ArticleOrthopaedic journal of sports medicine2021
Not Using a Tourniquet May Reduce the Incidence of Asymptomatic Deep Venous Thrombosis After ACL Reconstruction: An Observational Study.
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Arthroscopic anterior cruciate ligament reconstruction with and without tourniquet use: an updated systematic review and meta-analysis on clinical outcomes.BMC musculoskeletal disorders · 2024Pooled it
- Clinical outcomes of different autografts used for all-epiphyseal, partial epiphyseal or transphyseal anterior cruciate ligament reconstruction in skeletally immature patients - a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Limited indication of postoperative anticoagulation based on age reduces the incidence of deep venous thrombosis after anterior cruciate ligament reconstruction: A retrospective study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Development and validation of a deep vein thrombosis risk assessment tool for surgical patients aged 75 years and older.BMC geriatrics · 2026Article
- Bilateral Pulmonary Embolism Following Arthroscopic Anterior Cruciate Ligament Reconstruction: A Case Report.International medical case reports journal · 2026Article
- Venous thromboembolism prophylaxis after anterior cruciate ligament reconstruction: retrospective case-control study.SICOT-J · 2025Article
- The incidence of venous thromboembolism in patients undergoing arthroscopic anterior cruciate ligament repair: A proposed thromboprophylaxis regimen.Qatar medical journal · 2025Article
- The use of tourniquet is useful in terms of blood loss and soft tissue damage in arthroscopic anterior cruciate ligament reconstruction: a retrospective study.Scientific reports · 2023Article
- Quadrupled Semitendinosus Anterior Cruciate Ligament Reconstruction Without the Use of Tourniquet and Minimal Instrumentation: The "Double D" Technique.Arthroscopy techniques · 2023Article
- Simultaneous bilateral quadriceps tendon rupture in a healthy young male: a case report.Journal of medical case reports · 2023Article
- Postoperative Anterior Cruciate Ligament Reconstruction Quadricep and Patella Tendon Rupture, Infection, and Lysis of Adhesions Decreased Despite Changing Graft Trends Over the Past Decade.Arthroscopy, sports medicine, and rehabilitation · 2022Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDeep venous thrombosis (DVT) and pulmonary embolism are serious potential complications after anterior cruciate ligament reconstruction (ACLR). Little is known about the influence of tourniquet use on the incidence of DVT after ACLR. PURPOSE: To compare the incidence of DVT after ACLR with and without the use of a tourniquet. STUDY
designCohort study; Level of evidence, 3.
methodsBetween November 2018 and May 2020, a total of 60 consecutive ACLRs in 60 patients, including 7 revision surgeries, were performed without tourniquet use at our hospital and were enrolled in this study (T- group). In addition, 55 consecutive ACLRs in 55 patients, including 10 revision surgeries, were performed with tourniquet use between April 2017 and September 2018 and were enrolled as the control group (T+ group). DVT was diagnosed using ultrasonography of both legs performed preoperatively and at postoperative week 1. The incidence of postoperative DVT was compared between the T- and T+ groups. Logistic regression analysis was performed to evaluate the effect of older age (≥40 vs <40 years) and tourniquet use on the occurrence of DVT.
resultsNo DVTs were detected preoperatively. The incidence of postoperative DVT was significantly lower in the T- group compared with the T+ group (1 patient [1.7%] vs 9 patients [16.4%];
conclusionACLRs performed without tourniquet resulted in a significantly lower incidence of DVT after ACLR and significantly less bleeding from drains. If adequate visibility of the surgical field is obtained, ACLR without tourniquet use may reduce the incidence of DVT.
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