Choosing ankle tourniquets in foot and ankle surgery: Beyond postoperative pain considerations

Abstract

This editorial critically explores the use of ankle vs thigh tourniquets in foot and ankle surgery based on a recent study that found no significant difference in postoperative pain between the two placement techniques. Despite these findings, we argue for the preferential use of ankle tourniquets, highlighting their potential benefits in reducing venous blood stasis and minimizing soft tissue injury. This approach underscores the importance of considering long-term patient outcomes and vascular health beyond immediate postoperative pain. By integrating study findings with broader clinical considerations, we hereby advocate for a nuanced approach to tourniquet use that prioritizes patient safety and long-term recovery in conjunction with immediate postoperative pain.

Keywords: Lower extremity; Deep venous thrombosis; Recovery; Postoperative outcomes; Intraoperative decision-making

Core Tip: This editorial advocates for the selection of ankle tourniquets in foot and ankle surgery. While ankle tourniquets do not significantly reduce postoperative pain compared to thigh tourniquets, ankle tourniquets may minimize lower extremity venous stasis and soft tissue compression, especially in high-risk patients, which can enhance long-term vascular health and promote uneventful patient recovery.