. 1987;28(4 Suppl):565.
38. Santavirta S, Hockerstedt K, Linden H. Pneumatic tourniquet and limb blood flow. Acta Orthop Scand. 1978;49:565-70.
39. Silver R, de la Garza J, Rang M, Koreska J. Limb swelling after release of a tourniquet. Clin Orthop Relat Res. 1986;206:86-9.
40. Aglietti P, Baldini A, Vena LM, Abbate R, Fedi S, Falciani M. Effect of tourniquet use on activation of coagulation in total knee replacement. Clin Orthop Relat Res. 2000;371:169-77.
41. Klenerman L, Chakrabarti R, Mackie I, Brozovic M, Stirling Y. Changes in haemostatic system after application of a tourniquet. Lancet. 1977;1:970-2.
42. Fahmy NR, Patel DG. Hemostatic changes and postoperative deep-vein thrombosis associated with use of a pneumatic tourniquet. J Bone Joint Surg Am. 1981;63:461-5.
43. Levy O, Martinowitz U, Oran A, Tauber C, Horoszowski H. The use of fibrin tissue adhesive to reduce blood loss and the need for blood transfusion after total knee arthroplasty. A prospective, randomized, multicenter study. J Bone Joint Surg Am. 1999;81:1580-8.
44. Lombardi AV Jr, Berend KR, Mallory TH, Dodds KL, Adams JB. Soft tissue and intra-articular injection of bupivacaine, epinephrine, and morphine has a beneficial effect after total knee arthroplasty. Clin Orthop Relat Res. 2004:428:125-30.
45. Mylod AG Jr, France MP, Muser DE, Parsons JR. Perioperative blood loss associated with total knee arthroplasty. A comparison of procedures performed with and without cementing. J Bone Joint Surg Am. 1990;72:1010-2.
46. Calligaro KD, Dougherty MJ, Ryan S, Booth RE. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg. 2003;38:1170-7. Erratum in: J Vase Surg. 2004;39:628.
47. Kumar SN, Chapman JA, Rawlins I. Vascular injuries in total knee arthroplasty. A review of the problem with special reference to the possible effects of the tourniquet. J Arthroplasty. 1998;13:211-6.
48. Da Silva MS, Sobel M; Surgeons of the Southern Association of Vascular Surgery. Popliteal vascular injury during total knee arthroplasty. J Surg Res. 2003;109:170-4.
49. Holmberg A, Milbrink J, Bergqvist D. Arterial complications after knee arthroplasty: 4 cases and a review of the literature. Acta Orthop Scand. 1996;67:75-8.
50. Rush JH, Vidovich JD, Johnson MA. Arterial complications of total knee replacement. The Australian experience. J Bone Joint Surg Br. 1987;69:400-2.
51. Komatsu T, Ishibashi Y, Otsuka H, Nagao A, Toh S. The effect of surgical approaches and tourniquet application on patellofemoral tracking in total knee arthroplasty. J Arthroplasty. 2003;18:308-12.
52. Husted H, Toftgaard Jensen T. Influence of the pneumatic tourniquet on patella tracking in total knee arthroplasty: a prospective randomized study in 100 patients. J Arthroplasty. 2005;20:694-7.
53. Marson BM, Tokish JT. The effect of a tourniquet on intraoperative patellofemoral tracking during total knee arthroplasty. J Arthroplasty. 1999;14:197-9.
54. Lombardi AV Jr, Berend KR, Mallory TH, Dodds KL, Adams JB. The relationship of lateral release and tourniquet deflation in total knee arthroplasty. J Knee Surg. 2003;16:209-14.
55. Laskin RS. Lateral release rates after total knee arthroplasty. Clin Orthop Relat Res. 2001;392:88-93.