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Clinical Trial
. 2001;24(6):347-9.
doi: 10.1007/s002640000180.

The pneumatic tourniquet in arthroscopic surgery of the knee

Affiliations
Clinical Trial

The pneumatic tourniquet in arthroscopic surgery of the knee

S B Tibrewal. Int Orthop. 2001.

Abstract

In a randomized study 56 patients undergoing arthroscopic surgery of the knee were randomly allocated to one of 2 groups: surgery with a tourniquet and surgery without a tourniquet. No significant difference was found between the 2 groups with regard to operating times, technical intraoperative difficulties, identification of intraarticular structures, postoperative pain or postoperative complications. In neither group was the procedure abandoned due to technical difficulties. The pain scores in the non-tourniquet group were lower than those in the group of patients operated on with the use of a pneumatic tourniquet. The study suggests that the use of a tourniquet in arthroscopic surgery of the knee is unnecessary.

Dans une étude randomisée, 56 malades qui ont eut une chirurgie arthroscopique du genou ont ètè séparés aléatoirement en deux groupes: chirurgie avec ou sans garrot. Aucune diffèrence notable n'a ètè trouvèe entre les deux groupes dans les durèes d'opération, les difficultès techniques, l'identification des structures intra – articulaires, les douleur ou les complications post-opératoires. Le score de la douleur dans le groupe sans garrot ètait infèrieur à celui noté dans l'autre groupe. Pendant les six semaines suivant l'opération, il n'y avait pas de différence dans la récupération de la force musculaire ou de la flexion du genou.

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