Evidence map›Paper›PMID 42026611›Full record

ArticlePerioperative medicine (London, England)2026

Efficacy of postoperative tranexamic acid administration in patients undergoing proximal femoral tumor endoprosthesis reconstruction.

Muhammet Salih Ayas, Faruk Karaca, Fevzi Gürkan Aslan, Muhammed Burak Usta

Abstract read
In one paragraph

Article in Perioperative medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Muhammet Salih AyasKaradeniz Technical Unıversity, Faculty of Medicine, Karadeniz, Turkey.ORCID http://orcid.org/0000-0002-7427-2223
Faruk KaracaKaradeniz Technical Unıversity, Faculty of Medicine, Karadeniz, Turkey. karacafaruk1996@gmail.com.ORCID http://orcid.org/0000-0001-8386-096X
Fevzi Gürkan AslanKaradeniz Technical Unıversity, Faculty of Medicine, Karadeniz, Turkey.ORCID http://orcid.org/0009-0004-2380-0788
Muhammed Burak UstaKaradeniz Technical Unıversity, Faculty of Medicine, Karadeniz, Turkey.ORCID http://orcid.org/0009-0008-5574-816X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients undergoing wide surgical resection and endoprosthesis of the proximal femur experience complications such as wound complications due to postoperative bleeding, complications related to blood replacement, infections related to surgical drains, and mobilization problems, increasing hospital length of stay and costs. Our aim is to evaluate the reduction in these problems in patients with postoperative tranexamic acid use.

methodsAll patients received a bolus of intravenous tranexamic acid at a dose of 15 cc/kg preoperatively, and local tranexamic acid was used during closure. This was applied to Group 1, while Group 2 received additional intravenous tranexamic acid at a dose of 1 g/day for 3 days postoperatively. Patients' risk of postoperative thromboembolic events, blood transfusion rates, postoperative wound healing problems, infection rates, mobilization times, physiotherapy initiation and hospital stay, and surgical drain removal times were compared retrospectively.

resultsPatients belonging to Group 2 (who received postoperative tranexamic acid) had earlier mobilization, initiation of physiotherapy, and shorter hospital stay (P < 0.001). They also had shorter surgical drain removal times and less blood transfusion volume (P < 0.001 for both). There were no significant differences in hematoma-related infection, age, gender, and primary/metastasis rates between the groups.

conclusionWe believe that postoperative tranexamic acid use will reduce complications related to blood replacement, reduce hospital-acquired infections and costs through earlier surgical drain removal and shorter hospital stays, and provide better protection against thromboembolic events and allow the patient to regain vital functions more quickly through earlier mobilization and initiation of physiotherapy.

Indexed as

EndoprosthesesProksimal femoral malign tumorsTranexamiac acidtumor prosthesisTXAWide resection

Identifiers

PMID42026611
PMCPMC13238031

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.