Unbound MEDLINE

Esmarch tourniquet in orthopaedic surgery.

Abstract

A bloodless field is important in many orthopaedic operations necessitating the use of a pneumatic tourniquet or Esmarch bandage. The outcome of the use of an Esmarch bandage for exsanguination and as a tourniquet in 112 consecutive patients who had elective orthopaedic operations on 131 limbs was evaluated. The setting was at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, from March 2003 to February 2005. The mean age of the patients was 25.7 + standard deviation years (range 1-70 years). The duration of tourniquet application ranged from 20 min to 2 h 35 min. Four limbs (3.1%) developed acute compartment syndrome; four (3.1%) had tourniquet paralysis with ulnar nerve involvement in three limbs. All limbs regained full neurological function following physiotherapy. There was wound infection in two limbs (1.5%). In spite of its drawbacks, the Esmarch bandage is still useful for exsanguination and as a tourniquet in orthopaedic surgery where there is no pneumatic tourniquet.

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  • Publisher Full Text
  • Authors

    Akinyoola AL, Oginni LM, Orimolade EA, Ogundele OJ

    Source

    Tropical doctor 37:3 2007 Jul pg 139-41

    MeSH

    Adolescent
    Adult
    Aged
    Child
    Child, Preschool
    Elective Surgical Procedures
    Female
    Hospitals, Teaching
    Humans
    Infant
    Male
    Middle Aged
    Nigeria
    Orthopedic Procedures
    Radial Neuropathy
    Tourniquets
    Ulnar Neuropathies

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17716495