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Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

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Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

João P.F. Guerreiro, MD, PhD, BRAZIL JOAO BALAN, MD, BRAZIL MARSAL VILHENA, MD, BRAZIL SERGIO MERÇON, MD, BRAZIL Paulo Roberto Bignardi, PhD, BRAZIL Marcus Vinicius Danieli, MD, PhD, BRAZIL

PUCPR-Londrina/Hospital de Ortopedia Uniort.e Londrina/Hospital Evangélico de Londrina, LONDRINA, PARANA, BRAZIL

2025 Congress ePoster Presentation 2025 Congress Not yet rated

Anatomic Location

Knee

Treatment / Technique

Arthroplasty

Summary: To compare bleeding and surgical time in patients undergoing Total Knee Arthroplasty (TKA) with robotic assistance with and without the use of a tourniquet.

Objective

To compare bleeding and surgical time in patients undergoing Total Knee Arthroplasty (TKA) with robotic assistance with and without the use of a tourniquet.

Methods

Retrospective study with analysis of medical records. Patients were divided into two groups: one group in which robotic-assisted TKA was performed using a tourniquet and the other without. The values of hemoglobin (Hb) and hematocrit (Ht) preoperative and 24 hours after surgery, the estimated blood loss, number of transfusions and surgical time were compared between the groups.

Results

108 patients were included, with 59 in the group using a tourniquet and 49 without. There was no difference between the mean Hb and Ht values between the groups preoperatively (p 0.287 and p 0.508) and 24 hours (p 0.252) after surgery. There was also no difference between the estimated blood loss in each group (p 0.265). Surgical time was not different between groups (p 0.179). There was no need for transfusions in any patient.

Conclusion

Robotic-assisted TKA surgeries, whether performed with or without a tourniquet, showed no significant differences in the drop in Hb and Ht levels 24 hours after surgery, estimated blood loss, transfusions, and surgical time.
Keywords: Robotic surgical procedures, Arthroplasty; Bleeding; Knee; Tourniquet.

