We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Comparison of intra-articular versus intravenous application of tranexamic acid in total knee arthroplasty: a meta-analysis of randomized controlled trials.
- Authors
Yaming Liu; Fantao Meng; Gang Yang; Lingde Kong; Yong Shen; Liu, Yaming; Meng, Fantao; Yang, Gang; Kong, Lingde; Shen, Yong
- Abstract
<bold>Introduction: </bold>There is much controversy about the optimal application of tranexamic acid (TXA) in total knee arthroplasty (TKA). The purpose of this meta-analysis was to compare the efficacy of the intra-articular and intravenous regimens of TXA in TKA.<bold>Material and Methods: </bold>A literature search of the PubMed, Embase and Cochrane Library databases was performed. Randomized controlled trials comparing the result of intra-articular and intravenous application of TXA during TKA were included. The focus was on the outcomes of blood loss, transfusion requirement and thromboembolic complications.<bold>Results: </bold>Six studies were eligible for data extraction and meta-analysis. We found no statistically significant difference between intra-articular and intravenous administration of tranexamic acid in terms of total blood loss (WMD, 6.01; 95% CI: -96.78 to 108.79; p = 0.91), drain output (WMD = -20.26; 95% CI: -51.34 to 10.82; p = 0.20), hemoglobin drop (WMD = 0.33; 95% CI: -0.31 to 0.98; p = 0.31), or the incidences of transfusion (RR = 0.98; 95% CI: 0.56-1.70; p = 0.93) as well as deep vein thrombosis (RR = 0.49; 95% CI: 0.09-2.73; p = 0.42).<bold>Conclusions: </bold>In comparison with intravenous application of TXA, intra-articular application had a comparable effect on reducing blood loss and the transfusion rate without increasing the complication rate.
- Subjects
TRANEXAMIC acid; TOTAL knee replacement; INTRA-articular injections; INTRAVENOUS therapy; TREATMENT effectiveness; RANDOMIZED controlled trials; META-analysis
- Publication
Archives of Medical Science, 2017, Vol 13, Issue 3, p533
- ISSN
1734-1922
- Publication type
journal article
- DOI
10.5114/aoms.2017.67278