More pain and slower functional recovery when a tourniquet is used during total knee arthroplasty

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 28, Issue 6, 2020, Pages 1842-1860

  Liu, Yuan ^a   Si, Haibo ^a   Zeng, Yi ^a   Li, Mingyang ^a   Xie, Huiqi ^a   Shen, Bin ^a  

^a SICHUAN UNIVERSITY   (China)

Author keywords

Meta analysis; Systematic review; Total knee arthroplasty; Tourniquet

Indexed keywords

ADVERSE DEVICE EFFECT; ADVERSE EVENT; CEMENTATION; CONVALESCENCE; DEVICES; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; KNEE; KNEE REPLACEMENT; META ANALYSIS; OPERATIVE BLOOD LOSS; PHYSIOLOGY; POSTOPERATIVE PAIN; PROCEDURES; SURGERY; TIME FACTOR; TOURNIQUET;

ARTHROPLASTY, REPLACEMENT, KNEE; BLOOD LOSS, SURGICAL; CEMENTATION; HUMANS; KNEE JOINT; PAIN, POSTOPERATIVE; RANGE OF MOTION, ARTICULAR; RECOVERY OF FUNCTION; TIME FACTORS; TOURNIQUETS;

EID: 85068841854     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-019-05617-w     Document Type: Article

References (64)

