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DOI: Use of Tourniquets in Total Knee Arthroplasty: A Systematic Review with Meta-Analysis.
Bianca Gabriella de Oliveira , Médica residente de Ortopedia e Traumatologia pelo Hospital Geral CleristonAndrade, Feira de Santana, BA. Gabriella de Oliveira Sobreiro , Médica Residente de Ortopedia e Traumatologia pelo Hospital Alvorada, Moema, SP. Fellipe Luan de Andrade Maciel , Médico Residente de Ortopedia e Traumatologia pelo Hospital Aroldo Tourinho, Montes Claros, MG. Natália Ferreira Zanuto , Médico Residente de Ortopedia e Traumatologia pelo Hospital Municipal Souza Aguiar, Niterói, RJ. Gabriel Augusto Filgueiras de Carvalho , Médico Residente de Ortopedia e Traumatologia pelo Hospital Santa Teresa, Petrópolis, RJ. Marcella Rodrigues Costa Simões. , Orthopedist and Traumatologist specializing in Hand Surgery, MG.Abstract
Objective: To compare the efficacy, safety, advantages and complications of the silicone ring tourniquet compared to the pneumatic cuff tourniquet in total knee arthroplasty. Methodology: systematic review with meta-analysis, in which a bibliographic search was carried out through the electronic databases: PubMed/MEDLINE and Cochrane Library without language restriction of publications until October 26, 2023. The search terms "tourniquet" AND "pneumatic cuff" AND "knee arthroplasty" AND "orthopaedic surgeries" were used. Results: 292 patients aged between 67 and 74 years were included. Most of the studies presented showed that patients undergoing ischemia with the SRT had less post-operative blood loss, earlier discharge and lower complication rates than other patients. Conclusion: The use of the silicone ring tourniquet resulted in better clinical outcomes than conventional pneumatic tourniquets in TKA.
Keywords
tourniquet, pneumatic cuff, knee arthroplasty
References
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Copyright (c) 2025 Bianca Gabriella de Oliveira, Gabriella de Oliveira Sobreiro, Fellipe Luan de Andrade Maciel, Natália Ferreira Zanuto, Gabriel Augusto Filgueiras de Carvalho, Marcella Rodrigues Costa Simões.
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