Total Knee Arthroplasty With and Without Tourniquet: Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 主要终点
- Visual Analogue score for thigh pain
研究概览
简要总结
Tourniquet use during total knee arthroplasty (TKA) improves visibility and reduces intraoperative blood loss. However, tourniquet use may also have a negative impact on early recovery of muscle strength and lower extremity function after TKA.Seventy Patients are involved in this study and were divided into two groups; Group A (35) patients were treated with TKA with pneumatic thigh tourniquet. Group B (35) patients were treated with TKA without tourniquet. All patients were suffering from severe knee osteoarthritis and they failed to respond to conservative treatment so they are candidates for primary TKA. The two groups are matched related to age and gender. Selection of patients into two groups done randomly with regard of odd number for group A and even number for group B
详细描述
This study started on March 2016 and ends on October 2018. Seventy Patients are involved in this study and were divided into two groups; Group A (35) patients were treated with TKA with pneumatic thigh tourniquet. Group B (35) patients were treated with TKA without tourniquet. All patients were suffering from severe knee osteoarthritis and they failed to respond to conservative treatment so they are candidates for primary TKA. The two groups are matched related to age and gender. Selection of patients into two groups done randomly with regard of odd number for group A and even number for group B. All patients were followed for a period of two weeks until removal of skin sutures for the following parameters:
Amount of blood transfusion done at and after surgery. Amount of blood drained postoperatively through suction drain. Occurrence of postoperative wound hematoma. VAS (Visual analogue score) for thigh pain at 1st day and (2) weeks postoperatively.
Clinical DVT.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 48 Years 至 82 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients were suffering from severe knee osteoarthritis and they failed to respond to conservative treatment
排除标准
- •Hb less than
- •D.M.,Blood dyscrasia.
- •Any evidence of infection by screening test ESR and CRP. ,
- •BMI more than 30.
研究组 & 干预措施
TKA with tourniquet
This group was treated by TKA with the use of tourniquet
干预措施: Tourniquet use (Procedure)
TKA without tourniquet
This group was treated by TKA without tourniquet
干预措施: Tourniquet use (Procedure)
结局指标
主要结局
Visual Analogue score for thigh pain
时间窗: The VAS for thigh pain was measured in the day 14 after operation
This is measurement of the degree of thigh pain after operation which range from zero to 10
次要结局
未报告次要终点
研究者
Sherwan Ahmed Ali Hamawandi
assistant professor of orthopedic surgery
Hawler Medical University