Are cementation quality and clinical outcomes affected by the use of tourniquet in primary total knee arthroplasty?

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dc.creatorMarco Antônio Percopeandrade
dc.creatorLuiz Fernando Ribeiro Monte
dc.creatorGabriel Carvalho Lacerda
dc.creatorTúlio Ribeiro Dourado
dc.creatorPengfei Lei
dc.creatorGuilherme Moreira de Abreu e Silva
dc.date.accessioned2023-07-31T23:32:10Z
dc.date.accessioned2025-09-08T23:29:02Z
dc.date.available2023-07-31T23:32:10Z
dc.date.issued2021-03-23
dc.format.mimetypepdf
dc.identifier.doi10.1007/s00402-021-03865-5
dc.identifier.issn09368051
dc.identifier.urihttps://hdl.handle.net/1843/57285
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgery
dc.rightsAcesso Restrito
dc.subjectJoelho
dc.subjectArtroplastia do Joelho
dc.subjectTorniquetes
dc.subjectRadiolucent lines
dc.subject.otherKnee
dc.subject.otherArthroplasty, Replacement, Knee
dc.subject.otherTourniquet
dc.titleAre cementation quality and clinical outcomes affected by the use of tourniquet in primary total knee arthroplasty?
dc.typeArtigo de periódico
local.citation.epage850
local.citation.spage845
local.citation.volume142
local.description.resumoIntroduction Total knee arthroplasty is used to treat end-stage knee osteoarthritis with great results. Tourniquet use has become popular over the years because of its various benefits, but the literature regarding functional outcomes, pain and rehabilitation and comparison between tourniquet use and improvement cement penetration and overall improve fixation is limited. The authors proposed a hypothesis that cementation quality, and clinical outcomes can be influenced by tourniquet technique.Methods Fifty patients were allocated randomly in two groups: (1) tourniquet was inflated throughout all the procedure and (2) only during skin incision and cementation. Radiolucent lines were analyzed by two and independent examiners, using the The Knee Society Roentgenographic Evaluation and Scoring System. The functional scores used were the Oxford knee score and improvement in visual pain scale (VAS). Results After a mean follow-up period of 2.4 ± 0.2 years, no difference was observed regarding partial use of tourniquet in the cementation quality (p value > 0.05). There was no difference between groups regarding gender, age, knee side, Visual VAS, Oxford Score, total range-of-motion (ROM), knee extension and knee flexion (p value > 0.05).Conclusions No difference was attained regarding functional outcomes and cementation quality regarding two different tourniquet protocols.
local.identifier.orcidhttps://orcid.org/0000-0002-3869-8606
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://link.springer.com/article/10.1007/s00402-021-03865-5

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