Knee osteoarthritis
Conditions
Interventions
A:Pre-operation 2hrs, post operation 3hrs, 9hrs 2g po TXA
B:Pre-operation 2hrs, post operation 3hrs, 9hrs 2g po TXA with a 24 interval to discharge, 1g txa to POD 14
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1) Primary unilateral total knee artropasty; (2) Normal platelet and coagulation function preoperatively; (3) Normal intravenous ultrasound in the lower extremities preoperatively; (4) To be able to and willing to provide signed informed consent.
Exclusion criteria
Exclusion criteria: (1) Systemic infections such as pulmonary infection or urinary tract infection are not controlled preoperatively; (2) Abnormal immune function or combined immune-related disease preoperatively; (3) Abnormal inflammatory index preoperatively (C-reactive protein >20 mg/L); (4) Abnormal fibrinolysis index preoperatively (FDP > 5mg/L); (5) Discontinuation of oral anticoagulants or aspirin less than 1 week; (6) Allergy to tranexamic acid (TXA) or dexamethasone or have contraindications; (7) Patients at high risk of thrombosis; (8) History of deep vein thrombosis (VTE, calf muscle vein thrombosis or superficial vein thrombosis, pulmonary embolism); (9) serious liver and kidney dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| haemoglobin level;womac;kss;Transfusion volue;ESR, CRP, IL-6;ROM; deep vein thrombosis ;cost;sweeling;nausea and vomiting;ecchymosis;length of hospital stay;pain scale;reoperation;survival of the prosthesis; | — |
Countries
China
Contacts
Public ContactZhou Zongke
West China Hospital, Sichuan University
Outcome results
None listed