Assiut University
Muhammad Al-Basal Abdlerham
The aim of our study is to determine whether the use of a tourniquet during TKA would affect total measured blood loss , operation time, postoperative complications; hemoglobin concentration; limb swelling and postoperative pain.
Total Blood Loss
total knee arthroplasty with and without using pneumatic tourniquet
Not Applicable
Tourniquets are widely used in total knee arthroplasty (TKA) . TKA has been reported to be associated with significant blood loss which at times necessitates transfusion. Although the tourniquet is widely used by orthopedic surgeons, its role is controversial . Several studies have shown that using a tourniquet in TKA could reduce the total blood loss, while results from others indicated the opposite . Therefore the relationship between the use of a tourniquet and the total blood loss of patients undergoing TKA is still unclear. The use of a tourniquet is believed to be effective for decreasing intraoperative blood loss and creating a bloodless surgical field, which theoretically would facilitate the cementing technique and other surgical procedures. However, reactive blood flow reaches its peak within five minutes after the tourniquet has been released Complications reported as a consequence of tourniquet application are skin injury [skin abrasions, blisters, breaks , pressure necrosis], nerve injury, post tourniquet syndrome, Deep venous thrombosis, Postoperative pain, wound healing disorders and early infections}}
Study Type : | Interventional |
Estimated Enrollment : | 100 participants |
Masking : | Single |
Primary Purpose : | Treatment |
Official Title : | Evaluation of Blood Loss and Pain in TKA With and Without Pneumatic Tourniquet, A Randomized Controlled Trial |
Actual Study Start Date : | December 10, 2021 |
Estimated Primary Completion Date : | October 2022 |
Estimated Study Completion Date : | December 2022 |
Arm | Intervention/treatment |
---|---|
Active Comparator: group A underwent TKA with using pneumatic tourniquet |
Procedure: total knee arthroplasty with and without using pneumatic tourniquet |
Placebo Comparator: group B underwent TKA without using pneumatic tourniquet |
Procedure: total knee arthroplasty with and without using pneumatic tourniquet |
Ages Eligible for Study: | 55 Years to 75 Years |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.