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The purpose of this study is to correlate functional outcomes and perioperative complications with tourniquet use during high tibial osteotomy.
Tourniquet is widely used in orthopedic surgery, but its effect and safety in high tibial osteotomy have not been studied. This study evaluated the efficacy and safety of tourniquets by comparing different timing of use.Investigators aimed to quantify the effect of tourniquet use on reducing blood loss and to evaluate the impact of tourniquet use on functional and clinical outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Long-duration tourniquet | Active Comparator | Tourniquets inflated before arthroscopic exploration and deflated after high tibial osteotomy |
|
| Short-duration tourniquet | Experimental | Tourniquet should be inflated before arthroscopic exploration and deflated immediately after the exploration |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Long-duration tourniquet | Procedure | Tourniquet is used in arthroscopic exploration and high tibial osteotomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative blood loss | The calculation of intraoperative blood loss includes the fluid in the aspirator bottle minus the flushing fluid used in the operation, plus the net weight added by the gauze pad weighing | within operation |
| Postoperative blood loss | Total blood loss preoperative blood volume =(preoperative hematocrit-postoperative Hematocrit) + transfusion volume. | The third day after operation |
| Volume of drainage | Reactive blood loss | Postoperative Day One |
| Thigh pain measured by Visual Analogue Scale Postoperative Day 1 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 1 day after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Day 2 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 2 day after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Day 3 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Songlin Li, MD | Contact | 053182166541 | bysonglin@126.com | |
| Peilai Liu, MD | Contact | 053182166541 | gklpl@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Peilai Liu, MD | Qilu Hospital of Shandong University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qilu hospital of Shandong University | Recruiting | Jinan | Shandong | 250014 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31626006 | Background | Goel R, Rondon AJ, Sydnor K, Blevins K, O'Malley M, Purtill JJ, Austin MS. Tourniquet Use Does Not Affect Functional Outcomes or Pain After Total Knee Arthroplasty: A Prospective, Double-Blinded, Randomized Controlled Trial. J Bone Joint Surg Am. 2019 Oct 16;101(20):1821-1828. doi: 10.2106/JBJS.19.00146. | |
| 30539303 | Background |
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The datasets used and/or analysed during the current study are available from the overall study officials on reasonable request.
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Short-duration tourniquet | Procedure | Tourniquet is only used for arthroscopic exploration |
|
| 3 day after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Day 5 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 5 day after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Week 1 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 1 week after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Week 4 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 4 week after surgery |
| Thigh pain measured by Visual Analogue Scale Postoperative Week 12 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 12 week after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Day 1 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 1 day after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Day 2 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 2 day after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Day 3 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 3 day after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Day 5 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 5 day after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Week 1 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 1 week after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Week 4 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 4 week after surgery |
| Crus pain measured by Visual Analogue Scale Postoperative Week 12 | Draw a 10 cm horizontal line on the paper. One end of the line is 0, indicating no pain; the other end is 10, indicating severe pain; and the middle part indicates varying degrees of pain. The patient selects a point from the horizontal line and the length from 0 to this point is the Visual Analogue Scale score. | 12 week after surgery |
| Jawhar A, Stetzelberger V, Kollowa K, Obertacke U. Tourniquet application does not affect the periprosthetic bone cement penetration in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2071-2081. doi: 10.1007/s00167-018-5330-7. Epub 2018 Dec 11. |
| 26745962 | Background | Wang K, Ni S, Li Z, Zhong Q, Li R, Li H, Ke Y, Lin J. The effects of tourniquet use in total knee arthroplasty: a randomized, controlled trial. Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2849-2857. doi: 10.1007/s00167-015-3964-2. Epub 2016 Jan 8. |
| D012216 |
| Rheumatic Diseases |