Tourniquet Duration and Early Clinical and Biomarker Outcomes in Total Knee Arthroplasty: A Comparative Cohort Study

: Tourniquet times between 90 and 120 min were not associated with higher pain levels or more swelling, but an increased need for intravenous analgesia and a higher increase in pro-inflammatory markers. This might be a consequence of a more pronounced ischemia/reperfusion injury with tourniquet times longer than 90 min.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2026-04-01
DOI
https://doi.org/10.3390/jcm15072675
Primary Topic
Blood transfusion and management
Type
article
Field-Weighted Citation Impact
0.00

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article

Tourniquet Duration and Early Clinical and Biomarker Outcomes in Total Knee Arthroplasty: A Comparative Cohort Study

Sandro Kohl, Robert Rieben, Emanuel F. Liechti, Rolf Spirig et al.
Journal of Clinical Medicine
Blood transfusion and management
article

Tourniquet Duration and Early Clinical and Biomarker Outcomes in Total Knee Arthroplasty: A Comparative Cohort Study

Sandro Kohl, Robert Rieben, Emanuel F. Liechti, Rolf Spirig, Mai M. Abdelhafez, Frank M. Klenke, Alain Despont, Nele Isabelle Pfeiffer, Jelena Kummer, Jane Penelope Shaw
article en

Abstract

: Tourniquet times between 90 and 120 min were not associated with higher pain levels or more swelling, but an increased need for intravenous analgesia and a higher increase in pro-inflammatory markers. This might be a consequence of a more pronounced ischemia/reperfusion injury with tourniquet times longer than 90 min.

Journal of Clinical MedicineVol. 15(7)
University of Bern (CH), Bern University of Applied Sciences (CH), University Hospital of Bern (CH), CSL (Switzerland) (CH), October University of Modern Sciences and Arts (EG)
University of Bern, Inselspital, Universitätsspital Bern, Agroscope
Good health and well-being
Openalex Percentile: Top 30%
Blood transfusion and management
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