Tranexamic Acid Is Beneficial to Patients Undergoing Open-Wedge High Tibial Osteotomy.

Abstract

The purpose of this study was to investigate the efficacy of tranexamic acid (TXA) in patients undergoing open-wedge high tibial osteotomy (OWHTO). Patients from August 2018 to May 2020 were retrospectively studied. Clinical data were obtained including gender, age, height, weight, body mass index (BMI), smoking, alcohol consumption, hypertension, diabetes, history of aspirin, prepostoperative hematocrit (Hct) and hemoglobin (Hb), thrombotic events, blood transfusion requirement, hospital length of stay, size of osteotomy gap, and wound complications such as wound hematoma and infection. 52 patients were enrolled in the tranexamic acid group (TA group), and 48 patients were enrolled in the nontranexamic acid group (NTA group); there were no significant differences between both groups in terms of gender, age, BMI, preoperative Hb, size of osteotomy gap, incidence of smoking, alcohol consumption, hypertension, diabetes, history of aspirin, thrombotic events, blood transfusion requirement, and wound hematoma and infection. The mean hospital length of stay was 9.4 ± 1.0 days in the TA group and 11.0 ± 1.2 days in the NTA group (P < 0.001), the blood loss was 296.0 ± 128.7 ml in the TA group and 383.3 ± 181.3 ml in the NTA group (P < 0.05), and the postoperative Hb level was 120.8 ± 15.0 g/l in the TA group and 109.5 ± 13.8 g/l in the NTA group (P < 0.001). In conclusion, the administration of TXA is beneficial to patients undergoing OWHTO via decreasing hospital length of stay, reducing blood loss, and maintaining higher postoperative Hb levels.

• Authors: De-Sheng Chen, Jia-Wang Zhu, Tong-Fu Wang, Bo Zhu, Cai-Hong Feng
• Journal: BioMed research international (Biomed Res Int) Vol. 2020 Pg. 2514207 ( 2020) ISSN: 2314-6141 [Electronic] United States
• PMID: 33204689 (Publication Type: Journal Article)
• Copyright: Copyright © 2020 De-Sheng Chen et al.

Chemical References

• Antifibrinolytic Agents
• Hemoglobins
• Tranexamic Acid

Topics

• Aged
• Antifibrinolytic Agents (pharmacology, therapeutic use)
• Blood Loss, Surgical (prevention & control)
• Female
• Hematoma (etiology)
• Hemoglobins (analysis)
• Humans
• Length of Stay
• Male
• Middle Aged
• Osteoarthritis, Knee (surgery)
• Osteotomy (adverse effects, methods)
• Postoperative Complications (etiology, prevention & control)
• Retrospective Studies
• Tibia (surgery)
• Tranexamic Acid (pharmacology, therapeutic use)
• Wound Infection (etiology)