Tourniquet use during primary total knee arthroplasty-a survey of Irish orthopaedic surgeons in 2022.

Autor: Farrington SK; Cappagh National Orthopaedic Hospital Cappagh Road, Cappoge, Dublin 11, Ireland, D11EV29. shanekfarrington@rcsi.com., Downey C; Cappagh National Orthopaedic Hospital Cappagh Road, Cappoge, Dublin 11, Ireland, D11EV29., O'Byrne JM; Cappagh National Orthopaedic Hospital Cappagh Road, Cappoge, Dublin 11, Ireland, D11EV29.
Jazyk: angličtina
Zdroj: Irish journal of medical science [Ir J Med Sci] 2023 Aug; Vol. 192 (4), pp. 1731-1735. Date of Electronic Publication: 2022 Dec 24.
DOI: 10.1007/s11845-022-03248-8
Abstrakt: Background: Tourniquet use during primary total knee arthroplasty is a debated topic in the literature with no consensus on its optimal use.
Aim: To analyse current tourniquet practice amongst Irish orthopaedic surgeons performing primary total knee arthroplasty surgery. To evaluate if there has been a shift in practice in recent years and to explore potential reasons behind this.
Methods: An eleven-question online survey was developed using the online platform SurveyMonkey. This was distributed by email to Irish orthopaedic surgeons via the Irish Institute of Trauma and Orthopaedic Surgery.
Results: Fifty responses were included in the final analysis of this study. Eighteen (36%) respondents reported changing their tourniquet use in the past 5 years. Thirty-one (62%) respondents reported inflating the tourniquet for the entire case, with the remaining never applying a tourniquet (n = 6, 12%), applying a tourniquet but not routinely inflating it (n = 3, 6%), or inflating the tourniquet only during cementation (n = 5, 10%). The number of years of experience as a consultant appeared to impact tourniquet use in a bimodal pattern.
Conclusion: While the majority of Irish orthopaedic surgeons in this survey inflate a tourniquet for the entire surgical procedure, there is a definite shift towards reduced tourniquet use compared to previous Irish, UK, and American surveys.
(© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.)
Databáze: MEDLINE
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