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The Impact of Postoperative Tranexamic Acid on Knee Swelling After Total Knee Arthroplasty

The Impact of Postoperative Oral Tranexamic Acid on Knee Swelling After Total Knee Arthroplasty - TXA in TKA: A Randomized Controlled Trial

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000059346
Enrollment
100
Registered
2025-10-09
Start date
2025-10-09
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Knee osteoarthritis

Interventions

A group of 50 patients undergoing primary unilateral total knee arthroplasty (TKA) between September 2025 and October 2026, who will receive postoperative tranexamic acid administration. A control gro

Sponsors

Takagi Hospital Oume Knee Surgery Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients will receive tranexamic acid for 14 days postoperatively, administered at 1000 mg twice daily. On the day of surgery and the following day, the drug will be given intravenously; thereafter, for the subsequent 12 days, it will be administered orally. For patients with an eGFR between 30 and 60, tranexamic acid will be given at 500 mg twice daily. For patients with an eGFR > 60, the dosage will be 1000 mg twice daily.

Exclusion criteria

Exclusion criteria: Patients with an estimated glomerular filtration rate (eGFR) below 30.

Design outcomes

Primary

MeasureTime frame
Knee circumference measurements were performed preoperatively and on postoperative days 1, 3, 7, 14, and 21.

Secondary

MeasureTime frame
Pain Visual Analog Scale (VAS) scores on postoperative days 7, 14, and 21 Knee range of motion (ROM) Hemoglobin reduction rate

Countries

Japan

Contacts

Public ContactYoshinori Mikashima

Takagi Hospital Oume Knee Surgery Center

ymikashima2007@yahoo.co.jp0428315255

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026