Tourniquet Use in Arthroscopic ACL Reconstruction: A Blinded Randomized Trial
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ORIGINAL ARTICLE
Tourniquet Use in Arthroscopic ACL Reconstruction: A Blinded Randomized Trial Abhay Choudhary1 · Naman Kanodia1 · Siddharth Agrawal1 · V. B. Bhasin1 · Amarjeet Singh1 Received: 29 April 2020 / Accepted: 2 September 2020 © Indian Orthopaedics Association 2020
Abstract Introduction Despite knowing, that tourniquet induces ischemia and soft tissue damage surgeons still use it. The purpose of this study is to compare post operative pain and quadriceps function in patients undergoing arthroscopy assisted ACL reconstruction with tourniquet and without tourniquet. Methods A blinded randomized prospective trial conducted at Orthopaedic department of a tertiary institute in India from Feb 2019 to June 2019. 45 patients undergoing Arthroscopic ACL reconstruction aged between 18 and 60 years were recruited in the study according to selection criteria. Patients were distributed in 2 groups randomly, namely, tourniquet and nontourniquet. Preoperatively serum CPK measurement and thigh girth measurement was done. Following standard arthroscopic procedure VAS score monitoring for pain was done for 5 days. Serum CPK levels were performed on postoperative day 1. Thigh girth was measured on postoperative day 21. Result Pain was significantly high in patients in whom tourniquet was used. VAS scores were significantly high in tourniquet group. Tourniquet group patients required more amount of additional analgesics in postoperative period (p
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