{"id":"https://openalex.org/W7128060907","doi":"https://doi.org/10.4103/juoa.juoa_9_24","title":"Tourniquet-Related Nerve Injury in Orthopedic Surgery: Comprehensive Review on Pathophysiology, Diagnosis, and Mitigation Strategies","display_name":"Tourniquet-Related Nerve Injury in Orthopedic Surgery: Comprehensive Review on Pathophysiology, Diagnosis, and Mitigation Strategies","publication_year":2023,"publication_date":"2023-07-01","ids":{"openalex":"https://openalex.org/W7128060907","doi":"https://doi.org/10.4103/juoa.juoa_9_24"},"language":"en","primary_location":{"id":"doi:10.4103/juoa.juoa_9_24","doi":"https://doi.org/10.4103/juoa.juoa_9_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/juoa.juoa_9_24","pdf_url":null,"source":{"id":"https://openalex.org/S4389157931","display_name":"Journal of the Uttaranchal Orthopaedic Association","issn_l":"2950-0257","issn":["2950-0257"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Uttaranchal Orthopaedic Association","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.4103/juoa.juoa_9_24","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059023086","display_name":"Anil Regmi","orcid":"https://orcid.org/0000-0002-9182-4851","observed_orcids":["https://orcid.org/0000-0002-9182-4851"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Anil Regmi","raw_affiliation_strings":["Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122799644","display_name":"Rabi Raman Neupane","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rabi Raman Neupane","raw_affiliation_strings":["Department of Anaesthesiology, Charak Memorial Hospital, Pokhara, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, Charak Memorial Hospital, Pokhara, Nepal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019487353","display_name":"Jhapindra Pokharel","orcid":"https://orcid.org/0000-0002-6922-5211","observed_orcids":["https://orcid.org/0000-0002-6922-5211"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jhapindra Pokharel","raw_affiliation_strings":["Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048464606","display_name":"Pradeep Kafle","orcid":"https://orcid.org/0000-0001-7054-3359","observed_orcids":["https://orcid.org/0000-0001-7054-3359"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pradeep Kafle","raw_affiliation_strings":["Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5059023086"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2136,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.43408584,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"2","issue":"2","first_page":"39","last_page":"42"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.3310999870300293,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.3310999870300293,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12548","display_name":"Hemostasis and retained surgical items","score":0.22689999639987946,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.18199999630451202,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tourniquet-time","display_name":"tourniquet time","score":0.6869999766349792},{"id":"https://openalex.org/keywords/orthopedic-surgery","display_name":"orthopedic surgery","score":0.8169999718666077},{"id":"https://openalex.org/keywords/pathophysiology","display_name":"pathophysiology","score":0.6520000100135803},{"id":"https://openalex.org/keywords/diagnosis","display_name":"diagnosis","score":0.6100000143051147},{"id":"https://openalex.org/keywords/prevention","display_name":"prevention","score":0.6990000009536743},{"id":"https://openalex.org/keywords/nerve-transfer","display_name":"nerve transfer","score":0.6779999732971191},{"id":"https://openalex.org/keywords/nerve-grafting","display_name":"nerve grafting","score":0.9139999747276306},{"id":"https://openalex.org/keywords/upper-limb-nerve-injury","display_name":"upper limb nerve injury","score":0.7599999904632568}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9003999829292297},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.7675999999046326},{"id":"https://openalex.org/C2775991916","wikidata":"https://www.wikidata.org/wiki/Q2945973","display_name":"Nerve injury","level":2,"score":0.5742999911308289},{"id":"https://openalex.org/C2779400597","wikidata":"https://www.wikidata.org/wiki/Q1132870","display_name":"Tourniquet","level":2,"score":0.48730000853538513},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4262999892234802},{"id":"https://openalex.org/C3020281888","wikidata":"https://www.wikidata.org/wiki/Q3335079","display_name":"Nerve