The Effect of Tranexamic Acid and Tourniquet Use on Tibial Cement Penetration in Primary Total Knee Arthroplasties

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dc.authorscopusid55994580900
dc.authorscopusid57196712908
dc.authorscopusid57208565301
dc.authorscopusid56421955000
dc.authorscopusid57217246933
dc.authorscopusid57217248204
dc.authorscopusid57217248234
dc.contributor.authorDinçel, Yaşar Mahsut
dc.contributor.authorSarı, Abdulkadir
dc.contributor.authorÇetin, Mehmet Ümit
dc.contributor.authorGünaydın, Burak
dc.contributor.authorAğca, E.
dc.contributor.authorDoğan, A.H.
dc.contributor.authorVarol, R.
dc.date.accessioned2022-05-11T14:36:15Z
dc.date.available2022-05-11T14:36:15Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: In this study, our aim was to compare the effects of tourniquet and tranexamic acid (TXA) use on tibial cement penetration in primary total knee arthroplasty (TKA) using radiograph images. In addition, we also aimed at investigating the effects of age, gender, body mass index (BMI), and bone mineral density on cement penetration. Methods: One hundred seventy patients who underwent TKA for primary osteoarthritis were retrospectively evaluated. TXA was administered to patients in group 1 (n = 96), and tourniquet application was used in patients in group 2 (n = 74). Tibial cement penetration was evaluated radiologically on a total of 4 zones: 2 anteroposterior and 2 lateral zones. In addition, age, gender, BMI, and bone mineral density were recorded in each group. Results: The mean cement penetration in the total study population was 2.34 ± 0.24 mm, with a mean of 2.33 ± 0.25 mm in the TXA group and a mean of 2.35 ± 0.24 mm in the tourniquet group (P = .453). A negative correlation was detected between BMI and anteroposterior 1 values in the total and TXA groups (P = .022 and P = .029). In the evaluation of the differences between genders, significantly higher penetration values were observed only in the females in the tourniquet group (P = .024). Conclusions: The use of TXA instead of a tourniquet does not reduce the depth of cement penetration in TKA. The clinical implications of individual-induced penetration differences may be significant for future implant survival. © 2020 The Authors
dc.identifier.doi10.1016/j.artd.2020.04.010
dc.identifier.endpage426
dc.identifier.issn2352-3441
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85086902244
dc.identifier.scopusqualityQ1
dc.identifier.startpage422
dc.identifier.urihttps://doi.org/10.1016/j.artd.2020.04.010
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8422
dc.identifier.volume6
dc.indekslendigikaynakScopus
dc.institutionauthorDinçel, Yaşar Mahsut
dc.institutionauthorSarı, Abdulkadir
dc.institutionauthorGünaydın, Burak
dc.institutionauthorAğca, E.
dc.institutionauthorDoğan, A.H.
dc.institutionauthorVarol, R.
dc.language.isoen
dc.publisherElsevier Inc
dc.relation.ispartofArthroplasty Today
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCement penetration
dc.subjectTotal knee arthroplasty
dc.subjectTourniquet
dc.subjectTranexamic acid
dc.subjectbone cement
dc.subjecttranexamic acid
dc.subjectage
dc.subjectaged
dc.subjectArticle
dc.subjectbody mass
dc.subjectbone density
dc.subjectbone radiography
dc.subjectdrug effect
dc.subjectfemale
dc.subjectgender
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectosteoarthritis
dc.subjectpriority journal
dc.subjecttibia
dc.subjecttotal knee arthroplasty
dc.titleThe Effect of Tranexamic Acid and Tourniquet Use on Tibial Cement Penetration in Primary Total Knee Arthroplasties
dc.typeArticle

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