Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients.

Abstract:

INTRODUCTION:To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA). PATIENTS AND METHODS:The patients were randomly divided into a with-tourniquet group (19 patients) and a without-tourniquet group (18 patients). In the first group, snowstorm-like echogenic particles were observed after deflation of the tourniquet in all patients according to the transesophageal echocardiography. RESULTS:In addition, the PaO(2) level was significantly decreased. Also, one had a PE, and DVT was confirmed in two patients. In the without-tourniquet group, none of these conditions was noted. CONCLUSION:These results suggest that the use of a tourniquet will promote the risk of developing postoperative PE and/or DVT after total knee arthroplasty.

authors

Wauke K,Nagashima M,Kato N,Ogawa R,Yoshino S

doi

10.1007/s00402-002-0404-9

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

442-6

issue

8

eissn

0936-8051

issn

1434-3916

journal_volume

122

pub_type

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