repair","level":3,"score":0.38359999656677246},{"id":"https://openalex.org/C3018498973","wikidata":"https://www.wikidata.org/wiki/Q9620","display_name":"Peripheral nerve","level":2,"score":0.3587000072002411},{"id":"https://openalex.org/C2910979460","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic Procedures","level":3,"score":0.350600004196167},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.349700003862381},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3278000056743622},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.323199987411499},{"id":"https://openalex.org/C43893838","wikidata":"https://www.wikidata.org/wiki/Q840545","display_name":"Sports medicine","level":2,"score":0.3098999857902527},{"id":"https://openalex.org/C2989316616","wikidata":"https://www.wikidata.org/wiki/Q6027402","display_name":"Lower limb","level":2,"score":0.3086000084877014},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.28139999508857727},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.2603999972343445},{"id":"https://openalex.org/C2779021416","wikidata":"https://www.wikidata.org/wiki/Q1365325","display_name":"Radial nerve","level":2,"score":0.2535000145435333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.4103/juoa.juoa_9_24","doi":"https://doi.org/10.4103/juoa.juoa_9_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/juoa.juoa_9_24","pdf_url":null,"source":{"id":"https://openalex.org/S4389157931","display_name":"Journal of the Uttaranchal Orthopaedic Association","issn_l":"2950-0257","issn":["2950-0257"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Uttaranchal Orthopaedic Association","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.4103/juoa.juoa_9_24","doi":"https://doi.org/10.4103/juoa.juoa_9_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/juoa.juoa_9_24","pdf_url":null,"source":{"id":"https://openalex.org/S4389157931","display_name":"Journal of the Uttaranchal Orthopaedic Association","issn_l":"2950-0257","issn":["2950-0257"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Uttaranchal Orthopaedic Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W1985175755","https://openalex.org/W2001301839","https://openalex.org/W2001745803","https://openalex.org/W2017891859","https://openalex.org/W2029458549","https://openalex.org/W2032542470","https://openalex.org/W2038953259","https://openalex.org/W2041010628","https://openalex.org/W2092671758","https://openalex.org/W2113326573","https://openalex.org/W2151494464","https://openalex.org/W2157345964","https://openalex.org/W2167419342","https://openalex.org/W2317186041","https://openalex.org/W2750779326","https://openalex.org/W2752406053","https://openalex.org/W2902001995"],"related_works":["https://openalex.org/W4289793195","https://openalex.org/W3030297108","https://openalex.org/W1965823661","https://openalex.org/W4412823120","https://openalex.org/W4412822779","https://openalex.org/W4386580079","https://openalex.org/W7172005205","https://openalex.org/W4390510380","https://openalex.org/W2116402909","https://openalex.org/W2092201557"],"abstract_inverted_index":{"Abstract":[0],"Tourniquets":[1],"are":[2],"widely":[3],"utilized":[4],"in":[5],"orthopedic":[6],"surgery":[7],"to":[8,52,67,102,108],"maintain":[9],"a":[10,28],"bloodless":[11],"field,":[12],"improving":[13],"operational":[14],"precision":[15],"and":[16,32,78,100,104],"safety.":[17],"Despite":[18],"their":[19],"benefits,":[20],"the":[21,54,88,110],"risk":[22],"of":[23,40,56,112],"tourniquet-related":[24,92],"nerve":[25,71,79,93],"injuries":[26,77],"remains":[27],"significant":[29],"concern.":[30],"Experimental":[31],"clinical":[33],"evidence":[34],"suggests":[35],"that":[36],"while":[37],"2":[38],"hours":[39],"tourniquet":[41],"use":[42],"is":[43],"considered":[44],"generally":[45],"safe,":[46],"longer":[47],"durations":[48],"require":[49],"careful":[50],"management":[51,61],"minimize":[53,109],"prevalence":[55],"neurological":[57],"complications.":[58,114],"Nerve":[59],"injury":[60],"can":[62],"vary":[63],"from":[64],"conservative":[65],"measures":[66],"surgical":[68],"interventions,":[69],"with":[70],"transfers":[72],"recommended":[73],"for":[74,81,91],"upper":[75],"extremity":[76,83],"grafts":[80],"lower":[82],"injuries.":[84],"This":[85],"manuscript":[86],"explores":[87],"preventive":[89,106],"strategies":[90,107],"injury,":[94],"including":[95],"proper":[96],"application":[97],"techniques,":[98],"monitoring,":[99],"adherence":[101],"protocols,":[103],"proposes":[105],"occurrence":[111],"these":[113]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-02-07T00:00:00"}
