NCT03580018

Brief Summary

Post-anterior cruciate ligament reconstruction (ACLR) hemarthrosis may result in increased pain thus delaying postoperative rehabilitation, which may eventually lead to arthrofibrosis and a functional deficit. Many antifibrinolytic agents, including tranexamic acid (TXA), have been used in orthopedic surgeries to reduce postoperative bleeding.The purpose of this study is to evaluate the effect of intra-articular injection of TXA in patients receiving arthroscopic ACLRs. Patients were randomized into two groups. Group 1 patients (TXA group) received the index procedures with a 10 mL intra-articular injection of TXA. Group 2 (control group) patients received the index procedures without TXA injections. An intra-articular suction drain was placed recorded 24 h postoperatively. Clinical evaluations using an IKDC functional score, range of motion (ROM), and a Visual Analogue Scale (VAS) pain score were performed at postoperative day 3 and week 4.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
320

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2017

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2017

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2018

Completed
26 days until next milestone

First Submitted

Initial submission to the registry

June 26, 2018

Completed
13 days until next milestone

First Posted

Study publicly available on registry

July 9, 2018

Completed
Last Updated

July 12, 2018

Status Verified

July 1, 2018

Enrollment Period

12 months

First QC Date

June 26, 2018

Last Update Submit

July 11, 2018

Conditions

Keywords

Anterior cruciate ligament reconstruction, knee, hemarthrosis, tranexamic acid

Outcome Measures

Primary Outcomes (1)

  • The volume of drainage

    hemoarthrosis

    24 hours after surgery.

Secondary Outcomes (3)

  • The grade of hemarthrosis

    At day 3 and week 4.

  • The VAS was documented

    Postoperative day 3 and week 4.

  • IKDC functional score

    Evaluated 4 weeks post-surgery.

Study Arms (2)

Tranexamic Acid group

EXPERIMENTAL

Ten mL of TXA (100 mg/mL) was injected into the joint at the end of the index operation and the drain was clamped for 2 h.

Drug: Tranexamic Acid Powder

Control Group

PLACEBO COMPARATOR

The control group patients only received ACLRs without TXA injections.

Procedure: Post-anterior cruciate ligament reconstruction (ACLR)

Interventions

Ten mL of Tranexamic Acid(100 mg/mL) was injected into the joint at the end of the operation.

Tranexamic Acid group

Post-anterior cruciate ligament reconstruction (ACLR)

Control Group

Eligibility Criteria

Age20 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • patient agreed to participate in this study, signed an informed consent document.
  • patients receiving arthroscopic ACLR with autologous hamstring grafts

You may not qualify if:

  • previous knee procedures on the same side
  • renal disorder or insufficiency
  • abnormal coagulation profile
  • refused to participate in this study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hsiao-Li

Taipei, 11217, Taiwan

Location

MeSH Terms

Conditions

Hemarthrosis

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesHemorrhagePathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2018

First Posted

July 9, 2018

Study Start

June 1, 2017

Primary Completion

May 31, 2018

Study Completion

May 31, 2018

Last Updated

July 12, 2018

Record last verified: 2018-07

Locations