EFFECT OF TRANEXAMIC ACID LOCAL SUBACROMIAL INJECTION ON BLEEDING AND VISUAL CLARITY IN ARTHROSCOPIC ROTATOR CUFF REPAIR | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 18 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/eoj.2025.439697.1114 | ||
| Authors | ||
| Mohie Eldin Mahmoud Fadel1; Hesham Abdelwahab Mohamed* 2; Mena Micheal Mosa1; Yehia H. Bedeir1 | ||
| 1Orthopedic surgery & Traumatology department, Alexandria university | ||
| 2Orthopedic surgery & Traumatology department, Alexandria university | ||
| Abstract | ||
| Abstract: Background: Various methods are used to control bleeding through arthroscopic rotator cuff repair (ARCR) such as hypotensive anesthesia, plasma radiofrequency, irrigation with high volumes of normal saline at regulated pressures and the use of an interscalene nerve block. In last years tranexamic acid (TXA) has proven its effectiveness in reducing blood loss in spine, arthroplasty and knee arthroscopy surgeries. In this study we are aiming to evaluate the effectiveness of (TXA) subacromial injection on bleeding control and improvement of visual clarity during ARCR. Materials and Methods: A prospective randomized controlled trial was conducted on 70 patients undergoing ARCR were blindly divided into two groups, group (I) has 35 patients receiving local subacromial TXA injection and group (II) has 35 receiving local subacromial saline injection in Al-Hadra university hospital between May 2024 and May 2025, outcomes were assessed by visual clarity, blood loss and operative time, with considering size of the tear, the number of anchors used, and the patient’s body mass index . Patients allergic to TXA, abnormal coagulation profile, renal disorders, preoperative anticoagulant therapy and sickle cell disease were excluded. Results: Results analysis revealed TXA use during ARCR enhanced visual clarity, minimized bleeding, decreased operative time, decreased saline used during arthroscopy thus decreasing the cost of the operation. No adverse events related to TXA were noted. Conclusion: The current study suggests that local subacromial TXA enhances visual clarity during ARCR and reduces operative time without raising the risk of adverse events. | ||
| Keywords | ||
| Tranexamic acid; rotator cuff tears; arthroscopic rotator cuff repair; visual clarity | ||
|
Statistics Article View: 2 |
||
