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Comparison of topical and intravenous tranexamic acid on blood loss and transfusion rates in total hip arthroplasty.

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机构： [1]Department of Orthopaedic, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China [2]Department of Orthopaedic, Linyi People’s Hospital, Linyi, Shandong, China

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The objective of this study was to determine whether topical tranexamic acid (TXA) carried similar hemostatic effect compared with intravenous TXA in total hip arthroplasty (THA). Three hundred and three THA patients were enrolled and randomized into 3 groups: no TXA group, topical and intravenous TXA group. The results showed that the topical and intravenous TXA group had reduced but similar blood transfusion rates (5.88% v. s. 5.94%, P = 0.816). No significant difference was detected in total blood loss between the two TXA groups [(963.4 ± 421.3) ml vs. (958.5 ± 422) ml P = 0.733]. We conclude that topical use of TXA was equally effective and safe compared with intravenous TXA in reducing blood loss and transfusion rate following THA without substantial complications. Copyright © 2014 Elsevier Inc. All rights reserved.

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出版当年[2013]版：

大类 | 3 区医学

小类 | 3 区骨科

最新[2025]版：

大类 | 2 区

医学

小类 | 2 区骨科

第一作者：

第一作者机构： [1]Department of Orthopaedic, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China

通讯作者：

通讯机构： [2]Department of Orthopaedic, Linyi People’s Hospital, Linyi, Shandong, China [*1]Department of Orthopaedic, Linyi People’s Hospital, 16 Jiefang Road, Linyi, Shandong, 276000, P. R. China.

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