osteoarthritis or Osteonecrosis of femoral head
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. patients with osteoarthritis or osteonecrosis of the femoral head (Ficat III and IV) and have to undergo THA; 2. BMI: 20-35 kg/m2; 3. American Society of Anesthesiologists degree before operation: I~III grade.
Exclusion criteria
Exclusion criteria: (1) allergic to tranexamic acid, carlosulfonate, anesthetic drugs; (2) DDH secondary osteoarthritis (Crowe type 3 or 4), femoral head necrosis; (3) thromboembolic disease history (that is, deep vein thrombosis (DVT), or pulmonary embolism (PE)), coagulation disease, recent arterial thromboembolic events (such as myocardial infarction or stroke), hypercoagulation state, hemophilia; (4) serious cardiovascular and respiratory diseases;Kidney and liver failure, history of kidney transplantation; (5) refuse to participate in or accept blood products; (6) the patient has a history of bilateral hip arthroplasty and used anticoagulants or birth control pills 5 days before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| total blood loss; reduction in haemoglobin concentration;inflammatory cytokines; | — |
Secondary
| Measure | Time frame |
|---|---|
| haemoglobin (HB);haematocrit;Thromboelastographic; intra-operative blood loss;transfusion rates; Length of postoperative hospital stay;Coagulation and fibrinolysis parameters; | — |
Countries
China
Contacts
Department of Orthopedics, West China Hospital, Sichuan University