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Table 3 Mid-term functional outcomes 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 measurement tool

Early mid-term outcomes

Late mid-term outcomes

Time point (month)

Score

p value

Time point (month)

Score

p value

Group Aa

Group Bb

Group Cc

Group Aa

Group Bb

Ajnin, et al (2014) [4]

Knee ROM (° ± SD)

8

106 ± 9

108 ± 10

 

n.s.

  

OKS ± SD

8

22 ± 3

21 ± 4

 

n.s.

Ejaz, et al (2014) [12]

Knee ROM (° ± SD)

6

107 ± 11

108 ± 8.5

 

n.s.

12

113 ± 8

113 ± 8

n.s.

KOOS-symptom; KOOS-ADL;

KOOS-Sports/ Rec.

6

85.83;

85.83;

23.08

90.28;

86.64;

22.67

 

n.s.

12

91.90;

88.66;

23.08

92.71;

90.28;

23.48

n.s.

Hasanain, et al (2018) [15]

Knee Flex (°)

3

137.85

137.23

 

n.s.

    

Huang, et al (2017) [19]

HSS

6

88.9

91.2

90.3

n.s.

    

Jawhar, et al (2019) [20]

WOMAC-function;

WOMAC- Stiff. ±SD

6

35 ± 19;

5 ± 3

45 ± 31;

5 ± 4

 

n.s.

    

OKS ± SD

6

25 ± 8

27 ± 9

 

n.s.

Conc. PF;

Ecc. PF (N ± SD)

6

233 ± 7; 267 ± 11

220 ± 7;

253 ± 10

 

n.s.

Conc. WL;

Ecc. WL (J ± SD)

6

65 ± 3; 71 ± 6

61 ± 3;

85 ± 14

 

n.s.

Conc. TWL;

Ecc. TWL (J ± SD)

6

771 ± 52;

605 ± 41

723 ± 54;

628 ± 46

 

n.s.

Conc. MP;

Ecc. MP (W ± SD)

6

42 ± 4;

24 ± 1

37 ± 3;

24 ± 1

 

n.s.

Liu, et al (2014) [28]

EMG Act. signald

6

    

12

   

VAM ± SD;

VAL ± SD;

RF ± SD

 

n.r.;

24,347 ± 7741;

20,998 ± 7741

27,618 ± 7741; 26,308 ± 7741;

29,414 ± 7741

 

n.s.

 

1631 ± 7028; 330 ± 3870;

0 ± 2441

495 ± 2903;

330 ± 2276;

n.r.

n.s.

Mittal, et al (2012) [32]

Knee Flex. (°)

6

110.65

110.65

 

n.s.

12

114.41

115.91

n.s.

Fixed Flex. (°)

6

5.47

8.37

 

n.s.

12

2.09

6.51

n.s.

Quadriceps Lag (°)

6

4.92

3.22

 

n.s.

12

1.70

5.49

n.s.

Stair ascent time (s)

6

7.13

7.13

 

n.s.

12

6.80

7.13

n.s.

Stair descent time(s)

6

7.54

9.75

 

n.s.

12

6.87

9.09

n.s.

OKS

6

39.21

37.37

 

n.s.

12

43.42

38.42

n.s.

Touzopoulos, et al (2019) [48]

NKSS-FA ± SD; NKSS-OM. ± SD

     

36

64.08 ± 16.06; 56.57 ± 4.92

66.04 ± 15.62; 56.81 ± 7.02

n.s.

n.s.

Total ROM (° ± SD)

36

99.51 ± 8.14

99.69 ± 8.65

n.s.

Max. flex. (° ± SD)

36

101.86 ± 7.94

101.35 ± 8.55

n.s.

Ext. Cont. (° ± SD)

36

1.51 ± 4.54

5.61 ± 5.86

< 0.001

Zhou, et al (2017) [55]

HSS ± SD

3

82.5 ± 4.5

81.6 ± 4.4

 

n.s.

    

6

89.8 ± 4.9

90.7 ± 4.5

 

n.s.

Knee ROM (°)

3

128.19

127.51

  

6

128.52

128.19

  

Alexandersson, et al (2018) [6]

Knee flex; knee ext. (°)

3

107.1; 5.9

109.4; 5.6

 

n.s.

    

Straight Leg Raise(°)

3

37

35

 

n.s.

TUG Test (s)

3

11.2

10.1

 

n.s.

