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Tourniquet use in ankle arthroscopy: A systematic review
B Lau1, V Kothari2, S Trowbridge1
1King's Foot and Ankle Unit, King's College NHS Foundation Trust, UK.
Summary
This study found no significant difference in surgical time or complication rates when using a thigh tourniquet for ankle arthroscopy. Current evidence does not support the routine use of tourniquets in ankle arthroscopy procedures.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Ankle arthroscopy often utilizes thigh tourniquets, presumed to enhance visualization and shorten procedure duration.
- Existing evidence on the benefits of tourniquets in ankle arthroscopy remains inconclusive.
- This study aimed to evaluate the clinical advantages of employing a tourniquet during ankle arthroscopy.
Approach:
- A systematic review adhering to PRISMA guidelines was conducted.
- Searched Medline, Embase, PubMed, and Cochrane Library databases for relevant clinical studies up to January 2023.
- Included studies reporting on tourniquet use in ankle arthroscopy.
Key Points:
- Out of 180 identified studies, only 3 met the inclusion criteria, involving 164 patients.
- No statistically significant differences were observed in mean surgical time or complication rates between tourniquet and non-tourniquet groups.
- The overall quality of evidence was moderate to poor, lacking definitive support for or against routine tourniquet use.
Conclusions:
- Current literature indicates no significant variations in mean surgical time or complication rates with or without tourniquet use in ankle arthroscopy.
- The findings suggest that the routine application of thigh tourniquets in ankle arthroscopy may not offer substantial clinical benefits.
- Further high-quality research is needed to definitively establish the role of tourniquets in this procedure.
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