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Intravenous Tranexamic Acid Does Not Improve Visual Field Clarity During Hip Arthroscopy

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Ace Report Cover
November 2025

Intravenous Tranexamic Acid Does Not Improve Visual Field Clarity During Hip Arthroscopy

Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Intravenous Tranexamic Acid Does Not Improve Visual Field Clarity During Hip Arthroscopy: A Double-Blind, Randomized, Placebo-Controlled Trial.

Arthroscopy . 2025 Aug;41(8):2865-2873.

Contributing Authors:
KN Kunze S Madjarova R Olsen R Smolarsky S Menta R Baldwin AS Ranawat DH Nawabi BT Kelly BU Nwachukwu

Synopsis

Seventy-eight patients with femoroacetabular impingement syndrome were randomized to receive 1,000 mg IV tranexamic acid (TXA) in 100 mL saline (n=39) or placebo saline (n=39). The primary outcome was arthroscopic visual field clarity (VFC), graded every 15 minutes on a 3-point scale. Secondary outcomes included the percentage of good VFC scores, composite VFC averages, and treatment-related adver...

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