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Use of Tourniquets in Total Knee Arthroplasty: A Systematic Review with Meta-Analysis.

Bianca Gabriella de Oliveira
Médica residente de Ortopedia e Traumatologia pelo Hospital Geral CleristonAndrade, Feira de Santana, BA.
Gabriella de Oliveira Sobreiro
Médica Residente de Ortopedia e Traumatologia pelo Hospital Alvorada, Moema, SP.
Fellipe Luan de Andrade Maciel
Médico Residente de Ortopedia e Traumatologia pelo Hospital Aroldo Tourinho, Montes Claros, MG.
Natália Ferreira Zanuto
Médico Residente de Ortopedia e Traumatologia pelo Hospital Municipal Souza Aguiar, Niterói, RJ.
Gabriel Augusto Filgueiras de Carvalho
Médico Residente de Ortopedia e Traumatologia pelo Hospital Santa Teresa, Petrópolis, RJ.
Marcella Rodrigues Costa Simões.
Orthopedist and Traumatologist specializing in Hand Surgery, MG.
DOI Crossref DOI 10.37547/tajmspr/Volume07Issue05-13
tajmspr 2025
VOL. 7 / NO. 05 MAY
FULL TEXT PP. 70-79
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VOLUME 7
ISSUE 05
YEAR 2025
PAGES 70-79
RESEARCH OVERVIEW

Abstract

Objective: To compare the efficacy, safety, advantages and complications of the silicone ring tourniquet compared to the pneumatic cuff tourniquet in total knee arthroplasty. Methodology: systematic review with meta-analysis, in which a bibliographic search was carried out through the electronic databases: PubMed/MEDLINE and Cochrane Library without language restriction of publications until October 26, 2023. The search terms "tourniquet" AND "pneumatic cuff" AND "knee arthroplasty" AND "orthopaedic surgeries" were used. Results: 292 patients aged between 67 and 74 years were included. Most of the studies presented showed that patients undergoing ischemia with the SRT had less post-operative blood loss, earlier discharge and lower complication rates than other patients. Conclusion: The use of the silicone ring tourniquet resulted in better clinical outcomes than conventional pneumatic tourniquets in TKA.

RESEARCH TOPICS

Keywords

tourniquet pneumatic cuff knee arthroplasty

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References

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