Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2022; 13(7): 644-651
Published online Jul 18, 2022. doi: 10.5312/wjo.v13.i7.644
Association between tourniquet use and intraoperative blood loss during below-knee amputation
Alden E Wyland, Erik Woelber, Liam H Wong, Jordan Arakawa, Zachary M Working, James Meeker
Alden E Wyland, Liam H Wong, School of Medicine, Oregon Health and Sciences University, Portland, OR 97239, United States
Erik Woelber, Jordan Arakawa, Zachary M Working, James Meeker, Department of Orthopaedics and Rehabilitation, Oregon Health and Sciences University, Portland, OR 97239, United States
Author contributions: Woelber E, Meeker J and Working Z contributed the study conception and design; Wyland AE, Wong LH and Arakawa J contributed the generation, collection of the data; Wyland AE and Woelber E contributed the assembly, analysis and/or interpretation of the data; Wyland A, Woelber E, Meeker J and Working Z contributed to drafting and revising the manuscript.
Institutional review board statement: This study was approved by the Institutional Review Board (STUDY00020406).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/Licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Data sharing statement: Data and study materials are available upon reasonable request from the corresponding author at meekerj@ohsu.edu. Consent was not obtained, but the data are anonymous and the risk of identification is low.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: James Meeker, MD, Assistant Professor, Department of Orthopaedics and Rehabilitation, Oregon Health and Sciences University, 3181 SW Sam Jackson Road, Portland, OR 97239, United States. meekerj@ohsu.edu
Received: February 28, 2022
Peer-review started: February 28, 2022
First decision: April 13, 2022
Revised: May 27, 2022
Accepted: July 6, 2022
Article in press: July 6, 2022
Published online: July 18, 2022
Core Tip

Core Tip: We retrospectively evaluated 138 patients who underwent a below knee amputation by an orthopedic surgeon and compared the calculated intraoperative blood loss between patients who received or did not receive a tourniquet. We found that patients who did receive a tourniquet had significantly lower blood loss than those who did not.