Arthroplasty Complications, Hematoma
Conditions
Keywords
Tourniquet, Intra articular Hematoma, Total Knee Replacement
Brief summary
The study , observe the effect of releasing the Tourniquet in total knee replacement surgery before closure in comparison with releasing it after wound closure The effect was assessed by Hb drop post operative and Hematoma formation ( measured by ultrasound ) as well as the wound complication
Detailed description
The study is conducted in tertiary university hospital as a referral hospital for joint arthroplasty , the patients was informed about the study and consent was taken , the same operator , same theater and the same prosthesis company as well as the same radiologist during the study period. the patient randomly assigned to either group A (Tourniquet release before closure of the wound and hemostasis ensured ) , or a group B ( Tourniquet release after wound closure ) post operative Hb drop was studied between the groups , and each patient underwent ultrasound measurement of the intraarticular hematoma . The wound complication between the groups was also studied .
Interventions
Tourniquet release before/after wound closure
Sponsors
Study design
Eligibility
Inclusion criteria
* primary knee osteoarthrosis
Exclusion criteria
* Rheumatoid arthritis * post traumatic arthritis * revision knee replacement * patients on anticoagulant/antiplatelet except acetylsalicylic acid 80-100 mg
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemoglobin(HG) drop | ( pre-operative and post-operative day 2) | The difference in HG drop |
| Intra articular Hematoma formation | day three post operative hematoma formation | the difference in Intra articular ( knee ) Hematoma collection between the groups on day 3 post operative |
Countries
Jordan