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Biochemical and clinical outcomes between IV vs. topical tranexamic acid for blood loss in TKA

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Ace Report Cover
January 2020

Biochemical and clinical outcomes between IV vs. topical tranexamic acid for blood loss in TKA

Vol: 9| Issue: 1| Number:24| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Comparison of Topical and Intravenous Tranexamic Acid for Total Knee Replacement: A Randomized Double-Blinded Controlled Study of Effects on Tranexamic Acid Levels and Thrombogenic and Inflammatory Marker Levels

J Bone Joint Surg Am. 2019 Sep 20.

Contributing Authors:
KM Jules-Elysee A Tseng TP Sculco LR Baaklini AS McLawhorn AJ Pickard W Qin JR Cross EP Su KG Fields DJ Mayman

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Synopsis

66 patients were randomized to receive topical tranexamic acid (TXA) or intravenous (IV) TXA for the reduction of blood loss in total knee arthroplasty (TKA). The primary outcome of interest was the systemic and wound levels of plasma-anti-plasmin (PAP). Additional outcomes of interest included systemic and wound levels of prothrombin fragment 1.2 (PF1.2), interleukin (IL)-6 and TXA, total blood l...

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