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Table 3 Methods of administration and operation

From: Intra-articular vs. intravenous administration: a meta-analysis of tranexamic acid in primary total knee arthroplasty

Study

IV dosage

IA dosage

Type of operation

Surgical approach

Jules-Elysee et al. [14]

1 g TXA × two doses; POPO

3 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Unclear

Laoruengthana et al. [13]

10 mg/kg TXA × one dose; IO

15 mg/kg TXA × one dose; before closure

Primary unilateral TKA

Medial parapatellar

Zhang et al. [15, 52]

20 mg/kg TXA × one dose; PEO

3 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Abdel et al. [20]

1 g TXA × one dose; PEO

3 g TXA × one dose; after cemented

Primary unilateral TKA

Medial parapatellar or midvastus approach

Ahmed et al. [17]

1.5 g TXA × one dose; PTO

1.5 g TXA × one dose; while closure

Primary simultaneous bilateral TKA

Unclear

López-Hualda et al. [21]

1 g TXA × one dose; PEO

1 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

George et al. [16]

10 mg/kg TXA × two doses; POPO

1.5 g TXA × one dose; before closure

Primary unilateral TKA

Medial parapatellar

Subramanyam et al. [19]

10 mg/kg TXA × one dose; PEO

1.5 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Wei et al. [18]

10 mg/kg TXA × one dose; PEO

1 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Unclear

Goyal et al. [36]

1 g TXA × three doses; IO/PTO/PTO

3 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Lacko et al. [22]

10 mg/kg TXA × two doses; POPO

3 g TXA × one dose; after cemented

Primary unilateral TKA

Medial parapatellar

Maniar et al. [33]

10 mg/kg TXA × two doses (bilateral); IO

3 g TXA × two doses(bilateral); after cemented

Primary simultaneous bilateral TKA

Midvastus approach

10 mg/kg TXA × three doses; POIOPO

Prakash et al. [26]

10 mg/kg TXA × three doses; POIOPO

3 g TXA × one dose; before closure

Primary unilateral TKA

Medial parapatellar

Song et al. [35]

10 mg/kg TXA × three doses; POIOPO

1.5 g TXA × one dose; after closure

Primary bilateral TKA

Medial parapatellar

Stowers et al. [24]

1 g TXA × one dose; IO

1 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Uğurlu et al. [34]

20 mg/kg TXA × one dose; PEO

3 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Wang et al. [11, 23]

1 g TXA × one dose; IO

1 g TXA × one dose; before closure

Primary unilateral TKA

Medial parapatellar

Zekcer et al. [25]

20 mg/kg TXA × one dose; unclear

1.5 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Unclear

Aggarwal et al. [39]

15 mg/kg TXA × two dose; IOPO

15 mg/kg TXA × one dose; before closure

Primary simultaneous bilateral TKA

Medial parapatellar

Chen et al. [29, 53]

1.5 g TXA × one dose; IO

1.5 g TXA × one dose; after cemented

Primary unilateral TKA

Medial parapatellar

Drosos et al. [38]

1 g TXA × one dose; PEO

1 g TXA × one dose; before closure

Primary unilateral TKA

Medial parapatellar

Keyhani et al. [42]

0.5 g TXA × one dose; IO

1.5 g TXA × two doses; before/after closure

Primary unilateral TKA

Medial parapatellar

May et al. [37]

1 g TXA × two doses; POPO

2 g TXA × one dose; after closure

Primary unilateral TKA

Unclear

Pinsornsak et al. [37]

0.75 mg TXA × one dose; IO

0.75 mg × one dose; before tourniquet release

Primary unilateral TKA

Medial parapatellar

Tzatzairis et al. [40]

1 g TXA × one dose; PEO

1 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Aguilera et al. [43]

1 g TXA × two doses; POIO

1 g TXA × one dose; after cemented

Primary unilateral TKA

Medial parapatellar

Digas et al. [44]

15 mg/kg TXA × one dose; IO

2 g TXA × one dose; after closure

Primary unilateral TKA

Medial parapatellar

Öztaş et al. [45]

15 mg/kg TXA × two doses; POPO

10 mg/kg TXA × one dose; 1-h infusion

2 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Unclear

Gomez-Barrena et al. [46]

15 mg/kg TXA × two doses; IOPO

3 g TXA × one dose; before + after closure

Primary unilateral TKA

Medial parapatellar

Patel et al. [47]

10 mg/kg TXA × one dose; IO

2 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Medial or subvastus parapatellar

Sarzaeem et al. [48]

1.5 g TXA × one dose; PTO

1.5 g TXA × one dose; after closure

Primary unilateral TKA

Subvastus approach

3 g TXA × one dose; before closure

Soni et al. [49]

10 mg/kg TXA × three doses; POIOPO

3 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Midvastus approach

Seo et al. [50]

1.5 g TXA × one dose; PTO

1.5 g TXA × one dose; while closure

Primary unilateral TKA

Medial parapatellar

Maniar et al. [51]

10 mg/kg TXA × one dose; IO

3 g TXA × one dose; before tourniquet release

Primary unilateral TKA

Midvastus approach

10 mg/kg TXA × two doses; IOPO

10 mg/kg TXA × two doses; POIO

10 mg/kg TXA × three doses; POIOPO

  1. IO intraoperative dose, IOPO intra- and postoperative doses, PEO preoperative dose, POIO pre- and intraoperative doses, POIOPO all three doses, POPO pre- and postoperative doses, PTO postoperative dose, TXA tranexamic acid