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@heyjoe415
A tourniquet is not always used and is becoming less and less common as research indicates it is not necessary and can even be harmful:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8094224/
My surgeon did NOT use a tourniquet but controlled the blood with tranexamic acid. I had zero post surgery pain. My brother had a replacement around the same time but his surgeon used a tourniquet and he had substantial pain as a result during the first month or so of recovery.

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Replies to "@heyjoe415 A tourniquet is not always used and is becoming less and less common as research..."

Hi Steve,

Thanks for the article on tourniquet use during TKRs from the NIH. I don't know what tranexamic acid is, or possible side effects. The article makes clear what I experienced, there is substantial pain and bruising from using a tourniquet.

That said, it's a small price to pay so the surgeon has an unobstructed area to operate. I only wish he had told me. the bruising appeared on the second day after surgery and was shocking to see! That said, I've been extremely happy with the results of my TKRs, almost 4 years old now!

Thanks for the info.

Joe