PBJ surgical technique guide
Tourniquet-Free Knee Replacement
Tourniquet-free knee replacement may be used when appropriate as part of a broader recovery philosophy: less tissue irritation, less swelling, less discomfort, and better early movement for selected patients.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
Patient education
Useful guidance before the visit, clearer decisions during the visit.
01
Why tourniquets are discussed
A tourniquet can reduce bleeding during knee surgery, but it can also contribute to thigh soreness and quadriceps inhibition in some patients.
02
Why avoiding a tourniquet may help
When appropriate, tourniquet-free surgery may reduce muscle irritation, early discomfort, stiffness related to muscle trauma, and difficulty activating the quadriceps.
03
Technique is part of a system
Tourniquet decisions work together with pain control, swelling control, soft-tissue handling, therapy, and patient optimization.
04
How I use this guide in a real visit
I do not expect patients to memorize every detail. The useful part is noticing what sounds like your situation, then bringing that question into the office so we can apply it to your X-rays, exam, and goals.
05
What changes the recommendation
Knee recommendations change when weight-bearing X-rays show advanced arthritis, when swelling and stiffness are taking over, when nonsurgical care is no longer holding, or when medical risk and home support make waiting safer.
Related patient trust
Knee patients want to know if it is time.
Most people are not looking for a sales pitch. They want to know whether injections, therapy, partial knee, total knee, or robotic planning makes sense for their knee.
01
Partial and total knee replacement guidance
02
Robotic-assisted planning when it fits
03
Recovery help for swelling, motion, golf, hiking, and walking
Related next steps
Make it personal
A guide helps. Imaging, exam, and goals make the plan real.
Bring your symptoms, records, and questions into a focused consultation so this information can be applied to your case.
