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Surgical Tourniquets in Orthopaedics

Noordin, Shahryar MBBS, FCPS; McEwen, James A. PhD, PEng; Kragh, Colonel John F. Jr. MD; Eisen, Andrew MD, FRCPC; Masri, Bassam A. MD, FRCSC

Journal of Bone & Joint Surgery - American Volume: 01 December 2009 - Volume 91 - Issue 12 - p 2958–2967
doi: 10.2106/JBJS.I.00634
Current Concepts Review
Supplementary Content

Higher levels of tourniquet pressure and higher pressure gradients beneath tourniquet cuffs are associated with a higher risk of nerve-related injury.

Measurement of limb occlusion pressure can help to minimize tourniquet pressure levels and pressure gradients for individual patients and individual surgical procedures.

Selective use of pneumatic, wider, and contoured tourniquet cuffs reduces tourniquet pressure levels and the applied pressure gradients.

1Section of Orthopaedics, Department of Surgery, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan. E-mail address: shahryar.noordin@aku.edu

2Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics (J.A.McE., and B.A.M.), and Department of Electrical and Computer Engineering (J.A.McE.), University of British Columbia, 3114, 910 West 10th Avenue, Vancouver, V5Z 4E3 BC, Canada

3United States Army Institute of Surgical Research, Regenerative Medicine, 3400 Rawley East Chambers Avenue, Building 3611, Room L82-16, Fort Sam Houston, TX 78234-6315

4Department of Neurology, University of British Columbia, 2862 Highbury Street, Vancouver, V6R 3T6 BC, Canada

Copyright 2009 by The Journal of Bone and Joint Surgery, Incorporated
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