Effects of Tourniquet Use in High Tibial Osteotomy Surgery
Author Information
Author(s): Wu Huiwen, Wang Fangyuan, Deng Shihao, Liang Shuai, Lan Shaoze, Sun Kenan, Lunzhu Ciren, Li Jun
Primary Institution: The Second Affiliated Hospital of Anhui Medical University
Hypothesis
The use of a tourniquet in high tibial osteotomy (HTO) would not reduce total blood loss and could potentially exacerbate postoperative swelling and pain.
Conclusion
Using a tourniquet in HTO surgery reduces intraoperative blood loss and shortens the operative time, but does not significantly affect total bleeding and may increase postoperative pain and delay recovery.
Supporting Evidence
- Group A had a shorter operation time than Group B (100.86 min vs. 115.72 min).
- Group B showed lower postoperative pain levels and better knee range of motion.
- Inflammatory markers were higher in Group A compared to Group B.
Takeaway
This study found that using a tourniquet during knee surgery can help with bleeding while operating, but it might make patients hurt more and take longer to get better afterward.
Methodology
A prospective study with 86 patients randomly assigned to two groups: one with a tourniquet and one without, assessing knee function and pain post-surgery.
Potential Biases
Potential bias due to lack of blinding for the study team.
Limitations
Small sample size and lack of long-term follow-up data.
Participant Demographics
Patients aged less than 65 years with medial compartment osteoarthritis.
Statistical Information
P-Value
P<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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