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Comparing Three Routes of Tranexamic Acid Administration in Total Knee Arthroplasty on Blood Loss

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Ace Report Cover
June 2025

Comparing Three Routes of Tranexamic Acid Administration in Total Knee Arthroplasty on Blood Loss

Vol: 307| Issue: 6| Number:115| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

A Randomized Trial of Three Routes of Tranexamic Acid Administration in Total Knee Arthroplasty.

Orthopedics . 2023 Sep-Oct;46(5):285-290.

Contributing Authors:
NAM Hootsmans S Vellanky J Grady-Benson MS Cremins

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Synopsis

One hundred eleven patients undergoing primary unilateral total knee arthroplasty were randomized to receive intravenous TXA (n=37), oral TXA (n=37), or topical TXA (n=37). The primary outcomes of interest were 24-hour hemoglobin loss, calculated blood loss, and blood transfusion rate. Secondary outcomes included length of hospital stay, ambulation rate on postoperative day 0, maximum ambulation d...

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