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Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN / Santoshkumar Hakkalamani in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN Type de document : texte imprimé Auteurs : Santoshkumar Hakkalamani, Auteur ; Vicki Clark, Auteur ; Nikhil Pradhan, Auteur Année de publication : 2015 Article en page(s) : p. 52-56 Langues : Anglais (eng) Mots-clés : Total knee replacement Tourniquet Résumé : We performed a prospective, randomized, controlled trial to know whether a short duration of tourniquet application affects surgical time, post-operative swelling, pain, early rehabilitation and complications compared to standard use of tourniquet throughout the procedure. Sixty knees were randomized. There were no differences in terms of surgical time and pain experienced between the two groups. Patients in the short duration tourniquet group had significantly less thigh swelling (3.7 ± 1.6 versus 4.8 ± 2.35 p < 0.01). There were no differences in the early rehabilitation between the groups. Soft tissue complications were higher in standard duration group. The use of tourniquet only during cementation of the implants reduces the thigh swelling and soft tissue complications associated with tourniquet use throughout the procedure. Permalink : ./index.php?lvl=notice_display&id=35998
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 52-56[article] Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN [texte imprimé] / Santoshkumar Hakkalamani, Auteur ; Vicki Clark, Auteur ; Nikhil Pradhan, Auteur . - 2015 . - p. 52-56.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 52-56
Mots-clés : Total knee replacement Tourniquet Résumé : We performed a prospective, randomized, controlled trial to know whether a short duration of tourniquet application affects surgical time, post-operative swelling, pain, early rehabilitation and complications compared to standard use of tourniquet throughout the procedure. Sixty knees were randomized. There were no differences in terms of surgical time and pain experienced between the two groups. Patients in the short duration tourniquet group had significantly less thigh swelling (3.7 ± 1.6 versus 4.8 ± 2.35 p < 0.01). There were no differences in the early rehabilitation between the groups. Soft tissue complications were higher in standard duration group. The use of tourniquet only during cementation of the implants reduces the thigh swelling and soft tissue complications associated with tourniquet use throughout the procedure. Permalink : ./index.php?lvl=notice_display&id=35998 Exemplaires (1)
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Exclu du prêtShould tranexamic acid be used for 3 days after total knee replacement? / Nilen Shah in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Should tranexamic acid be used for 3 days after total knee replacement? : a randomized study in 250 patients Type de document : texte imprimé Auteurs : Nilen Shah, Auteur ; Vatsal Khetan, Auteur ; Hari Sivanadan Année de publication : 2021 Article en page(s) : p. 697-703 Note générale : https://doi.org/10.52628/87.4.14 Langues : Anglais (eng) Mots-clés : Tranexamic acid total knee replacement routes duration Résumé : The aim is to study whether a 3 day course of Tranexamic acid (TXA) is more effective in reducing blood loss following a TKR than a 1 day course. 250 patients were prospectively randomised into Group A (n=138; Perioperative and additional oral TXA for two days) and Group B (n=112; only perioperative TXA). Total Blood loss was calculated by the Haemoglobin (Hb) loss method at 4 days and compared in both groups using Mann Whitney test. The mean peri- operative blood loss in group A was 631.69 ± 264.99 ml as compared to 685.55 ± 239.033 ml in group B (p=0.0434). Use of TXA for 3 days following a TKR can be more effective in reducing blood loss. Permalink : ./index.php?lvl=notice_display&id=102049
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 697-703[article] Should tranexamic acid be used for 3 days after total knee replacement? : a randomized study in 250 patients [texte imprimé] / Nilen Shah, Auteur ; Vatsal Khetan, Auteur ; Hari Sivanadan . - 2021 . - p. 697-703.
https://doi.org/10.52628/87.4.14
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 697-703
Mots-clés : Tranexamic acid total knee replacement routes duration Résumé : The aim is to study whether a 3 day course of Tranexamic acid (TXA) is more effective in reducing blood loss following a TKR than a 1 day course. 250 patients were prospectively randomised into Group A (n=138; Perioperative and additional oral TXA for two days) and Group B (n=112; only perioperative TXA). Total Blood loss was calculated by the Haemoglobin (Hb) loss method at 4 days and compared in both groups using Mann Whitney test. The mean peri- operative blood loss in group A was 631.69 ± 264.99 ml as compared to 685.55 ± 239.033 ml in group B (p=0.0434). Use of TXA for 3 days following a TKR can be more effective in reducing blood loss. Permalink : ./index.php?lvl=notice_display&id=102049 Réservation
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