To Tourniquet, or Not to Tourniquet

    The concept of performing a primary total knee arthroplasty (TKA) without a tourniquet is intriguing. Studies over the past 15 years have shown the benefits of a tourniquetless TKA:

    • Less postoperative thigh pain
    • Better postoperative range of motion
    • Less bleeding in the knee, which reduces pain
    • Less overall blood loss (although there may be greater intraoperative blood loss without a tourniquet)
    • Trend toward fewer postoperative complications

    But proponents of using a tourniquet during TKA are not convinced, citing the potential for an increased risk of infection due to greater operative time and blood in the operative field, which could compromise implant fixation.

    Aaron G. Rosenberg, MD, from Rush University Medical Center in Chicago, Illinois, prefers a tourniquetless TKA, as he discusses in an interview exclusive to ICJR. Click the image above to hear his comments.

    Producer: Michael Szuch; Director: Michael Bugera; Post Production: Charles Maynard