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The efficacy and safety of multiple high-dose intravenous tranexamic acid in peri-operative period of total hip/knee arthroplasty under the management of enhanced recovery after surgery: a prospective, randomized, controlled study

The efficacy and safety of multiple high-dose intravenous tranexamic acid in peri-operative period of total hip/knee arthroplasty under the management of enhanced recovery after surgery: a prospective, randomized, controlled study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR-IOR-17013861
Enrollment
Unknown
Registered
2017-12-12
Start date
2017-12-13
Completion date
Unknown
Last updated
2017-12-18

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

Conditions

hip and knee joint disease

Interventions

A:one bolus of 20 mg/kg IV-TXA prior to skin incision, 5 boluses of 10mg/kg IV-TXA 3, 6, 12, 18 and 24 hours later
B:one bolus of 20 mg/kg IV-TXA prior to skin incision, one bolus of 20 mg/kg IV-TXA during the surgery, 5 boluses of 1g IV-TXA 3, 6, 12, 18 and 24 hours later

Sponsors

Department of Orthopaedics, 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 or older, who were scheduled to have primary unilateral THA/TKA for osteoarthritis (OA) or ANFH were considered eligible for included in the trial.

Exclusion criteria

Exclusion criteria: Exclusion criteria for both groups included patients with anemia (<120 g/L for female, <130 g/L for male), cardiovascular problems (history of myocardial infraction, angina, and atrial fibrillation), cerebrovascular conditions (history of previous stroke), thromboembolic disorders (history of deep-vein thrombosis (DVT) or pulmonary embolism (PE)), clotting disorders, known allergy to TXA,

Design outcomes

Primary

MeasureTime frame
inflammatory index (CRP IL-6) ;fibrinolysis index (D-Dimer, FDP) ;

Secondary

MeasureTime frame
total blood loss;Hidden blood loss;Hb drop;transfusion;Range of motion;Length of hospital stay ;swelling ratio;

Countries

China

Contacts

Public ContactFuxing Pei

West China Hospital, Sichuan University

peifux@126.com+86 13258327318

Outcome results

None listed

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