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[Blood-saving strategies in total primary knee replacement]
D Mifsut-Miedes1,2, V Climent-Péris2, J Baeza-Oliete2
1Departamento de Cirugía de la Universidad de Valencia. Valencia, España.
Acta Ortopedica Mexicana
|April 5, 2020
Summary
Tranexamic acid (ATX) is increasingly used for blood saving in knee replacement surgery. While its efficacy is recognized, optimal dosage and administration methods remain debated among surgeons.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Hematology
Background:
- Blood loss management is critical in primary knee replacement surgery.
- Current blood-saving strategies require updated insights.
Purpose of the Study:
- To review blood-saving strategies in prosthetic primary knee surgery.
- To assess current practices in local hospitals via a survey.
Main Methods:
- Descriptive, transversal, observational study.
- Survey of 64 surgeons and bibliographical research.
Main Results:
- 48.4% of hospitals have presurgical blood-saving protocols.
- Tranexamic acid (ATX) is used by 71.9% of surgeons.
- Varied administration routes (IV, intra-articular, combined) and timing for ischemia placement were reported.
Conclusions:
- Tranexamic acid (ATX) is becoming the primary blood-saving strategy in total knee replacement (TKR).
- Optimal ATX dose and administration route lack consensus.
- ATX use correlates with reduced post-surgical drainage and enhanced early rehabilitation.
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