Effect of Tourniquet Application on Postoperative Functional Outcome Following Total Knee Arthroplasty

Medicort Sports & Orthopedic Care

Status: Completed

Conditions: Osteoarthritis

Treatments: Procedure: Tourniquet application during surgery

Study type: Observational

Funder types: Other

Identifiers

NCT02308410

Medicort Bergman Tourniquet

Details and patient eligibility

About

A pneumatic tourniquet is often used during total knee arthroplasty. However, its effect on postoperative outcomes as soft tissue damage resulting in delayed recovery remains unclear. The purpose of the present study was to compare tourniquet use versus non-tourniquet use during total knee arthroplasty for short-term functional recovery.

Full description

In a prospective cohort design, consecutive series of patients who underwent primary unilateral total knee arthroplasty (TKA) in the Bergman Clinic, the Netherlands were investigated. Patients scheduled for primary TKA due to osteoarthritis, age between 50 and 75 years and with Dutch language proficiency were eligible for inclusion. Exclusion criteria were inflammatory arthritis, severe cardiac complaints, severe pulmonary disorders, Body Mass Index (BMI) >35, severe coagulation disorders or hospitalization in the previous two months before surgery. Each patient included in the study signed informed consent. The research protocol was approved by the Regional Ethics Committee VCMO in Nieuwegein, the Netherlands, registration number W13.022.

Enrollment: 99 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Scheduled TKA due to osteoarthritis
• Age between 50 and 75 years
• Dutch language proficiency
• Signed informed consent

Exclusion criteria

• Inflammatory arthritis
• Severe cardiac complaints
• Severe pulmonary disorders
• Body Mass Index >35
• Severe coagulation disorders
• Hospitalization in the previous two months before surgery

Trial design

99 participants in 2 patient groups

Tourniquet group

Description:

This group received a pneumatic tourniquet during total knee arthroplasty.

Treatment:

Procedure: Tourniquet application during surgery

Non-tourniquet group

Description:

This group received no tourniquet during total knee arthroplasty.