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Comparison of topical and intravenous tranexamic acid in total hip arthroplasty

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Ace Report Cover
August 2016

Comparison of topical and intravenous tranexamic acid in total hip arthroplasty

Vol: 5| Issue: 8| Number:8| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Topical vs Intravenous Tranexamic Acid in Primary Total Hip Arthroplasty: A Double-Blind, Randomized Controlled Trial

J Arthroplasty. 2016 May;31(5):1022-6

Contributing Authors:
WT North N Mehran JJ Davis CD Silverton RM Weir MW Laker

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Synopsis

139 patients scheduled for primary unilateral total hip arthroplasty were randomized to administration of either topical tranexamic acid (TXA) or intravenous tranexamic acid. Groups were compared regarding total calculated blood loss, hemoglobin drop, incidence of transfusion, and development of thromboembolic complications. Despite significantly greater blood loss and hemoglobin drop in the topic...

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