Influence of Tourniquet on Anterior Intracompartmental Pressure of the Extremity.

概要

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This study investigated the infuluence of a tourniquet on anterior intracompartmental pressure of the lower leg. Thirteen patients who had arthroscopic surgery were measured with a Millar catheter transducer system. A tourniquet was applied in seven patients (tourniquet group) while six controls did not have a tourniquet applied (nontourniquet group). The tip of the Millar catheter was placed in the anterior tibial compartment. No statistically significant difference in age, blood pressure, and interval throughout the operation appeared when the tourniquet and non-tourniquet groups were compared. Immediate postoperative intracompartmental pressures in the tourniquet group were statistically significantly higher than that of the non-tourniquet group (p<0.03). The duration required for the intracompartmental pressure to recover to the normal level in the tourniquet group was statistically significantly longer than that of the non-tourniquet group (p<0.05). Results indicated that it is justified not to use a tourniquet during simple surgical procedures.
西日本整形・災害外科学会の論文