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Table 4 Previous reported results of different tourniquet application strategy

From: Effects of tourniquet use on clinical outcomes and cement penetration in TKA when tranexamic acid administrated: a randomized controlled trial

Author Location Patients No. Tourniquet application strategy Results Authors opinion Study type
Tourniquet group Non-tourniquet group Limited tourniquet group
Ozkunt
2018
Turkey 24 25 20 Tourniquet usage during the entire operation/no use tourniquet/use of tourniquet at the time of cementation Long-duration tourniquet use can lead higher pain scores and reduce functional recovery after TKA Prefer to non-tourniquet RCT
Zhi
2017
China 94 36 Tourniquet utilization lasted from the beginning of cutting bone to the end of binding up Tourniquet is not associated with reduced blood loss and increased complications Prefer to tourniquet Retrospective
Vertullo
2017
Australia 20 20 Tourniquet was inflated to 300 mmHg for the duration of the cementing procedure Tourniquet inflation during cementation does not appear to improve tibial cementation penetration Prefer to non-tourniquet RCT
Pfitzner
2016
Germany 45 45 Tourniquet was inflated from skin incision until skin closure Tourniquet application increased cement mantle thickness also increase blood loss and postoperative pain Neutral opinion RCT
Dennis
2016
USA 28 28 (not used or only during cementation) Tourniquet was inflated before the incision and released after cementation Tourniquet inflation diminished quadriceps strength during the first 3 months Prefer to non-tourniquet RCT
Fan
2014
China 30 30 Tourniquet was used throughout the surgical procedure or starting during the cementation Tourniquet limited usage provided the benefits Prefer to tourniquet RCT
Tarwala
2014
USA 39 36 Use of a tourniquet throughout TKA procedure or only during cementation Tourniquet inflation for cementation only provide the benefit of bloodless bone for fixation Prefer to non-tourniquet RCT
Huang
2014
China 30 30
30
Three different tourniquet application strategies Using a tourniquet full time causes intraoperative blood loss and more excessive inflammation and muscle damage Prefer to non-tourniquet RCT
Tai
2012
China 36 36 Tourniquet was inflated during operation and released after joint capsule closed Tourniquet application was effective for reducing blood loss and avoiding inflammation and muscle damage Prefer to tourniquet RCT
  1. Abbreviations: RCT, randomized controlled trial