Dennis, et al (2015) [10]

Knee flex.; knee ext. (° ± SD)

3

120.88 ± 8.19; 3.00 ± 2.71

122.69 ± 7.25; 2.46 ± 1.58

 

n.s.

    

HS St. (Nm ± SD)

3

84.84 ± 34.75

84.34 ± 36.01

 

n.s.

Quad Act. (% ± SD)

3

88.35 ± 10.55

87.02 ± 8.66

 

n.s.

Quad St. (Nm ± SD)

3

127.66 ± 43.75

136.74 ± 47.75

 

0.03

UBT (s ± SD)

3

47.77 ± 18.78

52.26 ± 15.68

 

n.s.

Rathod, et al (2014) [40]

Knee flex. (° ± SD)

3

106 ± 15

109 ± 12

 

n.s.

12

114 ± 8

115 ± 8

n.s.

KSSC ± SD

3

73.5 ± 11.9

71.4 ± 15.2

 

n.s.

12

87.9 ± 7.5

86.8 ± 9.1

n.s.

Quad st. (Nm ± SD)

3

97 ± 42

105 ± 38

 

n.s.

12

116 ± 43

119 ± 42

n.s.

KSSF ± SD

3

81.1 ± 9.8

79.8 ± 11.7

 

n.s.

12

85.6 ± 12.4

84.7 ± 11.3

n.s.

Ayik, et al (2020) [7]

Quad torque (Nm ± SD)

3

74 ± 29

68 ± 24

 

n.s.

    

Hamstring torque (Nm ± SD)

3

65 ± 18

57 ± 8

 

n.s.

Quad work (Nm ± SD)

3

85 ± 25

77 ± 31

 

n.s.

Hamstring work

(Nm ± SD)

3

61 ± 18

54 ± 16

 

n.s.

KSS-knee score ± SD

3

79 ± 13

76 ± 12

 

n.s.

KSS-func. Score ± SD

3

79 ± 19

76 ± 20

 

n.s.

Total ROM ± SD

3

118 ± 10

115 ± 13

 

n.s.

Chaudhry, et al (2020) [9]

OKS ± SD

6

39.02 ± 1.21

39.14 ± 1.20

 

n.s.

 

Knee ROM (° ± SD)

6

105.88 ± 3.608

106.74 ± 3.203

 

n.s.

Pinsornsak, et al (2021) [38]

Knee flex. (° ± SD)

3

114.2 ± 12.1

114.7 ± 10.4

114.8 ± 8.4

n.s.

 

YiZ, et al (2021) [51]

Knee ROM. (° ± SD)

3

111 ± 9

111 ± 9

112 ± 8

n.s.

 

Zhao, et al (2020) [54]

AKSS ± SD

3

88.60 ± 2.35

89.15 ± 1.65

90.30 ± 1.74

n.s.

 

Quad st. (grade ± SD

3

4.07 ± 0.29

4.22 ± 0.26

4.43 ± 0.27

n.s.

Knee ROM (° ± SD)

3

122.00 ± 10.09

124.75 ± 9.93

126.91 ± 8.20

n.s.

  1. Ecc. Eccentric, Conc. Concentric, TWL Total Work Load, WL Work Load, ROM Range of Motion, OKS Oxford Knee Score, KOOS Knee Injury and Osteoarthritis Outcome Score, ADL Activities of Daily Living, HSS Hospital for Special Surgery knee score, WOMAC Western Ontario and McMaster Universities Osteoarthritis Index, Func. Function, SD Standard Deviation, Conc. Concentric, PF Peak Force, WL Work Load, MP Muscle Power, EMG Electromyography, VAM Vastus Medialis, VAL Vastus Lateralis, RF Rectus Femoris, NKSS New Knee Society Score, FA Functional Activities, OM Objective Measures, Max. Maximum, Ext. Extension, Cont. Contracture, TUG test Timed Up and Go test, HS St. Hamstring Strength, UBT Unilateral Balance Test, KSSC Knee Society Score Clinical, Quad St. Quadriceps Strength, KSSF Knee Society Score Functional, n.s. non-significant, Flex Flexion, Stiff. Stiffness, Act. Activation, n.r. not reported, AKSS American Knee Society Score, EQ-5D EuroQol 5-Dimensions
  2. atourniquet use/ long duration tourniquet use
  3. btourniquet use/ short duration use
  4. ctourniquet use with tranexamic acid
  5. dunit not reported