• Richard S Page, Simon Williams, Avanthi Selvaratnam, Shaun Waring, Myles Conroy, Andrew Thomson, Sally Beattie, Rekha Ganeshalingam, and Stephen D Gill.
• Barwon Centre for Orthopaedic Research and Education (B-CORE), Barwon Health and St John of God Hospital Geelong, 80 Myers St, Geelong, 3220, Australia. richard.page@deakin.edu.au.
• Bmc Musculoskel Dis. 2018 Dec 6; 19 (1): 435.

BackgroundTourniquet use during total knee replacement is common, yet uncertainty exists regarding its benefits and harms. The primary aim of the current study is to investigate whether tourniquet use during total knee replacement leads to greater reduction in quadriceps strength than non-tourniquet use at three months post-surgery. Secondary aims include investigating the effects of tourniquet use on: quadriceps strength at day 2 and 5, and 12 months post-surgery; pain and analgesia requirements; self-reported physical function and quality of life; blood loss and replacement; surgeon satisfaction with the intra-operative visual field; operation and anaesthetic time; complications; cement mantle quality; patient satisfaction; and hospital length of stay.MethodsThe study is a single centre, parallel-arm, double-blind (participant and assessor), randomised trial with 1:1 random allocation. Participants will be undergo total knee replacement with or without tourniquet. Linear mixed models will be used for group comparisons of continuous outcomes available at multiple timepoints. Other continuous outcomes that are assessed at baseline and once/twice at follow-up will be analysed using linear regression. Categorical outcomes will be analysed using logistic regression models.DiscussionThis study will provide high-quality evidence regarding the effects of tourniquet use during total knee replacement, which can be used to inform surgeon decision-making.Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12618000425291 . Retrospectively registered 23 March 2018.

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