Comparing the Effect of Tourniquet vs Tourniquet-Less in Simultaneous Bilateral Total Knee Arthroplasties

A small difference in recovery between total knee arthroplasty with and without tourniquet use the first 3 months after surgery: a randomized controlled study

“…In one study, the effects on knee flexion and SLR were similar for surgery with and without the use of a tourniquet [20]. In another study, the effects on knee flexion were similar for surgery with long- and short duration of tourniquet use [21]. …”

Letter to the Editor on “Tranexamic Acid Does Not Reduce the Risk of Transfusion in Rheumatoid Arthritis Patients Undergoing Total Joint Arthroplasty”

“…We similarly did not find an effect for patients who were redosed compared to patients who received topical TXA with transfusion rates of 14.1% and 16.7%, respectively (P ¼ .70) and similarly there was no effect for patients who were not redosed compared to topical administration, at 10.8% vs 16.7% (P ¼.45). The route of TXA administration or IV redosing was not significant for transfusion, as observed in other studies [2,3]. However, Abdel et al [3] reported a 2.2-fold higher likelihood of receiving a transfusion with topical TXA compared to IV TXA following total knee arthroplasty but concluded that the clinical impact between the 2 dosing regimens was minimal.…”

“…The route of TXA administration or IV redosing was not significant for transfusion, as observed in other studies [2,3]. However, Abdel et al [3] reported a 2.2-fold higher likelihood of receiving a transfusion with topical TXA compared to IV TXA following total knee arthroplasty but concluded that the clinical impact between the 2 dosing regimens was minimal. As suggested, examining the role of combined IV and topical TXA would strengthen future conclusions regarding TXA administration in this patient population.…”

“…However, different surgeons may have different treatment of some details, such as the use of tourniquet. Studies have shown that the use of tourniquet in total knee arthroplasty and its timing can affect the postoperative blood loss [2,3]. Postoperative anticoagulation regimens adopted by these surgeons were also not mentioned, which will have a certain impact on the postoperative blood loss and even blood transfusion rate.…”

Letter to the Editor on “Comparing the Effect of Tourniquet vs Tourniquet-Less in Simultaneous Bilateral Total Knee Arthroplasties”

“…We read with much interest the article entitled "Comparing the Effect of Tourniquet vs Tourniquet-Less in Simultaneous Bilateral Total Knee Arthroplasties" by Hasanain et al, July 2018 issue [1]. The article was discussed in detail at the journal club of our institute.…”