Sci Rep 2022 Jun 10;12(1):9652. Epub 2022 Jun 10.
Department of Joint Surgery and Sports Medicine, Changzheng Hospital, Naval Medical University, 415#, Fengyang Road, Huangpu District, Shanghai, 200003, China.
Tourniquet use always carries potential risks, which can range from mild transient functional impairments of thigh pain, skin blisters to severe permanent dysfunction of limb paralysis, nerve injuries or compartment syndrome. The ideal method for minimizing intraoperative tourniquet pressure (TP) for reducing postoperative complications remains controversial. In this prospective, randomized and controlled study, we reinvestigated an estimation formula for TP based on thigh circumferences and systolic blood pressure (SBP) with two traditional methods for TP determination in total knee arthroplasty (TKA): SBP plus 100 mmHg and a fixed value of 300 mmHg. Read More