Is there a difference between tranexamic acid application routes in hip hemiarthroplasty?

Authors : Mustafa YERLİ, Yunus İMREN, Haluk ÇABUK, Süleyman Semih DEDEOĞLU, Ali YÜCE, Tahsin Olgun BAYRAKTAR, Nazım ERKURT, Hakan GÜRBÜZ

Pages : 560-566

Doi:10.18621/eurj.989590

View : 19 | Download : 11

Publication Date : 2022-09-04

Article Type : Research Paper

Abstract :Objectives: This study aimed to define the optimal efficacy route of tranexamic acid treatment given during hemiarthroplasty after femoral neck fracture. Methods: This study examined the files of patients with hip fractures over 65 years of age and treated surgically in our clinic between 2017 and 2019. Patients included in these files were grouped as non-tranexamic acid and topical and systemic tranexamic acid. Then, the demographic information, height and weight of the patient files, haemoglobin and hematocrit levels before and after the surgery, bleeding profiles, tranexamic acid dose and the route of administration, complications in postoperative follow-up, the amount of fluid coming from the drain and duration of drainage, postoperative intensive care follow-up duration of hospitalisation was investigated. Results: A total of 100 patients, 50 of whom were in the control group, 25 of whom were treated with topical tranexamic acid, and 25 of whom were treated with intravenous tranexamic acid, were included in this study. Postoperative blood transfusion was applied to 60% insert ignore into journalissuearticles values(n = 30); of the control group, 20% insert ignore into journalissuearticles values(n = 5); of the topical group, and 24% insert ignore into journalissuearticles values(n = 6); of the intravenous group. When compared statistically, it was found that topical and intravenous groups were lower than the control group insert ignore into journalissuearticles values( p = 0.001 and p = 0.002, respectively);, but there was no significant difference between them insert ignore into journalissuearticles values( p = 0.759);. When the blood loss calculations made by the Gross method were examined, the average of the control group was 1011.5 ml insert ignore into journalissuearticles values(179-1837 ml);, the topical group was 695.7 ml insert ignore into journalissuearticles values(11-2503 ml);, and the intravenous group was 710.9 ml insert ignore into journalissuearticles values(173-11315 ml); calculated as. When analysed statistically in terms of blood loss, it was found that the control group was significantly higher than the topical and intravenous groups, but there was no significant difference between the topical and intravenous groups insert ignore into journalissuearticles values( p = 0.002);. Conclusions: Tranexamic acid applied to reduce blood loss during arthroplasty surgery can be used effectively either by topical or systemic methods.
Keywords : Femoral neck fracture, hip hemiarthroplasty, tranexamic acid