1. Aglietti P, Baldini A, Vena LM, Abbate R, Fedi S, Falciani M (2000) Effect of tourniquet use on activation of coagulation in total knee replacement. Clin Orthop Relat Res 371:169–177
2. Alcelik I, Pollock RD, Sukeik M, Bettany-Saltikov J, Armstrong PM, Fismer P (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 Arthroplast 27:331–340
3. Alexandersson M, Wang EY, Eriksson S (2018) A small difference in recovery between total knee arthroplasty with and without tourniquet use the first 3 months after surgery: a randomized controlled study. Knee Surg Sports Traumatol Arthrosc. 10.1007/s00167-018-5196-8 DOI: 10.1007/s00167-018-5196-8
4. Abdel-Salam A, Eyres KS (1995) Effects of tourniquet during total knee arthroplasty. A prospective randomised study. J Bone Jt Surg 77:250–253
5. Bao HX, Wang JF, Cai YH, Chu XB, Lv C, Tong PJ (2011) Tourniquet ischemia reperfusion injury after total knee arthroplasty in clinical research. Chin J Orthop Trauma 13:242–246
6. Li B, Qian Q-R, Hai-Shan W, Zhao H, Ling X-B, Zhu J, Wen J-F (2008) The use of a pneumatic tourniquet in total knee arthroplasty: a prospective, randomized study. Zhonghua wai ke za zhi 46:1054–1057
7. Steffin B, Green-Riviere E, Giori NJ (2009) Timing of tourniquet release in total knee arthroplasty when using a postoperative blood salvage drain. J Arthroplast 24:539–542
8. Burkart BC, Bourne RB, Rorabeck CH, Kirk PG, Nott L (1994) The efficacy of tourniquet release in blood conservation after total knee arthroplasty. Clin Orthop Relat Res 299:147–152
9. Chen S, Li J, Peng H, Zhou J, Fang H, Zheng H (2014) The influence of a half-course tourniquet strategy on peri-operative blood loss and early functional recovery in primary total knee arthroplasty. Int Orthop 38:355–359
10. Christodoulou AG, Ploumis AL, Terzidis IP, Chantzidis P, Metsovitis SR, Nikiforos DG (2004) The role of timing of tourniquet release and cementing on perioperative blood loss in total knee replacement. Knee 11:313–317
11. Ejaz A, Laursen AC, Kappel A, Laursen MB, Jakobsen T, Rasmussen S et al (2014) Faster recovery without the use of a tourniquet in total knee arthroplasty. Acta Orthop 85:422–426
12. Vandenbussche E, Duranthon L-D, Couturier M, Pidhorz L, Augereau B (2002) The effect of tourniquet use in total knee arthroplasty. Int Orthop 26:306–309
13. Thorey F, Stukenborg-Colsman C, Windhagen H, Joachim C (2008) The effect of tourniquet release timing on perioperative blood loss in simultaneous bilateral cemented total knee arthroplasty: a prospective randomized study. Technol Health Care 16:85–92
14. Fan Y, Jin J, Sun Z, Li W, Lin J, Weng X et al (2014) The limited use of a tourniquet during total knee arthroplasty: a randomized controlled trial. Knee 21:1263–1268
15. Fu-Jiang Zhang Yu, Xiao Y-BL, Tian X, Gao Z-G (2010) Clinical effects of applying a tourniquet in total knee arthroplasty on blood loss. Chin Med J 123:3030–3033
16. Matziolis G, Drahn T, Schroder JH, Krocker D, Tuischer J, Perka C (2005) Endothelin-1 is secreted after total knee arthroplasty regardless of the use of a tourniquet. J Orthop Res 23:392–396
17. Hakkalamani S, Clark V, Pradhan N (2015) Short versus standard duration tourniquet use during total knee replacement: a pilot study. Acta Orthop Belg 81:52–56
18. Harsten A, Bandholm T, Kehlet H, Toksvig-Larsen S (2015) Tourniquet versus no tourniquet on knee-extension strength early after fast-track total knee arthroplasty; a randomized controlled trial. Knee 22:126–130
19. Hartling L, Ospina M, Liang Y, Dryden DM, Hooton N, Krebs Seida J, Klassen TP (2009) Risk of bias versus quality assessment of randomised controlled trials: cross sectional study. BMJ 339:b4012
20. Hernández-Castaños DM, Ponce VV, Gil F (2008) Release of ischaemia prior to wound closure in total knee arthroplasty: a better method? Int Orthop 32:635–638
21. Hersekli MA, Akpinar S, Ozkoc G, Ozalay M, Uysal M, Cesur N, Tandogan RN (2004) The timing of tourniquet release and its influence on blood loss after total knee arthroplasty. Int Orthop 28:138–141
22. Huang Z, Xie X, Li L, Huang Q, Ma J, Shen B et al (2017) Intravenous and topical tranexamic acid alone are superior to tourniquet use for primary total knee arthroplasty: a prospective, randomized controlled trial. J Bone Jt Surg Am 99:2053–2061
23. Ishii Y, Matsuda Y (2005) Effect of the timing of tourniquet release on perioperative blood loss associated with cementless total knee arthroplasty: a prospective randomized study. J Arthroplast 20:977–983
24. Barwell J, Erson G, Hassan A, Rawlings I (1997) The effects of early tourniquet release during total knee arthroplasty: a prospective randomized double-blind study. J Bone Jt Surg Br 79:265–268
25. Jawhar A, Stetzelberger V, Kollowa K, Obertacke U (2018) Tourniquet application does not affect the periprosthetic bone cement penetration in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 10.1007/s00167-018-5330-7 DOI: 10.1007/s00167-018-5330-7
26. Jiang FZ, Zhong HM, Hong YC, Zhao GF (2015) Use of a tourniquet in total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. J Orthop Sci 20:110–123
27. Jorn LP, Lindstrand A, Toksvig-Larsen S (1999) Tourniquet release for hemostasis increases bleeding. A randomized study of 77 knee replacements. Acta Orthop Scand 70:265–267
28. Kageyama K, Nakajima Y, Shibasaki M, Hashimoto S, Mizobe T (2007) Increased platelet, leukocyte, and endothelial cell activity are associated with increased coagulability in patients after total knee arthroplasty. J Thromb Haemost 5:738–745
29. Kato N, Nakanishi K, Yoshino S, Ogawa R (2002) Abnormal echogenic findings detected by transesophageal echocardiography and cardiorespiratory impairment during total knee arthroplasty with tourniquet. Anesthesiology 97:1123–1128
30. Kvederas G, Porvaneckas N, Andrijauskas A, Svensen CH, Ivaskevicius J, Mazunaitis J et al (2013) A randomized double-blind clinical trial of tourniquet application strategies for total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 21:2790–2799
31. Larsson J, Lewis DH, Liljedahl SO, Löfström JB (1977) Early biochemical and hemodynamic changes after operation in a bloodless field. Eur Surg Res 9:311–320
