The investigation was carried out in group of 38 patients where total arthropfasty knee joints operations were planned and performed. The operations have been performed under general or regional anesthesia. Usage of a knee joints arthroplasty technique under a compression with tourniquet in conditions of a general anaesthesia, is accompanied by a hypertensive syndrome requiring for a hemodynamic correction. The decompression after prosthetic repair is integrated to a recirculation hypotension especially expressed with usage of hypotensive drugs. The obtained data prove the regional methods of an anaesthesia as more reasonable for total arthroplasty of knee joints.

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