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Is tourniquet really necessary when multiple uses of intravenous and topical tranexamic acid are applied in primary total knee arthroplasty? A Prospective Randomized Controlled Trial

Is tourniquet really necessary when multiple uses of intravenous and topical tranexamic acid are applied in primary total knee arthroplasty? A Prospective Randomized Controlled Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR-INR-16008762
Enrollment
Unknown
Registered
2016-07-01
Start date
2016-07-05
Completion date
Unknown
Last updated
2017-04-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

osteoarthritis

Interventions

Group A:tourniquet+20 mg/kg IV-TXA was administered 5-10 minutes before skin incision and 10mg/kg TXA was administered 3, 6, 12 and 24 hours later
Group B:20 mg/kg IV-TXA was administered 5-10 minutes before skin incision and 10mg/kg TXA was administered 3, 6, 12 and 24 hours later
Group C:only use tourniquet during the surgery

Sponsors

West China Hospital, Sichuan university
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: All patients, aged 18 years and older, who were scheduled for a primary TKA because of the end-staged osteoarthritis

Exclusion criteria

Exclusion criteria: Exclusion criteria included revisions, bilateral procedures, previous knee surgery history, flexion deformity=30 degree, varus/valgus deformity=30 degree, anemia (<120 g/L for female, <130 g/L for male), contraindications for the use of TXA and coagulation disorders.

Design outcomes

Primary

MeasureTime frame
Hidden blood loss;Maximum Hb change;CRP;IL-6;

Secondary

MeasureTime frame
lower limb swelling ratio;VAS pain score;the length of hospital stays;transfusion rate;patient satisfaction;complications;

Countries

China

Contacts

Public ContactFuxing Pei

West China Hospital, SiChuan University

peifuxing1951@163.com+86 13551068719

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026