The effect of a tourniquet on intraoperative patellofemoral tracking during total knee arthroplasty

被引:56
作者
Marson, BM [1 ]
Tokish, JT [1 ]
机构
[1] Univ Arizona, Arizona Hlth Sci Ctr, Sect Orthoped Surg, Tucson, AZ 85724 USA
关键词
knee; arthroplasty; patellofemoral joint; tourniquet; lateral release;
D O I
10.1016/S0883-5403(99)90125-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A prospective investigation was performed on the effect of the tourniquet on intraoperative patellofemoral tracking during primary total knee arthroplasty (TKA). A total of 75 TKAs in 67 patients were performed by 1 surgeon in a consecutive series using the same technique. Using strict criteria, patellar tracking: was assessed both before and after tourniquet release. Patients were placed into 1 of 3 groups: Group I were knees that tracked properly both before and after tourniquet release. Group II were knees that maltracked with the tourniquet inflated and subsequently corrected with the tourniquet released. Group III were knees that maltracked both before and after tourniquet release, therefore requiring a lateral release. Knees were categorized as group I, 34 of 75 (45.3%); group Lt, 36 of 75 (48.0%) and group III, 5 of 75 (6.7%). Using this criterion, lateral release was avoided in all group II knees. Tourniquet application alters intraoperative patellofemoral tracking during TKA. When contemplating lateral release, tourniquet deflation and reevaluation of patellofemoral tracking should be considered.
引用
收藏
页码:197 / 199
页数:3
相关论文
共 11 条
[1]
EFFECTS OF TOURNIQUET DURING TOTAL KNEE ARTHROPLASTY - A PROSPECTIVE RANDOMIZED STUDY [J].
ABDELSALAM, A ;
EYRES, KS .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (02) :250-253
[2]
BOOTH RE, 1994, KNEE, P1325
[3]
BURKART BC, 1994, CLIN ORTHOP RELAT R, P147
[4]
CLAYTON ML, 1982, CLIN ORTHOP RELAT R, P152
[5]
Dugal SS, 1993, TOTAL KNEE ARTHROPLA, P394
[6]
INSALL J, 1993, SURG KNEE, P768
[7]
RITTER MA, 1987, CLIN ORTHOP RELAT R, P163
[8]
ROSENBERG AG, 1993, TOTAL KNEE ARTHROPLA, P142
[9]
Scuderi G, 1987, J Arthroplasty, V2, P209, DOI 10.1016/S0883-5403(87)80039-6
[10]
WETZNER SM, 1985, CLIN ORTHOP RELAT R, P215