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- Title
The Influence of Usage of Tourniquet in Total Knee Arthroplasty on Serum Ischemia Modified Albumin Levels.
- Authors
ÇİFTÇİ, Sadettin; ERKOÇAK, Ömer Faruk; YILDIRIM, Ahmet; PAYDAŞ HATAYSAL, Esra; AYDIN, Bahattin Kerem
- Abstract
Objective: Ischaemia-modified albumin (IMA) has frequently been studied in recent years in ischaemia-based studies. In this study, IMA changes and postoperative pain were investigated in patients who underwent tourniquet and non-tourniquet knee arthroplasty, and the effect of the tourniquet on pain was investigated quantitatively. Methods: After obtaining institutional review board approval, 64 patients who underwent total knee arthroplasty were divided into two groups: tourniquet and non-tourniquet using the block randomisation technique. Blood was collected at the 15th minute and 24th hour postoperatively. A visual analogue scale (VAS) was used by patients to evaluate their pain. Results: According to the results, a significant correlation was found between VAS scores and IMA levels in the blood taken at the postoperative 15th minute (p<0.001). In addition, IMA levels were significantly higher in the tourniquet group (p<0.001). Conclusion: Less frequent loss of quadriceps muscle strength, less postoperative pain and avoidance of ischaemia-related complications are the main advantages of non-tourniquet knee arthroplasty. IMA is effective in demonstrating these advantages and can be used for problems such as compartment syndrome, which may be accompanied by muscle damage in the extremity.
- Subjects
TOURNIQUETS; TOTAL knee replacement; INSTITUTIONAL review boards; ALBUMINS; QUADRICEPS muscle; POSTOPERATIVE pain
- Publication
Bezmialem Science, 2020, Vol 8, Issue 4, p383
- ISSN
2148-2373
- Publication type
Article
- DOI
10.14235/bas.galenos.2019.3361