The effect of tourniquet and knee position during wound closure after total knee arthroplasty on early recovery of range of motion: a prospective, randomized study

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dc.contributor.authorSukur, Erhan
dc.contributor.authorOzturkmen, Yusuf
dc.contributor.authorAkman, Yunus Emre
dc.contributor.authorSenel, Ahmet
dc.contributor.authorAzboy, Ibrahim
dc.date.accessioned2024-04-24T16:00:17Z
dc.date.available2024-04-24T16:00:17Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractThere is no consensus on the position of the knee joint while performing wound closure after total knee arthroplasty (TKA). Further, there are no studies focusing on the association between early functional outcomes and different wound closure strategies. Therefore, we investigated the effects of tourniquet and knee position during wound closure on early recovery of range of motion (ROM) after primary TKA. To our knowledge, this is the first study to evaluate the influence of both tourniquet and knee position during wound closure in primary TKA. One hundred-twenty eligible patients were consecutively enrolled in this study and randomly divided into four groups according to wound closure strategy. Wound closure was either performed with the knee in flexion at 90A degrees or in full extension, with the combination of an inflated or deflated tourniquet. Visual analogue score (VAS), knee ROM, ROM recovery, knee society score (KSS), and wound complications were evaluated in the early postoperative period. After the first postoperative week, ROM recovery in the group with knee in extension and inflated tourniquet was significantly lesser than the two groups with deflated tourniquets. Between the first and fourth postoperative weeks, ROM recovery in the group with knee inflection and deflated tourniquet was significantly higher than the two groups with knee in extension. After the first postoperative week, the visual analog score (VAS) for pain in the group with knee inflection and deflated tourniquet was significantly lesser than the two groups with inflated tourniquets. The differences in the outcomes between the four groups were not significant after the fourth postoperative week. The incidence of wound complications and KSS were not significantly different between the four groups. Following TKA, wound closure with the knee in flexion and after deflating the tourniquet significantly decreased postoperative pain and promoted the recovery of ROM in the early postoperative period.en_US
dc.identifier.doi10.1007/s00402-016-2582-x
dc.identifier.endpage1780en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue12en_US
dc.identifier.pmid27766408
dc.identifier.scopus2-s2.0-84991780984
dc.identifier.scopusqualityQ1
dc.identifier.startpage1773en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-016-2582-x
dc.identifier.urihttps://hdl.handle.net/11468/14427
dc.identifier.volume136en_US
dc.identifier.wosWOS:000388578500019
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRange Of Motionen_US
dc.subjectPostoperative Recoveryen_US
dc.subjectTotal Knee Arthroplastyen_US
dc.subjectWound Closureen_US
dc.titleThe effect of tourniquet and knee position during wound closure after total knee arthroplasty on early recovery of range of motion: a prospective, randomized studyen_US
dc.titleThe effect of tourniquet and knee position during wound closure after total knee arthroplasty on early recovery of range of motion: a prospective, randomized study
dc.typeArticleen_US

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