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A Novel Knee Intra-Operative Classification Of Osteo-Arthritis (KICO) ePoster Presentation Geoffrey Murphy, MD, AUSTRALIA Simon Luc Edmond Walgrave, MD, BELGIUM Alexander S. Nicholls, MSc, FRACS, AUSTRALIA Myles R. J. Coolican, FRACS, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA Brett A. Fritsch, MBBS BSc(Med), FRACS, FAOrthA, AUSTRALIA
ArthroPredict: A Machine Learning Approach To Predict 5-Year Total Joint Replacement In Patients With Osteoarthritis Using Routine Clinical Data ePoster Presentation Ahmed Elgebaly, MD, PhD, UNITED KINGDOM Atef Abdelrahman Hassan, MD, EGYPT Rawad K M Hammad, MD, UNITED KINGDOM Hassan Abdalla, MD, UNITED KINGDOM Mohamed A. Imam, MD, MSc, DSportMed, ELD (Oxon), PhD, FRCS, UNITED KINGDOM
Predictors of High Oxford Knee Scores at 1 year Following TKR - Analysis of 4126 knees at a Single Centre ePoster Presentation Payam Tarassoli, MBChB, BSc, DipSEM, MD, FRCS, AUSTRALIA Yoong Lim, BEng, PhD, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Lateral Laxity is Related to the Postoperative Kinematics and Knee Symptoms After Total Knee Arthroplasty Using Medial Stabilizing Technique with a Navigation System ePoster Presentation Takahiro Tsushima, MD, PhD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Kazuki Oishi, MD, JAPAN Yukiko Sakamoto, MD, PhD, JAPAN Yuka Kimura, MD, PhD, JAPAN Eiichi Tsuda, Prof., JAPAN Yasuyuki Ishibashi, MD, JAPAN
The Femoral Cuts Correlation Between Robotic And Conventional Surgery In Total Knee Arthroplasty: A Cadaveric Study ePoster Presentation Berta Gasol Cudos, MD, SPAIN Juan Ignacio Erquicia, MD, PhD, SPAIN Eric Camprubí, MD, SPAIN Albert Pons Riverola, MD, SPAIN Angela Zumel, PhD, SPAIN Joan Leal-Blanquet, MD, PhD, SPAIN
Evaluating Tibial Component Rotational Alignment After Total Knee Arthroplasty Using Augmented Reality Navigation System With Smart Glasses ePoster Presentation Takayuki Koya, MD, PhD, JAPAN Atsushi Sato, MD, PhD, JAPAN Masataka Ota, MD, JAPAN Misako Takizawa, MD, JAPAN Reo Nagasaka, JAPAN Marika Mukunoki, MD, JAPAN Kanako Izukashi, MD, JAPAN Jun Oike, MD, PhD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Saki Yagura, MD, JAPAN Koji Kanzaki, Prof., JAPAN
Changes In Improvement Of Physical Function And Qol After Cr Type Total Knee Arthroplasty ePoster Presentation Yuki Kawaguchi, PT, JAPAN Masayoshi Okuda, MD, PhD, JAPAN Shuhei Sugioka, MD, JAPAN Yusuke Inagaki, MD, PhD, JAPAN Yasuhito Tanaka, Prof., JAPAN
Clinical Outcomes Of Functional Versus Mechanical Alignment In Robotic-Arm Assisted Total Knee Arthroplasty: A Randomised Controlled Trial ePoster Presentation Simon W. Young, MD, FRACS, NEW ZEALAND Mei Lin Tay, PhD, NEW ZEALAND Kohei Kawaguchi, MD, PhD, JAPAN Bill Farrington, FRCS, NEW ZEALAND Rupert S Van Rooyen, MBChB, FRACS, NEW ZEALAND Matthew Walker, MBChB, FRACS, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND
Patellar Alignment In Robotic-Assisted Total Knee Arthroplasty. ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Rodrigo Guiloff, MD, Prof, CHILE Javier Ignacio González, MD, CHILE Mario Eduardo Mora Valdés, MD, CHILE Daniel Alvarez, MD, CHILE
Operator variation in applying the AtMoves knee loading device for evaluation of tibial component loosening ePoster Presentation George Samuel Buijs, MD, NETHERLANDS Maaike Annemiek ter Wee, MSc, NETHERLANDS Chiel Klein, BSc, NETHERLANDS Lidwine B. Mokkink, PhD, NETHERLANDS Johannes Dobbe, PhD, NETHERLANDS Mario Maas, MD, PhD, NETHERLANDS Matthias U. Schafroth, MD, NETHERLANDS Geert Streekstra, PhD, NETHERLANDS Leendert Blankevoort, PhD, NETHERLANDS Arthur Johan Kievit, MD, NETHERLANDS
Female Patients Depend More On Postoperative Outcomes In Assessing Satisfaction Than Male Patients After Total Knee Arthroplasty ePoster Presentation Yun Seong Choi, MD, KOREA, REPUBLIC OF Seung Hoon Lee, MD, KOREA, REPUBLIC OF
A Multi-Disciplinary Program For Opioid Sparse Arthroplasty Results In Reduced Long-Term Opioid Consumption: A Four Year Prospective Study ePoster Presentation Christopher J. Wilson, A/Prof, MBChB, MRCS, FRACS, PhD, AUSTRALIA D-Yin Lin, MBBS, AUSTRALIA
Changes In Foot Pressure Among Patients With Varus Knee Osteoarthritis Undergoing Bilateral Simultaneous Total Knee Arthroplasty – A Prospective Observational Pedobarographic Assessment ePoster Presentation Roop Bhushan Kalia, M.S (Orthopaedics), INDIA Divyansh Sharma, MBBS,M.S (Orthopaedics), INDIA Pradeep Kumar Meena, MBBS,M.S(Orthopaedics), INDIA Raj Kumar Yadav, MBBS,M.D, INDIA Ankit Gaurav, MS ORTHOPAEDICS, INDIA
