Advances in the application of tranexamic acid in elbow arthrolysis
10.3760/cma.j.cn115396-20241024-00325
- VernacularTitle:氨甲环酸在肘关节松解术中的应用进展
- Author:
Jianyu ZHANG
1
;
Chen CHEN
;
Xieyuan JIANG
Author Information
1. 首都医科大学附属北京积水潭医院创伤骨科，北京 100035
- Keywords:
Tranexamic acid;
Elbow joint;
Blood loss, surgical;
Elbow arthrolysis
- From:
International Journal of Surgery
2024;51(11):721-724
- CountryChina
- Language:Chinese
-
Abstract:
Elbow stiffness leads to a restricted range of motion, significantly impacting daily activities of patients. Elbow arthrolysis is a commonly used procedure for treating elbow stiffness. However, the procedure is associated with substantial intraoperative and postoperative bleeding, as well as high drainage volume. As an antifibrinolytic agent, tranexamic acid has been increasingly applied in both open and arthroscopic elbow arthrolysis, and its application methods include topical application, intravenous infusion, and combined topical-intravenous application. Studies indicated that tranexamic acid can effectively reduce postoperative bleeding and drainage without increasing the risk of thromboembolic complications, thereby facilitating early recovery and enhancing postoperative patient satisfaction. Future research should focus on optimizing treatment protocols by evaluating the efficacy of different administration methods and dosages of tranexamic acid. The application of tranexamic acid in elbow arthrolysis shows promising potential, and further large-scale studies will be instrumental in supporting its widespread use.
