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Postoperative Pain and Blood Loss of Non-use Compared to Partial-use of a Tourniquet in Bilateral Total Knee Replacement (TKA)

Q

Queen Savang Vadhana Memorial Hospital, Thailand

Status

Completed

Conditions

Tourniquet
Pain, Postoperative
Total Knee Replacement

Treatments

Procedure: None tourniquet

Study type

Interventional

Funder types

Other

Identifiers

NCT06815445
043/2566

Details and patient eligibility

About

Postoperative pain and blood loss of non-use compared to partial-use of a tourniquet in bilateral total knee replacement: A Randomized- Control Trial This study aimed to compare the effects of non-use (NTU) and partial-use (before osteotomy to skin closure; BOO) of a tourniquet in bilateral total knee arthroplasty (TKA) on postoperative pain and complications.

Full description

Despite numerous meta-analyses, and randomized-control trials (RCTs), there is still no conclusive evidence on the most effective, and efficient method of using a tourniquet.

There is gap of knowledge of method of tourniquet usage. Hence this study will provide the best method to apply tourniquet.

Enrollment

20 patients

Sex

All

Ages

50+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • patients with over 50 years of age and diagnosed with bilateral severe knee osteoarthritis undergoing bilateral TKA

Exclusion criteria

  • patients having undergone previous knee surgery
  • patients being subject to uncontrolled hypertension, coagulopathy, or recent knee sepsis
  • patients with an ASA physical status grade > 2,
  • inability to use patient-controlled analgesia (PCA), such as communication, or cognitive issues, or those patients who were allergic to medications used in the treatment process.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Single Blind

20 participants in 2 patient groups

Non-use of a tourniquet (NTU)
Experimental group
Description:
No tourniquet is used throughout the surgery.
Treatment:
Procedure: None tourniquet
Partial-use of a tourniquet
Active Comparator group
Description:
Partial use of a tourniquet is throughout the surgery.
Treatment:
Procedure: None tourniquet

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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