지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 207 - 213 (7page)
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purpose: A pneumatic tourniquet is commonly used in total knee arthroplasty (TKA) to improve surgical field visualisation but may result in quadriceps muscle ischaemia. We performed this study to analyse the effect of the tourniquet on recovery following TKA.materials and methods: A prospective randomised single-blinded trial was undertaken to examine the effect of the tourniquet on post-operative pain, swelling, blood loss, quadriceps function and outcome following TKA. Twenty patients with osteoarthritis of the knee were randomised to tourniquet or no tourniquet groups. Quadriceps function was assessed using surface electromyography (EMG) during active knee extension. results: The no tourniquet group had significantly less pain in the early post-operative period compared to the tourniquet group. There was no difference in Oxford knee score, range of motion, or thigh and knee swelling up to 12 months post-operatively. Quadriceps function, measured by surface EMG, was compromised for the first six months post-surgery by tourniquet use. The radiological cement mantle at the bone prosthesis interface at 12-month follow-up was not affected by the absence of a tourniquet. conclusions: We believe that it is safe and beneficial for our patients to routinely perform TKA without a tourniquet.
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참고문헌 (25)
참고문헌 신청
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Abdel-Salam A / 1995 / Effects of tourniquet during total knee arthroplasty : a prospective randomised study / J Bone Joint Surg Br 77 : 250 ~ 253
Appell HJ / 1993 / Skeletal muscle damage during tourniquet-induced ischaemia:the initial step towards atrophy after orthopaedic surgery? / Eur J Appl Physiol Occup Physiol
Clarke MT / 2001 / Tourniquetinduced wound hypoxia after total knee replacement / J Bone Joint Surg Br 83 : 40 ~ 44
Estebe JP / 2011 / The pneumatic tourniquet : mechanical, ischaemia-reperfusion and systemic effects / Eur J Anaesthesiol 28 : 404 ~ 411
Abdel-Salam A / 1995 / Effects of tourniquet during total knee arthroplasty : a prospective randomised study / J Bone Joint Surg Br 77 : 250 ~ 253
Appell HJ / 1993 / Skeletal muscle damage during tourniquet-induced ischaemia:the initial step towards atrophy after orthopaedic surgery? / Eur J Appl Physiol Occup Physiol
Clarke MT / 2001 / Tourniquetinduced wound hypoxia after total knee replacement / J Bone Joint Surg Br 83 : 40 ~ 44
Estebe JP / 2011 / The pneumatic tourniquet : mechanical, ischaemia-reperfusion and systemic effects / Eur J Anaesthesiol 28 : 404 ~ 411
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