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Topical Versus Intravenous Tranexamic Acid On Opioid Consumption & Pain for Total Hip Arthroplasty

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Ace Report Cover
August 2023

Topical Versus Intravenous Tranexamic Acid On Opioid Consumption & Pain for Total Hip Arthroplasty

Vol: 303| Issue: 8| Number:7| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Topical use of tranexamic acid can reduce opioid consumption compared with intravenous use for patients undergoing primary total hip arthroplasty: a prospective randomized controlled trial.

BMC Musculoskelet Disord . 2023 Jun 3;24(1):455.

Contributing Authors:
L Shen Z Jiang Q Wang W Xu

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Synopsis

161 patients undergoing total hip arthroplasty for end-stage hip osteoarthritis were randomized to receive either topical tranexamic acid (TXA; n=82) or intravenous TXA (n=79). The primary outcomes of interest included postoperative pain on a Visual Analog Scale (VAS) and tramadol consumption for the first three postoperative days. Secondary outcomes included C-reactive protein (CRP) levels, eryth...

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