Topical tranexamic acid in hip fractures: a randomized, placebo-controlled double-blinded study.

Background: Tranexamic acid (TXA) has been shown to reduce perioperative blood loss in elective orthopedic surgery. The safety of intravenous TXA in nonelective hip fracture surgery is uncertain. The purpose of this study was to evaluate the efficacy and safety of topical TXA in hip fracture surgery.

Perioperative mortality after hemiarthroplasty related to fixation method.

Background And Purpose: The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.

Methods: We analyzed approximately 25,000 hemiarthroplasty cases from the AOA National Joint Replacement Registry.