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Table 2 Mid-term and late implant loosening in studies included in review on mid-term and long-term effects of tourniquet use

From: The mid-term and long-term effects of tourniquet use in total knee arthroplasty: systematic review

Study Details

Outcome meas. Tool

Early mid-term outcomes

Late mid-term outcomes

Long-term outcomes

Time point (month)

Outcome

p value

Time point (month)

Score

p value

Time point

Score

p value

Group Aa

Group Bb

Group Aa

Group Bb

Group Aa

Group Bb

Ejaz, et al (2014) [12]

Revision rate

  

12

1/33

0/31

n.r.

  

Liu, et al (2014) [28]

Tib. penet. (AP) (cm)

 

12

   

zone 1;

zone 2;

zone 3;

zone 4;

zone 5;

zone 6;

zone 7;

zone 8;

zone 9

 

0.17 ± 0.16; 0.29 ± 0.19; 0.32 ± 0.20; 0.21 ± 0.14; 0.28 ± 0.47; 0.97 ± 1.16; 0.30 ± 0.51; 0.29 ± 0.48; 0.29 ± 0.56

0.18 ± 0.09; 0.28 ± 0.36; 0.28 ± 0.27; 0.20 ± 0.30; 0.17 ± 0.31; 0.77 ± 1.34; 0.11 ± 0.18; 0.18 ± 0.41; 0.14 ± 0.36

n.s.

 

Tib. penet. (ML) (cm)

 

12

   

zone 1;

zone 2;

zone 3;

zone 4;

zone 5

 

0.21 ± 0.19; 0.20 ± 0.15;

0.73 ± 1.11;

0.24 ± 0.45;

0.33 ± 0.59

0.21 ± 0.19; 0.20 ± 0.18;

0.77 ± 1.40;

0.24 ± 0.46;

0.29 ± 0.62

n.s.

 

Fem. penet. (cm)

 

12

   

zone 1;

zone 2;

zone 3;

zone 4;

zone 5;

zone 6;

zone 7

 

0.12 ± 0.18; 0.22 ± 0.13;

0.14 ± 0.18;

0.05 ± 0.17;

0.22 ± 0.13;

0.10 ± 0.22;

0.15 ± 0.09

0.10 ± 0.2; 0.25 ± 0.24;

0.10 ± 0.14;

0.02 ± 0.06;

0.23 ± 0.15;

0.09 ± 0.23;

0.17 ± 0.07

n.s.

  

Jawhar, et al (2019) [20]

Revision rate

6

3/50

2/49

n.r.

    

Touzopoulos, et al (2019) [48]

RL KSRES

 

36

   

AP zone 1; zone 2;

zone 3;

zone 4;

zone 5;

zone 6;

zone 7

 

1.36 ± 1.91; 1.01 ± 2.31;

1.20 ± 1.02;

1.14 ± 2.32;

0.06 ± 0.45;

0.0 ± 0.0;

0.0 ± 0.0

2.72 ± 2.88; 1.32 ± 2.09;

1.56 ± 2.83;

2.67 ± 3.27;

0.0 ± 0.0;

0.0 ± 0.0;

0.0 ± 0.0

0.007 n.s.

n.s.

0.008

n.s.

n.s.

n.s.

 

Lat. zone 1; zone 2;

zone 3

 

0.68 ± 1.7; 1.19 ± 2.58;

0.0 ± 0.0

1.43 ± 2.12; 1.87 ± 4.05;

0.05 ± 0.38

n.s.

n.s.

n.s.

 

Cum. AP

 

3.48 ± 4.69

7.74 ± 6.68

< 0.001

 

Cum. Lat.

  

1.76 ± 3.42

3.05 ± 4.23

n.s.

 

RL AP (%)

 

0.05 ± 0.07

0.11 ± 0.09

< 0.001

 

RL Lat.(%)

 

0.04 ± 0.07

0.07 ± 0.09

n.s.

 

Revision rate

 

0//50

0/50

n.s.

 

Molt, et al (2014) [35]

Tib. Trans. (mm ± SD)

3

 

24

   

M-L

−0.10 ± 0.38

− 0.02 ± 0.21

n.s.

− 0.27 ± 0.71

− 0.13 ± 0.28

n.s.

 

C–Cl

0.00 ± 0.17

0.03 ± 0.28

n.s.

0.06 ± 0.34

0.05 ± 0.34

n.s.

 

PA

0.02 ± 0.15

0.04 ± 0.19

n.s.

