{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T20:28:32Z","timestamp":1780518512615,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T00:00:00Z","timestamp":1426723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T00:00:00Z","timestamp":1426723200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This work aimed at studying the effect of tourniquet use on surgical performance and peri\u2010operative outcomes of anatomic single\u2010bundle ACL reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010four patients undergoing ACL surgery were randomized into two groups: the tourniquet (A) group and the non\u2010tourniquet (B) group. Post\u2010operative pain, need for analgesics, the volume of blood obtained in the drain, girth diameter changes in the thigh and calf, muscle strength and amount of haemarthrosis were used as outcome measures to compare the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010eight patients were available for analysis. In the A group, the degree of pain and need to analgesics was significantly higher at 4 and 10 h. The volume measured in the surgical drain, at 24 h post\u2010operative, was higher in the A group (<jats:italic>p<\/jats:italic> = 0.001). The calf and thigh girth diameters at 2 weeks showed a highly significant girth difference between the two groups (<jats:italic>p<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study showed that tourniquet use in ACL reconstruction increases immediate post\u2010operative symptoms of pain and haemarthrosis and that the effects on muscle strength are only temporary. The tourniquet can be replaced by using of a mixture of morphine and adrenaline with no interference with the quality of visibility, nor operative time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>I.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3582-z","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T11:59:12Z","timestamp":1426679952000},"page":"2948-2952","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Anterior cruciate ligament reconstruction; is a tourniquet necessary? A randomized controlled trial"],"prefix":"10.1002","volume":"24","author":[{"given":"Walid","family":"Reda","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Kasr Alainy Faculty of Medicine Cairo University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mahmoud Fouad","family":"ElGuindy","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Faculty of Medicine Fayoum University Elfayoum Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gomoa","family":"Zahry","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Kasr Alainy Faculty of Medicine Cairo University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona Selim","family":"Faggal","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Musculoskeletal Disorders Faculty of Physical Therapy Beni Suef University Beni Suef Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud Abdel","family":"Karim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Kasr Alainy Faculty of Medicine Cairo University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B2.7706340"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400610"},{"key":"e_1_2_7_4_1","first-page":"4","article-title":"Post\u2010operative pain and length of hospital stay in patients undergoing knee arthroscopy: does tourniquet use make a difference?","volume":"95","author":"Brookes B","year":"2013","journal-title":"Bone Jt J Orthop Proc 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evaluation","volume":"47","author":"Kellis E","year":"2007","journal-title":"J Sports Med Phys Fit"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000151849.37260.0a"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20109993(02)04809\u20108"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/69.10.803"},{"key":"e_1_2_7_16_1","unstructured":"McEwenJA(2014)Complications and preventive measures.www.Tourniquet.org"},{"key":"e_1_2_7_17_1","first-page":"368290","article-title":"Tourniquet\u2010related iatrogenic femoral nerve palsy after knee surgery: case report and review of the literature","volume":"2013","author":"Mingo\u2010Robinet J","year":"2013","journal-title":"Case Rep 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