کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6211244 1267212 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The use of pneumatic tourniquets is safe in Asians undergoing total knee arthroplasty without anticoagulation
ترجمه فارسی عنوان
استفاده از تورنوتو پنوماتیک در آسیا ها در برابر آرتروپلاستی کامل زانو بدون ضد انعقاد
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

BackgroundThere has always been controversy surrounding the use of pneumatic tourniquets in total knee arthroplasty (TKA) as they have been implicated in venous thromboembolic events (VTE). We aimed to evaluate the incidence of clinically significant VTE in Asians who underwent conventional TKA under tourniquet throughout the duration of surgery, without post-operative chemical VTE prophylaxis, but using post-operative pneumatic compression devices.MethodsFive hundred and thirty-one patients of a single surgeon who underwent elective total knee arthroplasty were retrospectively reviewed. All patients had a tourniquet applied to the operated limb. None of the patients received chemoprophylaxis against VTE. Post-operatively, only symptomatic patients were referred for ultrasonography. The patients were then stratified according to the tourniquet time: < 60, 61 to 90, 91 to 120, and > 120 min. The overall incidence as well as the incidence of venous thromboembolic events for each group was then calculated.ResultsOf the 531 patients reviewed, 3 patients suffered from deep venous thrombosis (DVT) while 1 patient developed a fatal pulmonary embolism (PE). Hence, the overall incidence of clinically significant VTE was 0.75%. The 3 patients with DVT had tourniquet time of 61 to 90 min while the patient with PE had a tourniquet time of more than 120 min.ConclusionWith a low overall incidence of VTE, the use of tourniquet in Asians during conventional total knee arthroplasty appears safe when post-operative pneumatic compression devices are used instead of chemical VTE prophylaxis. However, the risk of VTE seems to increase with a tourniquet time of more than 60 min.Level of evidencetherapeutic studies, level III

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Knee - Volume 21, Issue 1, January 2014, Pages 176-179
نویسندگان
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