Eficacia y seguridad del uso del torniquete en artroplastia total de rodilla, Servicio de Traumatología, Hospital Luis Vernaza, enero 2016 – diciembre 2020

Abstract:

Background: TKA is routinely performed with a tourniquet to reduce distal blood flow, providing a blood-free field to improve operative vision, improve implant cementation by reducing bone bleeding, and allow better interdigitation of cement into bone. porous. But this practice has been challenged. Objectives: To evaluate the efficacy and safety of tourniquet use in total knee arthroplasty. Methodology: A descriptive, correlational, cross-sectional cohort study was carried out, which included cases of patients with knee arthroplasty, operated on with the use and non-use of the tourniquet, which were analyzed using functional tests, and complications were also identified. most frequent post-surgical diseases in the study populations, in the Department of Orthopedics of the Luis Vernaza Hospital between January 1, 2016 and December 30, 2020. The affiliation data were taken from the statistical database of the hospital and were tabulated in Excel spreadsheets and analyzed in the statistical platform SPSS. A 95% CI confidence interval and a significance value "p" < 1 were established. Results: 185 cases were evaluated. The frequency of recovery in the study population was 96.8%, being higher than 98% among those who did not use a tourniquet, but 87% among those who did (P=0.0263). Beyond a significantly greater functional recovery compared to not using a tourniquet, its use was also associated with a significantly higher frequency of cases with moderate/severe postsurgical pain 24 hours after the intervention (14.9% vs. 43.5%; P=0.0078). Although there was no association between thromboembolic events and tourniquet use, the tourniquet was used in the only documented case with DVT. Conclusion: the tourniquet does not represent a useful strategy in total knee replacement surgery (arthroplasty, TKA), since it is not associated with greater functionality of the affected limb, but it is associated with greater post-surgical pain. Keywords: Arthroplasty. Knee. Tourniquet. Functional study. Post-surgical complications

Año de publicación:

2022

Keywords:

• Epidemiologia Descriptiva
• ECUADOR
• Complicaciones posoperatorias
• Artroplastia de reemplazo de rodilla
• CANTÓN GUAYAQUIL
• Torniquete
• HOSPITAL LUIS VERNAZA

Fuente:

rraae