Abstract
Since first used by H. Cushing in 1904 for creating a bloodless field the pneumatic tourniquet has become an essential element in orthopaedic surgery, enabling the surgeon to perform meticulous dissections with a significant reduction of bleedings. These advantages are especially appreciated in micro-, hand and reconstructive surgery, arthroscopic surgery and fracture treatment.
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Blebea J, Kerr J, Shumko J, Feinberg R, Hobson R: Quantitative histochemical evaluation of skeletal muscle ischemia and reperfusion injury. J Surg Res 43: 311–321, 1987
Boekstegers P, Fleckenstein W, Rosport A, Ruschewsky W, Braun U: Überwachung der Sauerstoffversorgung des Skelettmuskels und der Gesamtsauerstoffaufnahme bei koronarchirurgischen Eingriffen. Anaesthesist 37: 287–296, 1988
Eckert P, Schnackerz K: Ischemic tolerance of human skeletal muscle. Ann Plast Surg 26: 77–84, 1991
Fleckenstein W, Heinrich R, Kersting T, Schomerus H, Weiss Ch: A new method for the bed-side recording of tissue pO2-histograms. Verh Dtsch Ges Inn Med 90: 439, 1984
Haljamäe H, Enger E: Human skeletal muscle energy metabolism during and after complete tourniquet ischemia. Ann Surg 182: 9–14, 1975
Heinrich R, Günderoth-Palmowski M, Grauer W, Machac N, Dette S, Egberts E: Gewebe-pO2 im M. tibialis ant. gesunder Probanden bei normovolämischer Hämodilution mit 10 %iger HES 200. VASA 16: 318–323, 1987
Heppenstall RB, Balderston R, Goodwin C: Pathophysiological effects distal to a tourniquet in the dog. J Trauma 19:234–238, 1979
Klenerman L, Crawley J: Limb blood flow in the presence of a tourniquet. Acta Orthop Scand 48: 291–295, 1977
Korthuis RJ, Granger DN, Towensley M, Taylor A: The role of oxygen-derived free radicals in ischemia-induced increases in canine skeletal muscle vascular permeability. Circ Res 57: 599–609, 1985
Korthuis RJ, Grisham MB, Granger DN: Leucocyte depletion attenuates vascular injury in postischemic skeletal muscle. Am J Physiol 254: H823–H827, 1988
McCord JM, Roy RS: The pathophysiology of Superoxide: Roles in inflammation and ischemia. Can J Physiol Pharmacol 60: 1346–1352, 1982
Nakahara M: Tourniquet effects on muscle oxygen tension in dog limbs. Acta Orthop Scand 55: 576–578, 1984
Pedowitz RA: Tourniquet-induced neuromuscular injury: A recent review of rabbit and clinical experiments. Acta Orthop Scand 62 (suppl 245): 1–33, 1991
Santavirta S, Höckerstedt K, Niinikoski J: Effect of pneumatic tourniquet on muscle oxygen tension. Acta Orthop Scand 49: 415–419, 1978a
Santavirta S, Höckerstedt K, Linden H: Pneumatic tourniquet and limb blood flow. Acta Orthop Scand 49: 565–570, 1978b
Sherman OH, Fox JM, Snyder SJ, Del Pizzo W, Friedman MJ, Ferkel RD, Lawley MJ: Arthroscopy-“No-problem surgery”. J Bone Joint Surg 68A: 256–265, 1986
Suval W, Duran W, Boric M, Hobson R, Berendsen P, Ritter A: Microvascular transport and endothelial cell alterations preceding skeletal muscle damage in ischemia and reperfusion injury. Am J Surg 154: 211–218, 1987
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© 1997 Springer Science+Business Media New York
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Evers, B., Ödemis, V., Gerngroß, H. (1997). Oxygen Partial Pressure in the Anterior Tibial Muscle During and After Knee Surgery with Tourniquet Control. In: Harrison, D.K., Delpy, D.T. (eds) Oxygen Transport to Tissue XIX. Advances in Experimental Medicine and Biology, vol 428. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5399-1_45
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DOI: https://doi.org/10.1007/978-1-4615-5399-1_45
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