Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial

Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial

Despite suggestions that tourniquet inflation during total knee replacement reduces bleeding and hence improves cement penetration, no studies exist supporting this widely held belief. In this single-blinded, single-surgeon, randomized controlled trial, the tourniquet inflation during cementation gr...

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Main Authors: Christopher John Vertullo, Manickaraj Nagarajan
Format: Article
Language:English
Published: SAGE Publishing 2017-01-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499016684323
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spelling doaj-d3660cf8142b4a35871013b88785d0162020-11-25T03:32:21ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-01-012510.1177/2309499016684323Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trialChristopher John Vertullo0Manickaraj Nagarajan1 Menzies Health Institute Queensland, Griffith University, QLD, Australia Knee Research Australia, Orthopaedic Surgery and Sports Medicine Centre, Benowa, QLD, AustraliaDespite suggestions that tourniquet inflation during total knee replacement reduces bleeding and hence improves cement penetration, no studies exist supporting this widely held belief. In this single-blinded, single-surgeon, randomized controlled trial, the tourniquet inflation during cementation group ( n = 20) did not have greater tibial cement penetration compared to a no tourniquet group ( n = 20). No statistically significant differences in semiautomatic digitally measured average and central radiographic tibial plateau penetration values were observed between the two groups ( p = 0.93; p = 0.84). Tourniquet inflation during cementation does not appear to improve tibial cementation penetration.https://doi.org/10.1177/2309499016684323
collection DOAJ
language English
format Article
sources DOAJ
author Christopher John Vertullo
Manickaraj Nagarajan
spellingShingle Christopher John Vertullo
Manickaraj Nagarajan
Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
Journal of Orthopaedic Surgery
author_facet Christopher John Vertullo
Manickaraj Nagarajan
author_sort Christopher John Vertullo
title Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
title_short Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
title_full Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
title_fullStr Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
title_full_unstemmed Is cement penetration in TKR reduced by not using a tourniquet during cementation? A single blinded, randomized trial
title_sort is cement penetration in tkr reduced by not using a tourniquet during cementation? a single blinded, randomized trial
publisher SAGE Publishing
series Journal of Orthopaedic Surgery
issn 2309-4990
publishDate 2017-01-01
description Despite suggestions that tourniquet inflation during total knee replacement reduces bleeding and hence improves cement penetration, no studies exist supporting this widely held belief. In this single-blinded, single-surgeon, randomized controlled trial, the tourniquet inflation during cementation group ( n = 20) did not have greater tibial cement penetration compared to a no tourniquet group ( n = 20). No statistically significant differences in semiautomatic digitally measured average and central radiographic tibial plateau penetration values were observed between the two groups ( p = 0.93; p = 0.84). Tourniquet inflation during cementation does not appear to improve tibial cementation penetration.
url https://doi.org/10.1177/2309499016684323
work_keys_str_mv AT christopherjohnvertullo iscementpenetrationintkrreducedbynotusingatourniquetduringcementationasingleblindedrandomizedtrial
AT manickarajnagarajan iscementpenetrationintkrreducedbynotusingatourniquetduringcementationasingleblindedrandomizedtrial
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