Journal ArticleDOI
Use of a tourniquet in the internal fixation of fractures of the distal part of the fibula. A prospective, randomized trial.
TLDR
It is believed that it is justified not to use a tourniquet in the operative treatment of simple, isolated fibular fractures because of the lower prevalence of postoperative complications and the shorter time to recovery for the patients in Group 2.Abstract:
A prospective, randomized trial was undertaken to determine the rate of complications after the use of a tourniquet during open reduction and internal fixation of simple, closed fractures of the distal part of the fibula. Forty patients were operated on with use of a tourniquet (Group 1) and forty patients, without use of a tourniquet (Group 2). The average duration of the operation was significantly different between the two groups (41 +/- 9 minutes for Group 1 compared with 53 +/- 12 minutes for Group 2 [p = 0.026]). There were more complications in the patients in Group 1, two of whom had an isolated deep-vein thrombosis of the calf. The wound was possibly infected in eleven patients (seven in Group 1 and four in Group 2 [p < 0.05]) and frankly infected in three patients, all in Group 1 (p < 0.05). The plaster-of-Paris cast needed to be changed in three patients from Group 1. The patients in Group 1 returned to work an average of one week later than those in Group 2. The mean duration of follow-up was eighteen months (range, nine to thirty-two months). Given the lower prevalence of postoperative complications and the shorter time to recovery for the patients in Group 2, we believe that it is justified not to use a tourniquet in the operative treatment of simple, isolated fibular fractures.read more
Citations
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Journal ArticleDOI
Patellar tendinopathy: some aspects of basic science and clinical management.
TL;DR: Surgical treatment for Achilles tendinopathy usually involves removal of adhesions and degenerated areas and decompression of the tendon by tenotomy or measures that influence the local circulation.
Journal Article
The effects of a pneumatic tourniquet on blood loss in total knee arthroplasty.
A M Tetro,John F. Rudan +1 more
TL;DR: The effectiveness of a pneumatic tourniquet to control blood loss in TKA is questionable and there were no statistical differences in surgical time, length of hospital stay, transfusion requirements or rate of complications.
Journal ArticleDOI
Increased rates of wound complications with locking plates in distal fibular fractures
TL;DR: There is a significant increase in wound complications in distal fibular fractures treated with a locking compression plate, and the current study would caution against the application of the currently used locking compression plates in the treatment of distal Fibular fractures.
Journal ArticleDOI
Acute traumatic knee effusions in children and adolescents.
TL;DR: Girls were more likely to have patellofemoral pathology; boys were morelikely to have ACL and meniscal tears; girls were more than twice as likely to be diagnosed with anterior cruciate ligament injuries.
Journal ArticleDOI
Tourniquets in orthopedic surgery.
TL;DR: This review was designed to recall and review the safe use of tourniquets and the various techniques that can be employed to minimize the complications ofTourniquet use.
References
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BookDOI
The Comprehensive classification of fractures of long bones
TL;DR: The Diaphyseal Fractures of the Humerus, Femur, and Tibia/Fibula are classified into nine groups: Al, A2, A3, B1, B2, C3 of the Segments 13-, 21- and 23-, 33- and 43-.-
Journal ArticleDOI
Systemic and local effects of the application of a tourniquet
TL;DR: Investigations have been carried out experimentally in rhesus monkeys and observations have been made on patients undergoing reconstructive operations on the knee, finding that three hours is recommended as a reasonable upper limit for the safe application of a pneumatic tourniquet.
Journal ArticleDOI
Safety factors in the use of the pneumatic tourniquet for hemostasis in surgery of the hand.
Journal ArticleDOI
The pathology and prevention of Volkmann's ischaemic contracture
TL;DR: The diagnosis of ischaemia in an injured limb and the indications to operate on it can usually be made on clinical grounds alone.
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