Author/Authors :
Zengin, Eyüp Cağatay Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Gülman, Birol Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Erdoğan, Murat Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Sezgin, Hicabi Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı,, Turkey , Çıraklı, Alper Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Pişkin, Ahmet Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey
Abstract :
We performed a prospective, randomized study to investigate the effect of tourniquet release on the perioperative and postoperative blood loss. Eighty patients with ages ranging 52 to 84, who received total knee artroplasty were evaluated. Patients were randomly divided in two groups. Posterior cruciate retaining, bicompartmental total knee prostheses were used in all. In group 1, the tourniquet was deflated intraoperatively after the prosthetic componenets were settled and hemostasis was done. In group 2, the tourniquet was released after the wound was closed and a compressive bandage was applied. First day mean blood drainage was 400 ml (±208.5) in group 1 and 530 ml (±136.6) in group 2 (p 0.05). The mean number of perioperative and postoperative blood transfusions given, hemoglobin values were similar in both groups. Intraoperative tourniquet release and hemostasis reduce blood loss but does not reduce blood transfusion.
NaturalLanguageKeyword :
Knee artroplasty , Tourniquet use , Hemostasis , Blood drainage , Blood transfusion , Complication
