The Effect of Releasing the Tourniquet in Total Knee Replacement Before Closure on the Blood Loss , Joint Effusion , Hematoma Formation and Wound Complication

Yazan Saleh Rajab Hammad

Status: Completed

Conditions: Arthroplasty Complications; Hematoma

Treatments: Device: tourniquet

Study type: Observational

Funder types: Other

Identifiers

NCT04810000

10/2018/3489

Details and patient eligibility

About

The study , observe the effect of releasing the Tourniquet in total knee replacement surgery before closure in comparison with releasing it after wound closure

The effect was assessed by Hb drop post operative and Hematoma formation ( measured by ultrasound ) as well as the wound complication

Full description

The study is conducted in tertiary university hospital as a referral hospital for joint arthroplasty , the patients was informed about the study and consent was taken , the same operator , same theater and the same prosthesis company as well as the same radiologist during the study period.

the patient randomly assigned to either group A (Tourniquet release before closure of the wound and hemostasis ensured ) , or a group B ( Tourniquet release after wound closure )

post operative Hb drop was studied between the groups , and each patient underwent ultrasound measurement of the intraarticular hematoma . The wound complication between the groups was also studied .

Enrollment: 113 patients

Sex: All

Ages: 50 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• primary knee osteoarthrosis

Exclusion criteria

• Rheumatoid arthritis
• post traumatic arthritis
• revision knee replacement
• patients on anticoagulant/antiplatelet except acetylsalicylic acid 80-100 mg

Trial design

113 participants in 2 patient groups

Group A

Description:

Group A ( Tourniquet release before wound closure and hemostasis ensured )

Treatment:

Device: tourniquet

Group B

Description:

Group B ( Tourniquet release after wound closure )

Treatment:

Device: tourniquet