Clinical Study

Reducing Blood Loss in Revision Total Hip and Knee Arthroplasty: Tranexamic Acid Is Effective in Aseptic Revisions and in Second-Stage Reimplantations for Periprosthetic Infection

Table 4

Main outcome variables of the subgroup analysis between aseptic revisions. Given are the mean values (SD), in addition to minimum, maximum, and median for surgical time.

Outcome variablesTXA
aseptic rTHA n=75 
aseptic rTKA n=30
No TXA
aseptic rTHA n=85 
aseptic rTKA n=25
p-value

Aseptic rTHA
Surgical time [min]151.1 (52.7)140.0 (50.6)0.1790
 Min; Max; Median 50; 290; 150 60; 270; 125
Ht POD 50.290 (0.031)0.280 (0.029)0.0453
RBC transfused total [unit]1.19 (1.39)1.73 (1.74)0.0320
Transfusion rate0.51 (0.50)0.61 (0.49)0.1833
Calc. blood loss [ml]2740 (1220)3342 (1304)0.0031
Complication rate0.24 (0.43)0.12 (0.33)0.0550
Aseptic rTKA
Surgical time [min]163.0 (38.9)169.0 (46.8)0.6056
 Min; Max; Median 105; 260; 150 120; 255; 165
Ht POD 50.295(0.038)0.276 (0.025)0.0290
RBC transfused total [unit]1.03 (1.73)1.20 (1.58)0.7132
Transfusion rate0.37 (0.49)0.48 (0.51)0.4056
Calc. blood loss [ml]2411 (979)3053 (957)0.0178
Complication rate0.25 (0.44)0.25 (0.44)1.0000

TXA, tranexamic acid; rTHA, revision total hip arthroplasty; rTKA, revision total knee arthroplasty; POD, postoperative day; Ht, hematocrit; INR, international normalized ratio; RBC, packed red blood cells; DVT, deep vein thrombosis; PE, pulmonal embolism; : significant; †: Welch’s test.