BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

 



Categories: Abstracts, 2016, Poster

The use of tranexamic acid in foot and ankle surgery

J. Brousil, T. Keith, A. Robinson

1Addenbrooke's Hospital, Dept of Trauma and Orthopaedics, Cambridge, United Kingdom

2Active Orthopaedic Centre, Orthopaedics, Melbourne, Australia 

Introduction: The role of tranexamic acid in foot and ankle surgery has yet to be established. Its use in elective hip and knee arthroplasty and trauma is well documented. The safety and efficacy of the drug in these applications has been proven thanks to large scale high quality feasibility studies. We present a study demonstrating the safe use of tranexamic acid in setting of foot and ankle surgery.

Methods: Over an 18 month period all patients undergoing major foot and ankle reconstructions received an intraoperative dose of tranexamic acid (1g IV infused over 2 minutes). All patients deemed at significant risk of developing a haematoma or wound dehiscence received the drug. These cases were a mix reflected a tertiary UK foot and ankle practice. Case notes were interrogated for patient demographics, thrombosis history, anticoagulation history and wound related complications.

Results: 81 patients were identified as having received 1 g of tranexamic acid intraoperatively. Of these patients the primary pathology in 55% was degenerative (n= 45), 2.5% Diabetes related reconstruction (n=3), 17% were traumatic (n=14) and 23% for deformity (n=19). Five patients (6%) experienced a wound complication, all of which were minor. No patient required a return to theatre and no clinically significant post-operative thrombo-occlusive events were recorded.

Discussion: The use role of tranexamic acid is not yet routine during surgery about the foot and ankle. Its role has been clearly established in trauma and large joint arthroplasty. Similar beneficial effects can be seen in this series of trauma and elective foot and ankle patients. No adverse events occurred.

Conclusion: Tranexamic acid can be safely administered to patients undergoing the full spectrum foot and ankle surgery with minimal risk of adverse events. Further work is required to determine a positive relationship on wound healing complications.

 

Previous Article The use of the Smart Toe implant for proximal interphalangeal arthrodesis in the lesser toe: a case series
Next Article The use of weight-bearing CT scan in the evaluation of hindfoot alignment
Print


Click thumbnail below to view poster / thumbnail:

Archive of Abstracts

2024   -   Prize Winners  |  All Abstracts
2023   -   Prize Winners  |  All Abstracts
2022   -   Prize Winners  |  All Abstracts
2021   -   Prize Winners  
2019   -   Podium  |  Poster
2018   -   Podium  |  Poster
2017   -   Podium  |  Poster
2016   -   Podium  |  Poster
2015   -   Podium  |  Poster
2014   -   Podium  |  Poster
2013   -   Podium  |  Poster
2011   -   All Abstracts
2009   -   All Abstracts
2008   -   All Abstracts
2007   -   All Abstracts
2006   -   All Abstracts
2005   -   All Abstracts
2004   -   All Abstracts
2002   -   All Abstracts
2001   -   All Abstracts
2000   -   All Abstracts
1999   -   All Abstracts
1998   -   All Abstracts
1997   -   All Abstracts
1996   -   All Abstracts
1995   -   All Abstracts
1994   -   All Abstracts
1993   -   All Abstracts
1991   -   All Abstracts
1990   -   All Abstracts
1989   -   All Abstracts
1987   -   All Abstracts
1985   -   All Abstracts
1983   -   All Abstracts