Extended Tourniquet Times and the Impact on Wound Healing in Foot Surgery.
- Resource Type
- Academic Journal
- Authors
- Robertson C; Orthopaedics, Queen Elizabeth University Hospital, Glasgow, United Kingdom.; Wilson V; Anesthetics, Queen Elizabeth University Hospital, Glasgow, United Kingdom.; Meek RMD; Anesthetics, Queen Elizabeth University Hospital, Glasgow, United Kingdom.; Carter R; Anesthetics, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
- Source
- Publisher: Marshfield Clinic Country of Publication: United States NLM ID: 101175887 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1554-6179 (Electronic) Linking ISSN: 15394182 NLM ISO Abbreviation: Clin Med Res Subsets: MEDLINE
- Subject
- Language
- English
Objective: The aim of this study was to compare the effect of tourniquet time less than or in excess of 120 minutes on foot surgery wound healing.
Null Hypothesis: A tourniquet time of over 120 minutes will not affect wound healing in foot surgery.
Design, Setting, Participants and Method: A retrospective comparative cohort analysis was performed on 96 patients undergoing complex hindfoot surgery in a large central teaching hospital. Fifty-five patients receiving tourniquet pressure for >120 minutes and 41 receiving <120 minutes of tourniquet pressure were identified from electronic case records. The primary outcome was surgical wound healing. Secondary outcomes were discharge date and complication rate.
Results: There was no significant difference in reported time for wounds to heal in the <120-minute or >120-minute cohort. There were no other significant differences in secondary clinical outcomes and no significant variations in patient demographics.
Conclusion: This study suggests that tourniquet times from 2 to 3 hours in foot and ankle surgery with pressures up to 300 mmHg are not associated with a significant effect on wound healing.
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