Cochrane · systematic review · CD012874
Tourniquet use for knee replacement surgery
Ahmed, I, Chawla, A, Underwood, M, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Knee replacement with tourniquet compared to knee replacement without tourniquet
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain Visual analogue scale (VAS) for pain from zero to 10 (higher scores indicate more pain) Knee replacement with tourniquet vs knee replacement without tourniquet | no estimate extracted | 8 studies · 577 participants | Moderate Downgraded: risk of bias |
Function Similar 0 to 100 scales (100 is best) were used to measure the same conceptual functional outcome: Knee Injury and Osteoarthritis Outcome Score Activities of Daily Living (KOOS‐ADL); Knee Society Score (KSS); Hospital for Special Surgery ... Knee replacement with tourniquet vs knee replacement without tourniquet | no estimate extracted | 5 studies · 611 participants | Moderate Downgraded: risk of bias |
Global assessment of success Participants reporting overall successful treatment and satisfactione Knee replacement with tourniquet vs knee replacement without tourniquet | RR 1 [0.91, 1.1] | 1 study · 100 participants | Low Downgraded: risk of bias |
Health‐related quality of life SF‐12 mental component from zero to 100 (100 is best) Knee replacement with tourniquet vs knee replacement without tourniquet | no estimate extracted | 1 study · 199 participants | Low Downgraded: risk of bias |
Serious adverse events Knee replacement with tourniquet vs knee replacement without tourniquet | RR 1.73 [1.1, 2.73] | 21 studies · 1799 participants | Moderate Downgraded: risk of bias |
Cognitive function Knee replacement with tourniquet vs knee replacement without tourniquet | no estimate extracted | NR | No studies |
Survival of the implant Risk of revision At 1 year Knee replacement with tourniquet vs knee replacement without tourniquet | RR 1.44 [0.23, 8.92] | 3 studies · 214 participants | Very low Downgraded: risk of bias |