Successful Outcomes in Combined Unicompartmental Knee Arthroplasty and Anterior Cruciate Ligament Reconstruction : A Clinical Study ePoster Presentation Theodore Balfousias, MD, MSc, FEBOT, GREECE Ilias Fanourgiakis, MD, MSc, FEBOT, GREECE Rainer Siebold, Prof. Dr. med., GERMANY
Differences In Coronal Plane Alignment Of The Knee (CPAK) Measured On Long-Leg Radiographs Compared To Computed Tomography For The Patients Undergoing Total Knee Arthroplasty ePoster Presentation Kohei Kawaguchi, MD, PhD, JAPAN Mei Lin Tay, PhD, NEW ZEALAND Bill Farrington, FRCS, NEW ZEALAND Rupert S Van Rooyen, MBChB, FRACS, NEW ZEALAND Matthew Walker, MBChB, FRACS, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Impact of Unilateral and Bilateral Total Knee Arthroplasty for Bilateral Osteoarthritis on Postoperative Fractures Risk ePoster Presentation Hiroshi Fujii, MD, PhD, JAPAN
Anatomical investigation of the popliteal artery in unicompartmental knee arthroplasty cases ePoster Presentation Naoto Date, MD, JAPAN Masaki Mori, MD, PhD, JAPAN Kengo Kaji, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN
The Impact Of Aging On Recovery And Satisfaction In Knee Replacement Patients ePoster Presentation Tess L.Y Tsoi , MBChB, HONG KONG Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Higher Preoperative Knee Extensor Strength Could Be Beneficial In Reducing Total Blood Loss In Total Knee Arthroplasty ePoster Presentation Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF Yong-Beom Park, MD, PhD, KOREA, REPUBLIC OF
The Effects Of The Flexion Gap Setting On Postoperative Outcomes Of Tka Using The Mako Robotic Arm ePoster Presentation Shuhei Sugioka, MD, JAPAN Masayoshi Okuda, MD, PhD, JAPAN Yuki Kawaguchi, PT, JAPAN Yasuhito Tanaka, Prof., JAPAN
Investigating Patient And Surgical Factors Affecting Same Day Discharge After Unicompartmental Knee Replacement ePoster Presentation Suleyman Ulla, MBChB, UNITED KINGDOM Patrick Richard Michael Nicholas, MBChB, MRCS(Glasg), UNITED KINGDOM Stuart Wilson Bell, MBChB MRCP FRCS (Orth), UNITED KINGDOM
Learning Curves in 204 Robotic-Assisted Total Knee Replacements: Comparing Senior, Intermediate, and Senior-Junior Surgical Teams ePoster Presentation Hector Zamorano, MD, CHILE Roberto Yañez, MD,phD,prof, CHILE Sebastian Valdes, student, CHILE Gaston Caracciolo, CHILE Cristobal Yañez, MD, CHILE Sebastian Yanez, MD, CHILE Leonardo Javier Carabajal Vera, MD, ARGENTINA Lars Raymond Strömback, MD, CHILE Magaly Iñiguez, MD, CHILE
Comparison Of Outcomes Of Revision Uka To Tka And Primary Tkas -A Propensity Matched Study. ePoster Presentation Myles R. J. Coolican, FRACS, AUSTRALIA Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA
Double-blinded Prospective Randomized Clinical Trial in Total Knee Arthroplasty: Impact of Tourniquet Inflation Timing on Postoperative Pain, Joint Function, and Quality of Life ePoster Presentation Po-Yao Wang, MD, TAIWAN Ting-Chun Lin, TAIWAN Chia-Hui Wang, PhD, TAIWAN Jia-Lin Wu, MD, MS, TAIWAN
An MRI-Based Anatomy Study for Optimal Direction and Depth in Intraoperative Adductor Canal Block Injection ePoster Presentation Sueen Sohn, MD, PhD, KOREA, REPUBLIC OF Seung Yeob Kang, MD, KOREA, REPUBLIC OF Ki Hyun Kang, MD, KOREA, REPUBLIC OF
Robotic-Assisted Total Knee Arthroplasty Improves Accuracy and Reproducibility Compared to Manual Instrumentation or Navigation. ePoster Presentation Yoan Bourgeault-Gagnon, MD, FRCSC, CANADA Lucy J. Salmon, PhD, AUSTRALIA Matt Lyons, FRACS, AUSTRALIA
Association Between Surgeon Volume And Patient Outcomes After Elective Patellofemoral Joint Replacement Surgery Using Data From The National Joint Registry And Hospital Episode Statistics For England: Population Based Cohort Study ePoster Presentation Martinique Vella-Baldacchino, MD, MRCS, PG CERT (HEALTH LEADERSHIP), IOC DIp Spo, UNITED KINGDOM Alex Bottle, Phd, UNITED KINGDOM Justin Cobb, MCh FRCS, UNITED KINGDOM Alex D Liddle, MBBS BSc DPhil FRCS(Orth), UNITED KINGDOM
Two-Year Results Of The Kneefix Study: A Randomised Controlled Trial Comparing Uncemented Versus Cemented Fixation In Total Knee Arthroplasty With Patella Resurfacing ePoster Presentation Simon W. Young, MD, FRACS, NEW ZEALAND Bill Farrington, FRCS, NEW ZEALAND Rupert S Van Rooyen, MBChB, FRACS, NEW ZEALAND Mei Lin Tay, PhD, NEW ZEALAND Matthew Walker, MBChB, FRACS, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND
