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 | Â | 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. | Â | Â | Â | Â |
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 | Â | Â | Â | Â | 12 | Â | Â | Â |
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 | Â | n.s. | 12 | 6.80 | 7.13 | n.s. | |
Stair descent time(s) | 6 | 7.54 | 9.75 | Â | n.s. | 12 | 6.87 | 9.09 | n.s. | |
OKS | 6 | 39.21 | 37.37 | Â | 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 | Â | Â | ||||||
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 | Â | 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. |