Topical Tranexamic Acid Is Effective in Cementless Total Knee Arthroplasty.

Topical Tranexamic Acid Is Effective in Cementless Total Knee Arthroplasty. Orthop Clin North Am. 2020 Jan;51(1):7-11 Authors: Chambers S, Tidwell L, Kerkhof A, Smith R, Mihalko WM Abstract Surgical techniques used to decrease the amount of blood lost during the procedure range from tourniquets to electrocautery and, more recently, the use of antifibrinolytics. Currently, tranexamic acid is the most commonly used antifibrinolytic in arthroplasty procedures. It was previously thought that intravenous tranexamic acid was more effective than topical tranexamic acid, but had an increased risk of thrombosis and cardiac events; however, this study showed that topical tranexamic acid is as effective in decreasing blood loss and the need for a blood transfusion after hybrid fixation total knee arthroplasty as with cemented total knee arthroplasty. PMID: 31739881 [PubMed - in process]
Source: The Orthopedic Clinics of North America - Category: Orthopaedics Authors: Tags: Orthop Clin North Am Source Type: research