Investigation Of Factors Predicting Postoperative Alignment In Unicompartmental Knee Arthroplasty For Knees With Over 10 Degrees Of Varus Deformity. ePoster Presentation Masaki Mori, MD, PhD, JAPAN Naoto Date, MD, JAPAN Kengo Kaji, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN
Is It Really Worth Changing From Computer Navigation to Robotic Knee Replacement? A Prospective Study to Compare Patient Outcomes Following Robotic-Assisted and Computer-Navigated TKA ePoster Presentation Jacob O'Brien, B. Physiotherapy (Hons), AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA Myles R. J. Coolican, FRACS, AUSTRALIA
Mid-Term Outcomes Of Lateral Fixed-Bearing Unicompartmental Knee Arthroplasty ePoster Presentation Sumin Lim, MD, PhD, KOREA, REPUBLIC OF Jun-Young Chung, MD, KOREA, REPUBLIC OF Tae Hun Kim, MD, KOREA, REPUBLIC OF Myung-Sub Lee, MD, KOREA, REPUBLIC OF Jeong-Hyun Koh, MD, KOREA, REPUBLIC OF Jeong Sunwoo, MD, KOREA, REPUBLIC OF
Virtual Reality Simulator For Knee Arthroplasty: Evaluating Content And Face Validity For Orthopaedic Residency Training ePoster Presentation Conor Rankin, MRCS MBChB BMedSci AFHEA, UNITED KINGDOM Joseph E McKay, MBChB BSc MRCS MMEd, UNITED KINGDOM Christopher Thornhill, BM BS BSc (Hons) MRCS, UNITED KINGDOM Roberto Alho, MBBS BSc MPhil FRCS, UNITED KINGDOM Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM
Clinical and Radiological Comparison of Unicompartmental vs Patellofemoral vs Total Knee Arthroplasty ePoster Presentation Kewin Sony, MBBS, MRes, UNITED KINGDOM Oday Al-Dadah, MBChB, MD, FRCS (Tr & Orth), UNITED KINGDOM
An Artificial Intelligence-Based Approach In Total Knee Arthroplasty ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Sergio De Salvatore, MD, ITALY Federica Valente, MD, ITALY Bruno Violante, MD Ph.d, ITALY Mariajose Villa Corta, MD, ITALY Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Giuseppe Salvatore, MD, PhD, ITALY Alessandra Berton, MD, ITALY Letizia Mancini, MD, ITALY Vincenzo Candela, MD, PhD, ITALY Arianna Carnevale, PhD, ITALY Rocco Papalia, MD, PhD, Prof., ITALY
Influence of Femorotibial Posterior Overhang and Posterior Tibial Slope on Patellar Changes After TKA ePoster Presentation Shunsuke Utsumi, MD, JAPAN Takashi Aki, PhD, JAPAN Masayuki Kamimura, JAPAN Kento Harada, MD, JAPAN Toshimi Aizawa, JAPAN
An Isakos Funded Study - Physical Activity Outcomes In Patellofemoral Vs. Total Knee Replacements: A Randomised Control Trial For Isolated Patellofemoral Joint Osteoarthritis . ePoster Presentation Martinique Vella-Baldacchino, MD, MRCS, PG CERT (HEALTH LEADERSHIP), IOC DIp Spo, UNITED KINGDOM Julie Heegaard, MD, DENMARK Snorre Stephensen, MD, DENMARK Soeren Rytter , MD, DENMARK Per Wagner Kristensen, MD, DENMARK Zahid Asghar , PhD, UNITED KINGDOM Alex D Liddle, MBBS BSc DPhil FRCS(Orth), UNITED KINGDOM Justin Cobb, MCh FRCS, UNITED KINGDOM Anders Odgaard, DENMARK
Assessing the Influence of Body Mass Index and Tibial Prosthesis Design Characteristics on Survivorship and Revision Rates in Total Knee Arthroplasty ePoster Presentation Kristen I Barton, MD, PhD, UNITED STATES Alexandru Florea, MD, CANADA Kevin R Boldt, PhD, CANADA Clay Inculet, FRCPC, MB BCh BAO, MESc, CANADA Matthew Teeter, PhD, CANADA Lyndsay Somerville, PhD, CANADA Brent Lanting, MD, FRCSC, CANADA
Acute Postoperative Pain Is An Independent Risk Factor Associated With Chronic Postoperative Pain After Total Knee Arthroplasty ePoster Presentation Takuya Iseki, MD, PhD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Yoshitaka Nakao, MD, JAPAN Hiroshi Nakayama, MD., PhD., JAPAN Toshiya Tachibana, MD, PhD, JAPAN
The Mind Matters: Psychological Factors Influence Subjective Outcomes Following Unicompartmental Knee Arthroplasty - A Prospective Study ePoster Presentation Gaby Victoria Ten Noever De Brauw, NETHERLANDS Margot B. Aalders, MD, NETHERLANDS Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS Joyce L. Benner, PhD, NETHERLANDS

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Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

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Knee Arthroplasty ePosters

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Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

Tourniquet use Does not Affect Bleeding and Surgical Time in Robotic Assisted Total Knee Arthroplasty

Objective

Methods

Results

Conclusion