Meta-analysis of tourniquet in total knee arthroplasty
ZENG Li1 YAN Bing1 WANG Yongcai1 WANG Hongchuan1 XING Gengyan2
1.Department of Orthopedics, the People′s Hospital of Leshan, Sichuan Province, Leshan 614000, China;
2.Orthopaedic Center, the Third Medical Center of Chinese People′s Liberation Army General Hospital, Beijing 100039, China
Abstract：Objective To study the effect of balloon tourniquet in total knee arthroplasty (TKA) on operation time, total blood loss and knee range of motion 7 days after operation. Methods Chinese Biomedical Literature Database, Viper Database, CNKI, WanFang Data Knowledge Service Platform, PubMed, Cochrane Library and EMbase were searched by computer. The retrieval time was from database construction to December 2018. All the randomized controlled trials conducted during the operation were collected that the experimental group using tourniquets as the tourniquet group and none using tourniquets as the control group. Differences in operation time, total blood loss and knee range of motion 7 days after operation were compared between the two groups, and meta analysis was performed using RevMan5.3.0 software. Results A total of 14 randomized controlled studies including 924 patients were included in the study. The results of meta-analysis showed that the operation time of the tourniquet group was shorter than that of the control group, and the difference was statistically significant [WMD = -3.66, 95%CI (-5.94, -1.37), P = 0.002]. There was no statistically significant difference between the two groups in total blood loss and knee range of motion 7 days after operation (P ＞ 0.05). Conclusion The use of tourniquet during TKA can reduce the operation time, but it has no effect on the total blood loss and knee range of motion 7 days after operation.
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2020, Vol. 17 
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