Tourniquet used in anterior cruciate ligament reconstruction: a system review
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- 作者：Hong Wu (1)
Ling-Xiao Chen (1)
Yu-Lin Li (1)
Qiang Wu (1)
Qiu-Li Wu (1)
Guang-Zhi Ning (1)
Shi-Qing Feng (1) - 关键词：Tourniquet ; Anterior cruciate ligament reconstruction ; System review ; RCTs
- 刊名：European Journal of Orthopaedic Surgery & Traumatology
- 出版年：2014
- 出版时间：August 2014
- 年：2014
- 卷：24
- 期：6
- 页码：999-1003
- 全文大小：304 KB
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Ling-Xiao Chen (1)
Yu-Lin Li (1)
Qiang Wu (1)
Qiu-Li Wu (1)
Guang-Zhi Ning (1)
Shi-Qing Feng (1)
1. Department of Orthopaedics, Tianjin Medical University, General Hospital, 154 Anshan Road, Heping District, Tianjin, 300052, People’s Republic of China - ISSN：1432-1068
文摘
Purpose To identify whether routine use of a tourniquet is a better choice for anterior cruciate ligament reconstruction. Method We searched Amed, British Nursing Index, Embase, Pubmed, Scopus, Cochrane Library and Google Scholar. We used revised Jadad score to evaluate the trial quality. Each reference list was viewed for any ignored studies. Two reviews independently extracted data from all eligible trials, including study design, patients-characteristics, interventions and outcomes. The available data were using random effects models with mean differences for continuous variables. Results The only meta-analysis indicated there was no significant difference in operative time between the tourniquet and non-tourniquet groups (mean differences ?.71, 95?% CI ?2.40, 0.99). The remaining outcomes had variations in the outcome measures, so it was not possible to perform meta-analysis. Conclusions There was insufficient evidence to support the hypothesis that patients would benefit from routinely applying a tourniquet. More high-quality randomized controlled trials were needed to test the result.