دورية أكاديمية

Tourniquet use during total knee arthroplasty does not modulate the neutrophil-to-lymphocyte ratio, pain, or activity.

التفاصيل البيبلوغرافية
العنوان: Tourniquet use during total knee arthroplasty does not modulate the neutrophil-to-lymphocyte ratio, pain, or activity.
المؤلفون: Barker T; The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT, 84107, USA. tyler.barker@imail.org., Rogers VE; The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT, 84107, USA., Brown KB; The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT, 84107, USA., Henriksen VT; The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT, 84107, USA., Rasmussen GL; The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT, 84107, USA.; The Orthopedic Specialty Clinic, Murray, UT, 84107, USA.
المصدر: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology [J Orthop Traumatol] 2017 Sep; Vol. 18 (3), pp. 283-287. Date of Electronic Publication: 2016 Nov 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 101090931 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1590-9999 (Electronic) Linking ISSN: 15909921 NLM ISO Abbreviation: J Orthop Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Milano, Italy : Springer-Verlag Italia,
مواضيع طبية MeSH: Lymphocytes*/immunology , Neutrophils*/immunology, Arthroplasty, Replacement, Knee/*methods , Knee Joint/*surgery , Osteoarthritis, Knee/*surgery , Tourniquets/*adverse effects, Activities of Daily Living ; Aged ; Ambulatory Care ; Arthroplasty, Replacement, Knee/adverse effects ; Arthroplasty, Replacement, Knee/rehabilitation ; Female ; Humans ; Knee Joint/immunology ; Male ; Middle Aged ; Osteoarthritis, Knee/immunology ; Pain, Postoperative ; Physical Therapy Modalities ; Retrospective Studies
مستخلص: The purpose of our study was to identify the influence of tourniquet use during total knee arthroplasty (TKA) on the neutrophil-to-lymphocyte ratio (NLR) shortly after surgery and patient-reported outcomes (pain and physical activity) from outpatient physical therapy. This retrospective study consisted of 104 subjects who underwent primary unilateral TKA (51 subjects with and 53 subjects without tourniquet assistance) between 2010 and 2012. The NLR was calculated from the absolute neutrophil and lymphocyte counts obtained immediately before and after (1 and 2 days) knee arthroplasty. The Knee Outcome Survey (KOS) of Activities of Daily Living and numeric pain scores collected at the first [33.0 (34.2) days after surgery] and last [85.5 (40.7) days after surgery] outpatient physical therapy visits were extracted from an electronic database. The NLR, pain, and KOS score were not significantly (all p > 0.05) different with tourniquet use. Based on these findings, we conclude that tourniquet use during TKA neither increases systemic inflammation shortly after surgery nor impairs patient-reported outcomes obtained during outpatient physical therapy.
Level of Evidence: IV.
References: J Am Coll Cardiol. 2005 May 17;45(10):1638-43. (PMID: 15893180)
J Orthop Sports Phys Ther. 2008 May;38(5):246-56. (PMID: 18448878)
J Thromb Haemost. 2007 Apr;5(4):738-45. (PMID: 17408407)
Br J Cancer. 2015 Mar 17;112(6):1088-97. (PMID: 25688736)
J Arthroplasty. 2011 Sep;26(6):861-9. (PMID: 21074964)
Am J Cardiol. 2012 Sep 1;110(5):621-7. (PMID: 22608360)
J Bone Joint Surg Br. 1995 Mar;77(2):250-3. (PMID: 7706340)
Heart Lung Circ. 2014 Jan;23(1):56-62. (PMID: 23856365)
J Orthop Res. 2005 Mar;23(2):392-6. (PMID: 15734253)
J Orthop Traumatol. 2016 Jun;17 (2):163-8. (PMID: 26387114)
Int Orthop. 2002;26(5):306-9. (PMID: 12378360)
Eur J Pain. 2004 Aug;8(4):283-91. (PMID: 15207508)
فهرسة مساهمة: Keywords: Activity; Neutrophil-to-lymphocyte ratio; Pain; Total knee arthroplasty
تواريخ الأحداث: Date Created: 20161117 Date Completed: 20180814 Latest Revision: 20181113
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC5585084
DOI: 10.1007/s10195-016-0435-6
PMID: 27848053
قاعدة البيانات: MEDLINE
الوصف
تدمد:1590-9999
DOI:10.1007/s10195-016-0435-6