−0.05 ± 0.50

0.05 ± 0.19

n.s.

 

Tib. Rot.

(° ± SD)

3

 

24

   

Ant. Tilt

−0.02 ± 0.17

− 0.01 ± 0.16

n.s.

− 0.09 ± 0.28

−0.04 ± 0.23

n.s.

 

Int. Rot.

−0.01 ± 0.17

−0.04 ± 0.13

n.s.

−0.05 ± 0.35

0.01 ± 0.13

n.s.

 

Varus

0.01 ± 0.21

0.01 ± 0.20

n.s.

0.06 ± 0.48

−0.01 ± 0.29

n.s.

 

MTPM

(mm ± SD)

 

0.37 ± 0.20

0.41 ± 0.18

n.s.

 

0.71 ± 0.64

0.53 ± 0.21

n.s.

  

Max MTPM (mm)

3

1.00

0.80

n.r.

24

2.84

1.19

n.r.

  

Ejaz, et al (2015) [11]

Tib.trans

(mm ± SD)

6

 

24

   

X trans.;

Y trans.;

Z trans.

0.02 ± 0.33; −0.04 ± 0.15;

0.05 ± 0.12

− 0.01 ± 0.22; − 0.02 ± 0.13;

0.03 ± 0.32

n.s.

0.03 ± 0.28; − 0.03 ± 0.18;

− 0.02 ± 0.22

−0.04 ± .31; − 0.02 ± 0.27;

0.02 ± 0.28

n.s.

 

Tib. Rot.

(° ± SD)

6

 

24

   

X rot.;

Y rot.;

Z rot.

0.02 ± 0.35; − 0.05 ± 0.95;

0.07 ± 0.30

−0.04 ± 0.50; 0.11 ± 0.83

0.03 ± 0.62

n.s.

−0.03 ± 0.47; − 0.12 ± 0.88;

0.04 ± 0.41

− 0.03 ± 0.31; − 0.08 ± 0.93;

− 0.05 ± 0.58

n.s.

 

Mean MTPM

(mm ± SD)

6

0.55 ± 0.42

0.51 ± 0.34

n.s.

24

0.47 ± 0.16

0.45 ± 0.21

n.s.

24

 

MTPM (med., min-max) (mm)

6

0.42,

0.23–1.01

0.42, 0.09–1

n.r.

24

0.47,

0.12–0.82

0.41,

0.09–0.98

n.r.

24

 

MTPM (LQ-UQ) (mm)

6

0.3–0.63

0.33–0.6

n.r.

24

0.38–0.56

0.31–0.58

n.r.

24

Hedge, et al (2021) [17]

RL KSRES;

 

60

 

zone 1 (AP);

zone 2 (AP);

zone3M (AP);

zone 3 L (AP);

zone 5 (AP)

 

0.33 ± 1.56

0.19 ± 1.09

0 ± 0

0 ± 0

0 ± 0

1.53 ± 3.29

0.50 ± 1.70

1 ± 6

1 ± 6

0 ± 1

0.006

NI

n.s.

n.s.

n.s.

RL KSRES;

 

60

 

zone 1 (Lat);

zone 2 (Lat);

zone3A (Lat);

zone 3P (Lat);

Zone 5 (Lat);

Cumulative

 

0.28 ± 1.08;

0 ± 0;

0 ± 0;

0 ± 0;

0 ± 0;

0.79 ± 2.28

0.85 ± 2.78;

0.50 ± 3.31;

0.53 ± 4.12;

0 ± 0;

0 ± 0;

5.58 ± 21.78

n.s.;

n.s.;

n.s.;

n.s.;

n.s.;

0.04

Revision rate

 

60

0/61

2/61

n.r.

  1. Tib. Tibial, Penet. Tibial Penetration, AP Anteroposterior, ML Mediolateral, RL Radiolucent Lines, KSRES Knee Society Roentgenographic Evaluation System, Lat. Lateral, Cum. Cumulative, Rev. Surg. Revision Surgery, Tib. Rot. Tibial Rotation, Tib. Trans. Tibial Translation, C-CL Cranio-Caudal, PA Posterior-Anterior, Ant. Anterior, Int. rot. Internal rotation, MTPM Maximum Total Point Motion, LQ-UQ Lower Quartile – Upper Quartile, med median, min-max minimum-maximum, SD Standard Deviation, n.r. not reported, NI no information
  2. aparticipants with tourniquet use/ long duration tourniquet use
  3. bparticipants without tourniquet use/ short duration use