No tourniquet total knee combined with novel device (CarboJet) improves implant stability.
Over the past year I’ve stopped using a tourniquet when performing total knee replacement (TKR). My decision to stop was based on a mounting body of evidence and in my hands and with my technique, the risks do not out weight the benefits. While my initial interest to stop using a tourniquet was to lessen post-operative pain and improve the experience; I see patients getting well even faster and going home from the hospital sooner with less pain and swelling, and less need for prolonged formal therapy than ever before. With less pain, there is less need for strong pain meds (narcotics) and thankfully patients no longer complain that their upper thigh is sore. My technique of performing TKR incorporates Verasense OrthoSensor and the CarboJet during preparation and final cementing. I’ll discuss both further later on.