The Effect of Releasing the Tourniquet in Total Knee Replacement Before Closure on the Blood Loss , Joint Effusion , Hematoma Formation and Wound Complication
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 113
- Locations
- 1
- Primary Endpoint
- Hemoglobin(HG) drop
Study Overview
Brief Summary
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
Detailed 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 .
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 50 Years to 90 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
Outcomes
Primary Outcomes
Hemoglobin(HG) drop
Time Frame: ( pre-operative and post-operative day 2)
The difference in HG drop
Intra articular Hematoma formation
Time Frame: day three post operative hematoma formation
the difference in Intra articular ( knee ) Hematoma collection between the groups on day 3 post operative
Secondary Outcomes
No secondary outcomes reported
Investigators
Yazan Saleh Rajab Hammad
Sponsor-Investigator - Senior orthopedic surgery resident
University of Jordan