Open Access

Table 4

Literature debate summary.

Blood loss Pro-tourniquet Cai et al. [18] – Tourniquet use can significantly decrease intraoperative blood loss but did not significantly decrease postoperative blood loss.
Anti-tourniquet Schnettler et al. [8] – Tourniquet use with tranexamic acid leads to more blood loss than tranexamic acid alone.
Functional outcomes Pro-tourniquet Goel et al. (randomized controlled study) [9] – Tourniquet use has similar in-hospital functional results compared to no tourniquet McCarthy et al. [20] – No clinically important differences in pain, ROM, and LOS during an in-hospital stay between groups.
Anti-tourniquet Huang et al. (randomized controlled study) [21] – No tourniquet and tranexamic acid leads to less pain, less swelling, better ROM, and satisfaction during hospital stay compared to tourniquet use Chen et al. (randomized controlled study) [22] – Half-course tourniquet use leads to less pain and better ROM than full-course tourniquet use.
Gender-based outcomes There is a difference O’Conner [15] – Gender has been shown to impact both function and pain relief both before and after TKA. Women have a worse preoperative physical function and do not reach the same final level of physical function as men.
There is no difference Gen et al. [16] – Gender does not seem to affect short-term outcomes.

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