HCA Neighborhood Health Watch: Tourniquet-less total knee replacement

HCA Neighborhood Health Watch: Tourniquet-less total knee replacement

(WWBT) - The topic today in Neighborhood Health Watch is tourniquet-less total knee replacement to reduce the pain of arthritis in the knee.

Arthritis is inflammation of your joints, and it is the cause of pain, swelling, and stiffness. Any joint in the body can be affected by arthritis, but it is particularly common in the knee. That can make everyday activities, including walking and climbing stairs, difficult.

Dr. David Miller, Sr. with Chippenham Hospital says post-operatively, patients have less pain. They have better range of motion and are able to leave the hospital quicker.

"Traditionally, we used the tourniquet to decrease blood loss and increase visualization, when in fact this allows me to control the bleeding during the surgery," said Dr. Miller. "Therefore, it's less tissue swelling, less wound complications, less thigh pain from the tourniquet, less deep vein thrombosis or blood clots in the leg that can dislodge and go to the lung and cause pulmonary embolism. Usually you're in the hospital one or two days. We get you up the same day. You're driving in two weeks and back to work six to eight weeks, depending on how well you do."

Dr. Miller says he began using the tourniquet-less total knee replacement years ago. Now, he uses it with all his knee replacement patients. He considers it the best surgical treatment option for people with bad knees and are in need of surgery.

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