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Tourniquet Use in Total Knee Arthroplasty: Effects on Blood Loss, VTE Risk, and Wound Complications

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Ace Report Cover
March 2025

Tourniquet Use in Total Knee Arthroplasty: Effects on Blood Loss, VTE Risk, and Wound Complications

Vol: 307| Issue: 3| Number:4| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Are tourniquets indicated in total knee arthroplasty in the era of tranexamic acid: A meta-analysis and systematic review.

J Orthop . 2024 May 11:57:137-146.

Contributing Authors:
AA Anoushiravani R Narayanan KK Chen D Hameed J Dubin A Elbuluk JE Feng R Iorio R Schwarzkopf

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Synopsis

Nineteen studies, including 1,094 patients undergoing total knee arthroplasty, were included in this systematic review and meta-analysis comparing tourniquet-assisted versus tourniquet-free TKA. Pooled outcomes of interest included intraoperative blood loss, total blood loss (TBL), venous thromboembolism (VTE) incidence, wound complications, and transfusion rates. Tourniquet use significantly redu...

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