Does Intravenous or Intraarticular Tranexamic Acid (TXA) Reduce Joint Bleeding Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction and Arthroscopic Meniscectomy? Can Intraarticular Use be Harmful to Chondrocytes? (EDITORIAL)

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Rodriguez Merchan E.Carlos

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Journal: Archives of Bone and Joint Surgery Year:2020 | Volume:8 | Issue:5 Page(s): 557-559

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Title

Does Intravenous or Intraarticular Tranexamic Acid (TXA) Reduce Joint Bleeding Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction and Arthroscopic Meniscectomy? Can Intraarticular Use be Harmful to Chondrocytes? (EDITORIAL)

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Rodriguez Merchan E.Carlos | Issue Writer Certificate

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Abstract

Knee arthroscopy to carry out partial removal of the meniscus and reconstruction of the anterior cruciate ligament (ACL) is common and efficacious, albeit a potential adverse event is intraarticular bleed after surgery. When this adverse event takes place, besides the concomitant pain, the patient commonly needs a joint aspiration (arthrocentesis) to avert loss of range of motion (ROM). Occasionally this problem leads to a poor result of surgery as a result of loss of ROM. That is why the utilization of tranexamic acid (TXA) has been taken into account with the aim of diminishing postoperative hemarthrosis and its potential associated adverse events (1– 3). Some reports have advised the utilization of intravenous TXA (IV-TXA) or intraarticular TXA (IA-TXA) in arthroscopic reconstruction of the ACL, considering it appears to diminish the level of bleeding after surgery and its adverse events: pain, swelling and loss of ROM (1– 3). But, some authors have published that IA-TXA could damage the chondrocytes (4). Besides, good outcomes have been obtained after using IV-TXA in arthroscopic partial removal of the meniscus (5). The objective of this editorial is to try to elucidate whether TXA must be employed in arthroscopic reconstruction of the ACL and arthroscopic partial removal of the meniscus and by what technique (IA-TXA or IV-TXA)...

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APA: Copy

Rodriguez Merchan, E.Carlos. (2020). Does Intravenous or Intraarticular Tranexamic Acid (TXA) Reduce Joint Bleeding Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction and Arthroscopic Meniscectomy? Can Intraarticular Use be Harmful to Chondrocytes? (EDITORIAL). THE ARCHIVES OF BONE AND JOINT SURGERY, 8(5), 557-559. SID. https://sid.ir/paper/753265/en

Vancouver: Copy

Rodriguez Merchan E.Carlos. Does Intravenous or Intraarticular Tranexamic Acid (TXA) Reduce Joint Bleeding Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction and Arthroscopic Meniscectomy? Can Intraarticular Use be Harmful to Chondrocytes? (EDITORIAL). THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2020;8(5):557-559. Available from: https://sid.ir/paper/753265/en

IEEE: Copy

E.Carlos Rodriguez Merchan, “Does Intravenous or Intraarticular Tranexamic Acid (TXA) Reduce Joint Bleeding Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction and Arthroscopic Meniscectomy? Can Intraarticular Use be Harmful to Chondrocytes? (EDITORIAL),” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 8, no. 5, pp. 557–559, 2020, [Online]. Available: https://sid.ir/paper/753265/en

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