USE OF TRANEXAMIC ACID IN TOTAL KNEE ARTHROPLASTY

USE OF TRANEXAMIC ACID IN TOTAL KNEE ARTHROPLASTY

COMPARISON OF EFFICACY OF INTRA-ARTICULAR AND INTRAVENOUS ROUTE OF ADMINISTRATION OF TRANEXAMIC ACID IN REDUCING BLOOD LOSS IN TOTAL KNEE ARTHROPLASTY

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BackgroundThe antifibrinolytic tranexamic acid reduces surgical blood loss, but studies have not identified an ideal route of administration.We tried to identify whether intra-articular route of administration of tranexamic acid is superior to its intravenous route of administration in reducing blood loss in post-operative period, number of transfusion units and complications e.g. thromboembolic phenomenon and DVT.We prospectively compared the two routes of administration (I/A and I/V) in a study population of 28 patients. In all the patients staged bilateral TKA was performed, one side receiv...