title: Evaluation of pain in bilateral total knee replacement with and without tourniquet; a prospective randomized control trial.
abstract: OBJECTIVE
  Thigh pain following tourniquet application is a common complaint in early post operative period following total knee arthroplasty.
  
  
  METHODS
  Post operative Thigh pain was evaluated in 30 consecutive simultaneous bilateral total knee arthroplasty patients between July 2013 and January 2014. Patient thigh pain was evaluated with the VAS score. The scale was applied on first, second, third day & second and six weeks after surgery.
  
  
  RESULTS
  There were statistically significant difference in VAS score in non-tourniquet group on first, second, third post operative day. We did not find statistically significant difference at Second and Six weeks post operatively.
  
  
  CONCLUSIONS
  This Randomized trial demonstrates that non-tourniquet use in TKA has less early postoperative pain and leads to better recovery.
authors.affiliation: Senior Research Associate, AIIMS, India.
authors.forename: Nishikant
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Professor Orthopaedics, All India Institute of Medical Sciences, AIIMS, New Delhi, India.
authors.forename: Chandrashekhar
authors.initials: C
authors.lastname: Yadav
authors.affiliation: Professor Orthopaedics, All India Institute of Medical Sciences, AIIMS, New Delhi, India.
authors.forename: Swapnil
authors.initials: S
authors.lastname: Singh
authors.affiliation: Professor Orthopaedics, All India Institute of Medical Sciences, AIIMS, New Delhi, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Professor Orthopaedics, All India Institute of Medical Sciences, AIIMS, New Delhi, India.
authors.forename: Aruljothi
authors.initials: A
authors.lastname: Vaithlingam
authors.affiliation: Professor Orthopaedics, All India Institute of Medical Sciences, AIIMS, New Delhi, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Yadav
keywords: Bilateral; Thigh pain; Total knee arthroplasty; Tourniquet