RT Journal Article T1 Randomized, placebo-controlled, double-blind clinical trial to evaluate efficacy and safety of topical tranexamic acid in saving blood loss in patients undergoing prosthetic knee surgery. T2 Ensayo clínico aleatorizado, controlado con placebo y doble ciego para evaluar la eficacia y la seguridad del ácido tranexámico tópico en el ahorro de pérdidas sanguíneas en pacientes tratados mediante cirugía protésica de rodilla. A1 Oliva-Moya, F A1 Belloso-Moreno, I A1 Vilches-Fernández, J M A1 Casas-Ruiz, M A1 Andrés-García, J A K1 Arthroplasty K1 Artroplastia K1 Knee replacement K1 Prótesis rodilla K1 Tranexamic acid K1 Tranexamic topic K1 Tranexámico tópico K1 Ácido tranexámico AB Knee arthroplasty is a major surgery with potential significant blood loss. Assess the efficacy and safety of topical administration of 3g of tranexamic acid (TXA) in terms of reducing blood loss in knee arthroplasty. A randomized, phase III, double-blind, placebo-controlled clinical trial has been conducted. We included 150 patients in 2parallel treatment groups (75 per arm). The solution was administered topically intra-articular after cementation and prior to capsular closure. Analytical determinations were made before and after surgery to quantify blood loss. Total blood loss for the placebo group was 831.5ml and 662.3ml for the TXA group. The difference between the 2groups was 169.2ml; which means a save of 20.4 per cent; this difference being statistically significant (P The administration of TXA topically after cementation of the prosthetic components in total knee arthroplasty in a single dose has demonstrated being safe and effective. YR 2022 FD 2022-04-20 LK http://hdl.handle.net/10668/22491 UL http://hdl.handle.net/10668/22491 LA en LA es DS RISalud RD Apr 7, 2025