Tranexamic acid in non-elective primary total hip arthroplasty.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations of Competing Interest The authors declare that they have no conflict of interest. 20. J Surg Orthop Adv. 2018 Summer;27(2):119-124. Hip and Knee Arthroplasty Outcomes After Abdominal Organ Transplantation. Duplantier NL(1), Rivere AE(2), Cohen AJ(3), Chimento GF(4). Author information: (1)Department of Orthopaedic Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana. (2)Department of General Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana. (3)Department of General Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana; Department of Transplant Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, Louisiana. (4)Department of Orthopaedic Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, Louisiana e-mail: gchimento@ochsner.org. This case control study retrospectively compares patients who underwent solid organ transplantation and total joint replacement with a control group that only underwent joint replacement. The study compares 42 transplant patients who underwent liver or kidney transplantation and total hip arthroplasty (THA) or total knee arthroplasty (TKA) to a matched group of 42 nontransplant patients who underwent only THA or TKA. The transplant cohort had significantly more complications (18) than the nontransplant cohort (7) (p D .022). Renal transplant patients had 6.75 times higher odds (95% CI, 1.318-34.565) of experiencing a complication compared with liver transplant patients. The average time between transplant and joint replacement was 2 š 4.9 years. Transplant patients undergoing joint arthroplasty at an average of 2 years posttransplant are at higher risk for complications than a matched cohort of patients undergoing only joint arthroplasty, with renal transplant patients being more at risk for complications than liver transplant patients. (Journal of Surgical Orthopaedic Advances 27(2):119-124, 2018).