Comparison of the effects of high tibial osteotomy with and without a tourniquet.

Autor: Wu H; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Department of Orthopedics, Ningde City Mindong Hospital, Fu'an, 355000, China., Wang F; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China., Deng S; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China., Liang S; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China., Lan S; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China., Sun K; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China., Lunzhu C; Department of Orthopedics, Shannan City People's Hospital, Shannan, 856004, China. Crlunzhu2000@163.com., Cangjue D; Department of Orthopedics, Shannan City People's Hospital, Shannan, 856004, China., Li J; Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China. aydlijun@ahmu.edu.cn.; Institute of Orthopaedics, Research Center for Translational Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China. aydlijun@ahmu.edu.cn.; Department of Orthopedics, Shannan City People's Hospital, Shannan, 856004, China. aydlijun@ahmu.edu.cn.
Jazyk: angličtina
Zdroj: BMC surgery [BMC Surg] 2024 Dec 19; Vol. 24 (1), pp. 388. Date of Electronic Publication: 2024 Dec 19.
DOI: 10.1186/s12893-024-02681-z
Abstrakt: Background: Tourniquets are routinely employed to achieve hemostasis in modern limb surgeries. Nevertheless, the precise role and benefits of tourniquets in high tibial osteotomy (HTO) surgeries remain understudied. The aim of this study was to assess the application of tourniquets in high-tibial osteotomy procedures.
Methods: This was a prospective study of patients who underwent HTO surgery at an identical hospital. The participants were randomly assigned into two groups: Group A, with a tourniquet (n = 43); and Group B, without a tourniquet (n = 43). The same surgical technique and postoperative care were employed for both groups of patients. Knee range of motion (ROM) and pain were assessed by utilizing a visual analogue scale (VAS) after exercise and maximum calf circumference, and postoperative Hospital for Special Surgery (HSS) score, as well as inflammatory markers including CRP and IL-6, were adopted to compare and analyse the recovery of knee function in the two groups of patients following surgery.
Results: All participants were followed up for a period exceeding three months. No cases of vascular or nerve injuries were observed during surgery in either group. Moreover, there was no statistically significant difference in total blood loss volume throughout treatment or haemoglobin or haematocrit levels (P > 0.05). furthermore, Group A underwent a shorter operation than Group B did (P < 0.05). Group B demonstrated decreased postoperative visual analog scale (VAS) pain levels, calf swelling (P < 0.05), increased early knee range of motion (P < 0.05), and diminished release of blood inflammation markers(IL-6 and CRP) (P < 0.05).
Conclusion: The application of tourniquets in HTO surgery reduces intraoperative blood loss and shortens the operative time yet does not substantially affect total bleeding. Nonetheless, the absence of a tourniquet resulted in reduced postoperative pain and facilitated early rehabilitation of knee function.
Competing Interests: Declarations. Ethics approval and consent to participate: The study was approved by the Ethics Committee of the Second Hospital of Anhui Medical University, China ((YX2022-010). Written informed consent was obtained from all the participating residents. This study also was carried out in accordance with relevant guidelines and regulations in the Ethical Declarations. Consent for publication: Written informed consent for publication has been obtained from the participants in this study. Competing interests: The authors declare no competing interests. Author declaration: All authors listed meet the authorship criteria according to the latest guidelines of the International Committee of Medical Journal Editors, and that all authors are in agreement with the manuscript.
(© 2024. The Author(s).)
Databáze: MEDLINE
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