Comparison of quadriceps muscle volume after unilateral total knee arthroplasty with and without tourniquet use

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dc.authorid0000-0002-0022-0439
dc.authorid0000-0002-7794-9308
dc.authorid0000-0001-9052-4411
dc.authorid0000-0002-1310-068X
dc.contributor.authorGüler, Olcay
dc.contributor.authorMahiroğulları, Mahir
dc.contributor.authorİşyar, Mehmet
dc.contributor.authorPişkin, Ahmet
dc.contributor.authorYalçın, Sercan
dc.contributor.authorMutlu, Serhat
dc.contributor.authorŞahin, Bünyamin
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:36Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:36Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000380713600030
dc.descriptionPubMed ID: 26590567
dc.description.abstractDetermination of the effect of tourniquet use in total knee arthroplasty (TKA) on thigh and quadriceps muscle volume using magnetic resonance imaging (MRI). A total of 148 knees of 74 patients (mean age 66.5 +/- 4.8 years; female/male, 62/12) with bilateral primary varus gonarthrosis underwent unilateral TKA with a tourniquet (Group A, n = 35) or without a tourniquet (Group B, n = 39). The total thigh volume and connective, bone, and muscle tissue volumes were stereologically measured on preoperative and postoperative MRI. The Knee Society Score (KSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were calculated to evaluate functional outcomes. After TKA, the knees of patients in Group A exhibited a significant decrease in all tissue measurements, except bone tissue volume; however, the knees of patients in Group B exhibited no significant difference in tissue measurements. Although no difference was found between the operated and contralateral non-operated thighs (4076.9 and 4073.4 cm(3), respectively) in Group B postoperatively at 1 month (p > 0.05), the operated thighs had lost 20 % of its volume in Group A postoperatively at 1 month (p < 0.001). A significant difference was found in all tissue measurements, except the connective and bone tissue volumes of the thigh between the operated and contralateral non-operated knees in Group A. No significant difference was identified between the operated and contralateral non-operated knees in Group B. The total WOMAC score was significantly higher, and the total KSS was significantly lower in Group A than in Group B during the postoperative follow-up period of 1-6 months (p < 0.001 for all) but not 12 months (n.s.). Tourniquet use in TKA decreases the thigh and quadriceps muscle volumes and postoperatively delays the recovery of knee function. Therefore, caution should be exercised for tourniquet use during TKA in daily clinical practice and using alternative methods for tourniquet application in preventing intraoperative blood loss. III.
dc.identifier.citationGüler, O., Mahiroğulları, M., İşyar, M., Pişkin, A., Yalçın, S., Mutlu, S. ... Şahin, B. (2016). Comparison of quadriceps muscle volume after unilateral total knee arthroplasty with and without tourniquet use. Knee Surgery Sports Traumatology Arthroscopy, 24(8), 2595-2605. https://dx.doi.org/10.1007/s00167-015-3872-5
dc.identifier.doi10.1007/s00167-015-3872-5
dc.identifier.endpage2605
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue8
dc.identifier.scopusqualityQ1
dc.identifier.startpage2595
dc.identifier.urihttps://dx.doi.org/10.1007/s00167-015-3872-5
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3363
dc.identifier.volume24
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTotal Knee Replacement
dc.subjectTotal Knee Arthroplasty
dc.subjectTourniquet Use
dc.subjectQuadriceps Muscle
dc.subjectAtrophy
dc.subjectQuantitative Analysis
dc.subjectMagnetic Resonance Imaging
dc.titleComparison of quadriceps muscle volume after unilateral total knee arthroplasty with and without tourniquet use
dc.typeArticle

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