Rodriguez-Merchan Emerito Carlos
Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid 28046, Spain.
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research-IdiPAZ (La Paz University Hospital-Autonomous University of Madrid), Madrid 28046, Spain.
World J Orthop. 2024 Jun 18;15(6):498-500. doi: 10.5312/wjo.v15.i6.498.
There is controversy in the literature on where to place the tourniquet (thigh, calf, ankle) for foot and ankle surgery. While some authors prefer the ankle tourniquet to the calf tourniquet, others state that the surgeon can decide between using the thigh tourniquet or the ankle tourniquet, since there was no difference in postoperative pain between them. Where to place the tourniquet during foot and ankle surgery to cause the least possible postoperative pain to the patient as a result of the tourniquet is a common question in clinical practice. The reality is that, unfortunately, there is no consensus on this issue. Perhaps the only possible way to answer this question would be to conduct a comparative study with sufficient statistical power to reach scientifically sound conclusions. It does not seem easy to carry out such a study, but it would be important to be able to answer the question posed in the title of this Editorial once and for all.
关于在足踝手术中止血带应放置在何处（大腿、小腿、脚踝），文献中存在争议。虽然一些作者更倾向于使用脚踝止血带而非小腿止血带，但也有其他人指出，外科医生可以在使用大腿止血带或脚踝止血带之间做出决定，因为两者术后疼痛并无差异。在足踝手术中，将止血带放置在何处能使患者因止血带导致的术后疼痛降至最低，这是临床实践中一个常见的问题。现实情况是，不幸的是，在这个问题上尚未达成共识。或许回答这个问题的唯一可行方法是进行一项具有足够统计效力的比较研究，以得出科学合理的结论。开展这样一项研究似乎并不容易，但能够一劳永逸地回答本社论标题所提出的问题将非常重要。
