Journal
JOURNAL OF ARTHROPLASTY
Volume 29, Issue 11, Pages 2113-2116Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2014.07.019
Keywords
tranexamic acid; transfusion; blood loss; DVT; THA
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Funding
- Linyi Medicine Society Fund [LY0020131165]
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The objective of this study was to determine whether topical tranexamic acid (TXA) carried similar hemostatic effect compared with intravenous TXA in total hip arthroplasty (THA). Three hundred and three THA patients were enrolled and randomized into 3 groups: no TXA group, topical and intravenous TXA group. The results showed that the topical and intravenous TXA group had reduced but similar blood transfusion rates (5.88% v. s. 5.94%, P = 0.816). No significant difference was detected in total blood loss between the two TXA groups [(963.4 +/- 421.3) ml vs. (958.5 +/- 422) ml P = 0.733]. We conclude that topical use of TXA was equally effective and safe compared with intravenous TXA in reducing blood loss and transfusion rate following THA without substantial complications. (C) 2014 Elsevier Inc. All rights reserved.
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