Tourniquet use increases tibial cement mantle thickness, pain, and blood loss in TKA .
Influence of the tourniquet on tibial cement mantle thickness in primary total knee arthroplasty
Knee Surg Sports Traumatol Arthrosc. 2016 Jan;24(1):96-10190 patients with osteoarthritis undergoing primary total knee arthroplasty were randomized to undergo the procedure either with or without the use of a tourniquet. The study was conducted in order to determine the effect of tourniquet use on cement mantle thickness, which is thought to play a role in implant stability and survivorship. The results of this study indicated that the tourniquet group had a significantly greater cement mantle thickness. However, the use of a tourniquet resulted in significantly increased postoperative pain and total blood loss.
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