osteoarthritis or Osteonecrosis of femoral head
Conditions
Interventions
Sponsors
Department of Orthopedics, West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. patients diagnosed as osteoarthritis of hip joint and necrosis of femoral head with unilateral primary artificial THA indication; 2. Preoperative Hb and coagulation function were normal; No abnormality was found in the color doppler ultrasound of the veins of both lower extremities. 3. Above 18 years.
Exclusion criteria
Exclusion criteria: 1. DDH secondary osteoarthritis (Crowe type 3 or 4); 2. History of thromboembolism (i.e., DVT, or pulmonary embolism (PE)), thromboembolism, recent arterial thromboembolism events (e.g., myocardial infarction or stroke), hypercoagulability, hemophilia; 3. Serious cardiovascular and respiratory diseases; Renal and liver failure, history of kidney transplantation; 4. refuse to participate in or refuse to accept blood products; 5. The patient had a history of bilateral hip arthroplasty; 6. tranexamic acid allergy;Patients prone to thrombosis (after atrial fibrillation, pacemaker and stent implantation).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dissolution index: d-dimer, FDP;Immune indicators: plasma levels of immunoglobulin (IgG, IgA, IgM, IgE) and complement (C3, C4), lymphocyte subsets (CD3 lymphocytes, CD4 lymphocytes (Th1/Th2), CD8 lymphocytes and CD4 / CD8 ratio); | — |
Secondary
| Measure | Time frame |
|---|---|
| Inflammatory markers: IL - 8, the WBC, c-reactive protein (C - reactive protein, CRP), erythrocyte sedimentation rate, erythrocyte sedimentation rate, the ESR), interleukin - 6 (intedeukin - 6, IL - 6) expression of TNF alpha, beta, IL - 1 IL - 4; | — |
Countries
China
Contacts
Public ContactKang Pengde
Department of Orthopedics, West China Hospital, Sichuan University
Outcome results
None listed