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Impact of tourniquet during total knee arthroplasty when tranexamic acid was used: a meta-analysis of randomized controlled trials.

Author: CaiXu, MaQi, SunChangjiao, TuYan, ZhangXiaofei, ZhouYonggang

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

Tourniquet use during total knee arthroplasty (TKA) is thought to reduce blood loss and improve surgical exposure. Tranexamic acid (TXA) can also decrease blood loss and transfusion needs. This review aims to evaluate the combined effects of tourniquet use and TXA in TKA patients.
Paper Details　
Original Abstract of the Article :
The efficacy of tourniquet use during primary total knee arthroplasty (TKA) is thought to reduce intraoperative blood loss, improve surgical exposure, and optimize cement fixation. Tranexamic acid (TXA) use can decrease postsurgical blood loss and transfusion requirements. This review aimed to appra...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760757/

データ提供：米国国立医学図書館（NLM）

Tourniquet Use in Total Knee Arthroplasty: A Meta-Analysis

Total knee arthroplasty (TKA) is a complex surgical procedure, and like navigating a desert, requires careful consideration of each step. This meta-analysis investigated the effects of using a tourniquet during TKA, particularly when tranexamic acid, a medication to reduce blood loss, is used.

Investigating the Use of Tourniquets

The study reviewed a range of randomized controlled trials and found that using a tourniquet during TKA, in conjunction with tranexamic acid, may not provide significant benefits in reducing blood loss or improving surgical outcomes. The research suggests that the combination of these two approaches may not be as effective as previously believed.

Optimizing Surgical Techniques

This study highlights the importance of carefully evaluating surgical techniques and considering individual patient needs. The findings suggest that the routine use of tourniquets during TKA, in conjunction with tranexamic acid, may not be necessary and could potentially lead to complications.

Dr. Camel's Conclusion

This meta-analysis provides valuable insights into the effectiveness of using tourniquets during TKA. While previous studies suggested potential benefits, this review indicates that the combination of tourniquets and tranexamic acid may not offer significant advantages. Further research is needed to clarify the optimal surgical approach for minimizing blood loss and maximizing patient outcomes.
Date :
  1. Date Completed 2022-03-28
  2. Date Revised 2022-03-28
Further Info :

Pubmed ID

35033124

DOI: Digital Object Identifier

PMC8760757

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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