Comparison Between Intravenous and Intra-articular Regimens of Tranexamic Acid in Reducing Blood Loss During Total Knee Arthroplasty

被引:92
作者
Soni, Ashwani [1 ]
Saini, Raghav [2 ]
Gulati, Anmol [2 ]
Paul, Rajesh [1 ]
Bhatty, Shiraj [1 ]
Rajoli, Sreekanth Reddy [3 ]
机构
[1] GGS Med Coll & Hosp, Dept Orthopaed, Faridkot, India
[2] Shivam Multispecialty Hosp, Dept Orthopaed, Hoshiarpur, India
[3] Postgrad Inst Med Educ & Res, Dept Orthopaed, Chandigarh 160012, India
关键词
tranexamic acid; total knee arthroplasty; blood loss; antifibrinolytic; PNEUMATIC TOURNIQUET; REPLACEMENT; SURGERY; FIBRINOLYSIS; CONSERVATION; METAANALYSIS; EFFICACY; RELEASE; TRIAL;
D O I
10.1016/j.arth.2014.03.039
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tranexamic acid is an antifibrinolytic drug used widely to prevent bleeding. Its use in reducing bleeding during total knee arthroplasty surgery is well proven but there is no final consensus regarding the regimen. The purpose of our study was to compare the effectiveness of intravenous and intra-articular regimen of tranexamic acid during the total knee arthroplasty surgery. A total of 40 patients were received three doses of intravenous tranexamic acid during total knee arthroplasty surgery. Intra-articular tranexamic acid was used in 40 patients during the surgery. We concluded that intra-articular tranexamic acid is equally effective as three dose intravenous regimen in reducing blood loss during total knee arthroplasty surgery. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1525 / 1527
页数:3
相关论文
共 32 条
[1]   Effect of topical tranexamic acid in open heart surgery [J].
Abul-Azm, A ;
Abdullah, KM .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2006, 23 (05) :380-384
[2]  
Akimoto, 1976, JPN J CLIN PHARM THE, V7, P375, DOI [10.3999/jscpt.7.375, DOI 10.3999/JSCPT.7.375]
[3]  
Akizuki Shaw, 1997, Bulletin Hospital for Joint Diseases, V56, P222
[4]   Tranexamic acid in total knee replacement A SYSTEMATIC REVIEW AND META-ANALYSIS [J].
Alshryda, S. ;
Sarda, P. ;
Sukeik, M. ;
Nargol, A. ;
Blenkinsopp, J. ;
Mason, J. M. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2011, 93B (12) :1577-1585
[5]   The effect of tranexamic acid on local and plasma fibrinolysis during total knee arthroplasty [J].
Benoni, G ;
Lethagen, S ;
Fredin, H .
THROMBOSIS RESEARCH, 1997, 85 (03) :195-206
[6]   Fibrinolytic inhibition with tranexamic acid reduces blood loss and blood transfusion after knee arthroplasty - A prospective, randomised, double-blind study of 86 patients [J].
Benoni, G ;
Fredin, H .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1996, 78B (03) :434-440
[7]   APPLICATION OF PHARMACOKINETIC DATA FROM HEALTHY-VOLUNTEERS FOR THE PREDICTION OF PLASMA-CONCENTRATIONS OF TRANEXAMIC ACID IN SURGICAL PATIENTS [J].
BENONI, G ;
BJORKMAN, S ;
FREDIN, H .
CLINICAL DRUG INVESTIGATION, 1995, 10 (05) :280-287
[8]  
Benoni G, 1995, Am J Knee Surg, V8, P88
[9]  
BURKART BC, 1994, CLIN ORTHOP RELAT R, P147
[10]   Efficacy of aminocaproic, tranexamic acids in the control of bleeding during total knee replacement:: a randomized clinical trial [J].
Camarasa, MA ;
Ollé, G ;
Serra-Prat, M ;
Martín, A ;
Sánchez, M ;
Ricós, P ;
Pérez, A ;
Opisso, L .
BRITISH JOURNAL OF ANAESTHESIA, 2006, 96 (05) :576-582