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Optimization of Perioperative Rivaroxaban Anticoagulation Strategy in Prosthetic Joint Revision Arthroplasty: A Prospective Randomized Controlled Trial

Optimization of Perioperative Rivaroxaban Anticoagulation Strategy in Prosthetic Joint Revision Arthroplasty: A Prospective Randomized Controlled Trial

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600125914
Enrollment
Unknown
Registered
2026-06-01
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-06-08

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

Conditions

Venous thromboembolism

Interventions

Control group:Rivaroxaban oral tablet initiated at 6 hours postoperatively, 10 mg once daily.
Test group:Rivaroxaban oral tablet initiated at 24 hours postoperatively, 10 mg once daily.

Sponsors

Nanjing Drum Tower Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1.Patients who meet the corresponding surgical indications and undergo total knee revision arthroplasty or total hip revision arthroplasty; 2.Adult patients aged 18 years or older; 3. Patients and their family members fully understand the study content and voluntarily sign the informed consent form.

Exclusion criteria

Exclusion criteria: 1.Patients with severe liver or renal dysfunction (estimated glomerular filtration rate eGFR < 30 ml/min/1.73 m²); 2.Use of other anticoagulant or antiplatelet drugs within the past 1 month that cannot be discontinued due to medical conditions; 3.Cognitive impairment, psychiatric disorders, or communication difficulties that preclude cooperation with study assessments; 4.Known hypersensitivity to rivaroxaban or other direct oral anticoagulants (DOACs); 5.History of bleeding disorders or conditions affecting coagulation function, including but not limited to hemophilia, thrombocytopenia (platelet count < 100×10?/L), active gastrointestinal ulcer bleeding, history of intracranial hemorrhage within the past 3 months, or history of major trauma or major surgery.

Design outcomes

Primary

MeasureTime frame
Thrombosis incidence rate;Postoperative drainage volume;

Countries

China

Contacts

Public Contactxuruijuan

Nanjing Drum Tower Hospital

jean0129@163.com+86 138 5150 2360

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026