Anterior cruciate ligament reconstruction; is a tourniquet necessary? A randomized controlled trial

Reda, Wael A; Elguindy, Ahmed; Zahry, G.; Faggal, Mona; Karim, Mahmoud Abdel

doi:10.1007/s00167-015-3582-z

Cited by 28 publications

(57 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, 16 studies published from 1982 to 2015 fulfilled the selection criteria and were included in the systematic review and meta-analysis. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] The included articles did not provide any additional studies to evaluate, and detailed study selection process is shown in ►Fig. 2.…”

Section: Results Study Selectionmentioning

confidence: 99%

“…Five RCTs conducted by Arciero et al [13][14][15][16][17] included patients who underwent ACL reconstruction and another five studies [19][20][21][22]27 assessed the effect of tourniquet in patients with arthroscopic meniscectomy. The remaining six studies 18,[23][24][25][26]28 recruited patients who underwent knee arthroscopic surgery without cruciate ligament reconstruction, meniscus repairment, and other complex knee arthroscopic procedures.…”

Section: Study Characteristics and Qualitymentioning

confidence: 99%

“…Although all the included studies were RCTs, these studies did not describe detailed procedure of random sequence generation. Nine studies 13,14,17,22,23,[25][26][27][28] reported the detailed procedure of allocation concealment. Descriptions about blinding of participants and personnel were provided by seven studies.…”

Section: Study Characteristics and Qualitymentioning

confidence: 99%

“…Descriptions about blinding of participants and personnel were provided by seven studies. 14,15,17,19,23,25,28 Descriptions about incomplete outcome data and selective reporting in all included studies were generally at low risk.…”

Section: Study Characteristics and Qualitymentioning

confidence: 99%

See 3 more Smart Citations

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Wang

2019

J Knee Surg

View full text Add to dashboard Cite

The use of tourniquet in knee arthroscopic surgery is a routine technique and provides convenience for the operation. However, the adverse effects caused by tourniquet during the operation are noticed by more and more researchers. The purpose of our study was to perform a systematic review and meta-analysis to assess the effects of tourniquet use in knee arthroscopy. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we searched databases like PubMed, Cochrane library, EMBASE, and Web of Science from inception of the database up to November 20, 2018, using the keywords “ anterior cruciate ligament,” “meniscectomy,” “arthrocopy,” etc. to identify randomized clinical trials. A total of 16 randomized controlled trials involving 1,132 participants fulfilled the inclusion criteria with 582 patients in tourniquet group and 550 patients in nontourniquet group. Compared with tourniquet group, nontourniquet group had less postoperative blood loss and less consumption of analgesic. There was no significant difference between the two groups in intraoperatively arthroscopic visualization, postoperative pain score, postoperative quadriceps muscle strength, and operation time. Our study suggested that compared with tourniquet use, arthroscopic surgery of the knee without tourniquet did not appear to have any disadvantage, and the current evidence was more inclined not to use tourniquet as a routine procedure during the knee arthroscopic surgery.

show abstract

Section: Results Study Selectionmentioning

confidence: 99%

Section: Study Characteristics and Qualitymentioning

confidence: 99%

Section: Study Characteristics and Qualitymentioning

confidence: 99%

Section: Study Characteristics and Qualitymentioning

confidence: 99%

See 2 more Smart Citations

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Wang

2019

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…Also, it will prevent tourniquetassociated immediate postoperative pain and haemarthrosis. 12 Some studies showed that the arthroscopic ACLR can be carried out effectively without the use of tourniquet and use of tourniquet does not add any extra benefit when compared with non-tourniquet arthroscopic knee surgeries. 13,14 In our study, majority (97.9%) use tourniquet during the surgery out of which 6.3% does not advise it during graft harvest.…”

Section: Tourniquetmentioning

confidence: 99%

Current practice variations in the management of anterior cruciate ligament injuries in Delhi

Vaishya

Agarwal

Ingole

et al. 2016

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Surgeon preferences in ACLR differ considerably among the arthroscopic surgeons of Delhi. There is majority consensus for using Hamstring autograft (single bundle) with a suspensory fixation on the femoral side and an aperture fixation on the tibial side. Transportal technique of making the femoral tunnel and preservation of amputation stump were the preferred methods. However, differences exist over the timing of surgery, rehab after surgery, pain management, etc.

show abstract

Formation process of joint contracture after anterior cruciate ligament reconstruction in rats

Kaneguchi

Ozawa

Minamimoto

et al. 2020

Journal Orthopaedic Research

View full text Add to dashboard Cite

Knee joint contracture is often induced by anterior cruciate ligament reconstruction (ACLR). However, the temporal and spatial arthrofibrotic changes following inflammatory events, which occur in parallel with the formation of joint contractures after ACLR, are unknown. This study aimed to reveal: (a) time-dependent changes in myogenic and arthrogenic contractures; and (b) the process of arthrofibrosis development after ACLR. ACLR was performed on knees of rats unilaterally. Passive ranges of motions (ROMs) before and after myotomy, as well as inflammatory and fibrotic reactions, were examined before and after the surgery at various periods up to 56 days. Both ROMs before and after myotomy exhibited their lowest value on day 7 and increased thereafter in a time-dependent manner; nevertheless,

show abstract

Anterior cruciate ligament reconstruction; is a tourniquet necessary? A randomized controlled trial

Abstract: I.

Cited by 28 publications

References 24 publications

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Is It Better to Routinely Use Tourniquet for Knee Arthroscopic Surgery: A Systematic Review and Meta-analysis

Current practice variations in the management of anterior cruciate ligament injuries in Delhi

Formation process of joint contracture after anterior cruciate ligament reconstruction in rats

Contact Info

Product

Resources

About