Efficacy of Tranexamic Acid on Perioperative Blood Loss in Hip Arthroplasty: A Comparative Study

Shantanu  Vijay; Subham  Verma; Bharat  Soni; Tarun  Desai; Prashant  Alwani; Jeevan Kishor  Appala; Chirag Valentine  Thakkar

doi:10.18502/jost.v11i2.18880

Shantanu Vijay Junior Resident, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Subham Verma Senior Resident, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Bharat Soni Senior Resident, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Tarun Desai Associate Professor, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Prashant Alwani Associate Professor, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Jeevan Kishor Appala Junior Resident, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Chirag Valentine Thakkar Professor, GMERS Medical College, Gotri, Vadodara, Gujarat, India

DOI: https://doi.org/10.18502/jost.v11i2.18880

Keywords: Total Hip Arthroplasty; Tranexamic Acid; Surgical Blood Loss; Comparative Study

Abstract

Background: Using tranexamic acid (TXA) as a measure to ensure hemostasis during surgeries involving the hip region is a topic that is still debated, with scarce literature. The aim of this study was to assess the effectiveness of TXA administration in improving outcomes of hip arthroplasty.

Methods: This is a randomized comparative prospective study. It was conducted in the Department of Orthopedics, GMERS Medical College and Hospital, Vadodara, India, from January 2023 to December 2023 on 60 patients undergoing hip arthroplasty.

Results: The postoperative mean hemoglobin (Hb) value after 24 hours in the test group was 10.9 ± 1.6 g/dl while it was 10.1 ± 1.4 in the control group, which was statistically significant. The mean duration of surgery in the test group was 102.7 ± 28.2 minutes versus 125.2 ± 36.5 minutes in control with a P-value of 0.01, indicating less surgical duration in the test group.

Conclusion: TXA is an effective agent to reduce intraoperative blood loss, reduce surgical time, and improve post-operative Hb levels.