32. Ledin H, Aspenberg P, Good L (2012) Tourniquet use in total knee replacement does not improve fixation, but appears to reduce final range of motion. Acta Orthop 83:499–503
33. Li B, Wen Y, Wu H, Qian Q, Lin X, Zhao H (2009) The effect of tourniquet use on hidden blood loss in total knee arthroplasty. Int Orthop 33:1263–1268
34. Li X, Yin L, Chen ZY, Zhu L, Wang HL, Chen W et al (2014) The effect of tourniquet use in total knee arthroplasty: grading the evidence through an updated meta-analysis of randomized, controlled trials. Eur J Orthop Surg Traumatol 24:973–986
35. Liu D, Graham D, Gillies K, Gillies RM (2014) Effects of tourniquet use on quadriceps function and pain in total knee arthroplasty. Knee Surg Relat Res 26:207–213
36. Leão MGDS, Souza HAPD, Ferreira YMC (2013) Evaluation of blood loss after early or late release of ischemia in patients undergoing total knee replacement. Revista Brasileira de Ortopedia (English Edition) 48:152–158
37. Mittal R, Ko V, Adie S, Naylor J, Dave J, Dave C et al (2012) Tourniquet application only during cement fixation in total knee arthroplasty: a double-blind, randomized controlled trial. ANZ J Surg 82:428–433
38. Mori N, Kimura S, Onodera T, Iwasaki N, Nakagawa I, Masuda T (2016) Use of a pneumatic tourniquet in total knee arthroplasty increases the risk of distal deep vein thrombosis: a prospective, randomized study. Knee 23:887–889
39. Ozkunt O, Sariyilmaz K, Gemalmaz HC, Dikici F (2018) The effect of tourniquet usage on cement penetration in total knee arthroplasty: a prospective randomized study of 3 methods. Medicine (Baltimore) 97:e9668
40. Pfitzner T, von Roth P, Voerkelius N, Mayr H, Perka C, Hube R (2016) Influence of the tourniquet on tibial cement mantle thickness in primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 24:96–101
41. Schnettler T, Papillon N, Rees H (2017) Use of a tourniquet in total knee arthroplasty causes a paradoxical increase in total blood loss. J Bone Jt Surg Am 99:1331–1336
42. Schuh A, Hausel M, Salminen S (2003) Effect of tourniquet use on blood loss in total knee arthroplasty. Zentralbl Chir 128:866–870
43. Sherman OH, Fox JM, Snyder SJ, Del Pizzo W, Friedman MJ, Ferkel RD, Lawley MJ (1986) Arthroscopy–”no-problem surgery”. An analysis of complications in two thousand six hundred and forty cases. J Bone Jt Surg Am 68:256–265
44. Shimoyama Y, Sawai T, Tatsumi S, Nakahira J, Oka M, Nakajima M, Jotoku T, Minami T (2012) Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty. J Clin Anesth 24:531–536
45. Smith TO, Hing CB (2010) Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review. Knee 17:141–147
46. Tai TW, Chang CW, Lai KA, Lin CJ, Yang CY (2012) Effects of tourniquet use on blood loss and soft-tissue damage in total knee arthroplasty: a randomized controlled trial. J Bone Jt Surg Am 94:2209–2215
47. Tai TW, Lin CJ, Jou IM, Chang CW, Lai KA, Yang CY (2011) Tourniquet use in total knee arthroplasty: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 19:1121–1130
48. Tarwala R, Dorr LD, Gilbert PK, Wan Z, Long WT (2014) Tourniquet use during cementation only during total knee arthroplasty: a randomized trial. Clin Orthop Relat Res 472:169–174
49. Tetro AM, Rudan JF (2001) The effects of a pneumatic tourniquet on blood loss in total knee arthroplasty. Can J Surg 44:33–38
50. Tie K, Hu D, Qi Y, Wang H, Chen L (2016) Effects of tourniquet release on total knee arthroplasty. Orthopedics 39:e642–e650
51. Vaishya R, Agarwal AK, Vijay V, Tiwari MK (2018) Short term outcomes of long duration versus short duration tourniquet in primary total knee arthroplasty: a randomized controlled trial. J Clin Orthop Trauma 9:46–50
52. Wang C, Zhou C, Qu H, Yan S, Pan Z (2018) Comparison of tourniquet application only during cementation and long-duration tourniquet application in total knee arthroplasty: a meta-analysis. J Orthop Surg Res 13:216
53. Wang K, Ni S, Li Z, Zhong Q, Li R, Li H et al (2017) The effects of tourniquet use in total knee arthroplasty: a randomized, controlled trial. Knee Surg Sports Traumatol Arthrosc 25:2849–2857
54. Wauke K, Nagashima M, Kato N, Ogawa R, Yoshino S (2002) Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients. Arch Orthop Trauma Surg 122:442–446
55. Widman J, Isacson J (1999) Surgical hemostasis after tourniquet release does not reduce blood loss in knee replacement. A prospective randomized study of 81 patients. Acta Orthop Scand 70:268–270
56. Worland RL, Arredondo J, Angles F, Lopez-Jimenez F, Jessup DE (1997) Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty. J Arthroplast 12:848–852
57. Yavarikia A, Amjad GG, Davoudpour K (2010) The influence of tourniquet use and timing of its release on blood loss in total knee arthroplasty. Pak J Biol Sci 13:249–252
58. Yi S, Tan J, Chen C, Chen H, Huang W (2014) The use of pneumatic tourniquet in total knee arthroplasty: a meta-analysis. Arch Orthop Trauma Surg 134:1469–1476
59. Zan PF, Yang Y, Fu D, Yu X, Li GD (2015) Releasing of tourniquet before wound closure or not in total knee arthroplasty: a meta-analysis of randomized controlled trials. J Arthroplast 30:31–37
60. Zhang W, Li N, Chen S, Tan Y, Al-Aidaros M, Chen L (2014) The effects of a tourniquet used in total knee arthroplasty: a meta-analysis. J Orthop Surg Res 9:13
61. Zhang W, Liu A, Hu D, Tan Y, Al-Aidaros M, Pan Z (2014) Effects of the timing of tourniquet release in cemented total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res 9:125
62. Zhang Y, Li D, Liu P, Wang X, Li M (2017) Effects of different methods of using pneumatic tourniquet in patients undergoing total knee arthroplasty: a randomized control trial. Ir J Med Sci 186:953–959
63. Zhang Y, Qian QR, Wu HS, Liu HB, Li XH, Wu YL et al (2009) Effect of tourniquet on deep venous thrombosis after total knee arthroplasty. Chin J Orthop 29:910–914
64. Zhou K, Ling T, Wang H, Zhou Z, Shen B, Yang J et al (2017) Influence of tourniquet use in primary total knee arthroplasty with drainage: a prospective randomised controlled trial. J Orthop Surg Res 12:172