Our Summary

This research paper looks at the effectiveness of a drug called tranexamic acid (TXA) in reducing blood loss during shoulder replacement surgery. The researchers reviewed a range of articles and studies on the topic and found that TXA significantly lowers the amount of blood loss and the need for blood transfusions during these surgeries. The data suggests a 55% lower risk of needing a blood transfusion when TXA is used, though more research is needed to confirm this. The study also suggests that more research is needed to figure out the best way to administer TXA and the correct dosage for shoulder replacement surgery.

FAQs

  1. What is tranexamic acid (TXA) and how does it reduce blood loss during shoulder replacement surgery?
  2. What is the potential benefit of using TXA during shoulder replacement surgery according to the research?
  3. What further research needs to be done on the usage of TXA in shoulder replacement surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about shoulder replacement surgery is to ask about the use of tranexamic acid (TXA) to help reduce blood loss and the need for blood transfusions during the procedure. Discussing this option with your healthcare team can help improve your overall recovery and outcomes.

Suitable For

Patients who are typically recommended for shoulder replacement surgery are those who have severe shoulder pain and stiffness that limits their daily activities, have not responded to conservative treatments such as physical therapy or medication, and have conditions such as osteoarthritis, rheumatoid arthritis, or a severe shoulder fracture. These patients may have difficulty performing simple tasks such as reaching overhead, dressing themselves, or lifting objects. Shoulder replacement surgery is usually considered as a last resort when other treatments have failed to provide relief.

Timeline

Before Shoulder Replacement Surgery:

  1. Initial consultation with orthopedic surgeon to discuss symptoms and treatment options
  2. Pre-operative testing, including blood work and imaging scans
  3. Education on the procedure and post-operative care
  4. Pre-surgical preparations, such as stopping certain medications and fasting before surgery

During Shoulder Replacement Surgery:

  1. Anesthesia is administered to the patient
  2. Surgeon makes incision and removes damaged parts of the shoulder joint
  3. Implantation of artificial shoulder joint components
  4. Wound closure and recovery in the operating room before being transferred to the recovery room

After Shoulder Replacement Surgery:

  1. Physical therapy and rehabilitation exercises to improve range of motion and strength
  2. Pain management to control post-operative discomfort
  3. Follow-up appointments with the surgeon to monitor progress and address any concerns
  4. Gradual return to normal activities and work, with restrictions on lifting and strenuous activities for a period of time

Overall, the timeline for a patient undergoing shoulder replacement surgery involves pre-operative preparations, the surgical procedure itself, and post-operative care to ensure a successful recovery and improved shoulder function.

What to Ask Your Doctor

  1. How common is shoulder replacement surgery and what are the typical outcomes?
  2. What are the risks and potential complications associated with shoulder replacement surgery?
  3. How does tranexamic acid (TXA) work to reduce blood loss during shoulder replacement surgery?
  4. What are the potential benefits of using TXA during shoulder replacement surgery?
  5. Are there any contraindications or side effects associated with TXA?
  6. How is TXA administered during shoulder replacement surgery and what is the recommended dosage?
  7. Is TXA typically used in combination with other medications or interventions during shoulder replacement surgery?
  8. What is the success rate of using TXA in shoulder replacement surgery based on current research?
  9. Are there any additional steps or precautions I should take if I choose to use TXA during my shoulder replacement surgery?
  10. Are there any ongoing clinical trials or research studies related to TXA and shoulder replacement surgery that I should be aware of?

Reference

Authors: Kirsch JM, Bedi A, Horner N, Wiater JM, Pauzenberger L, Koueiter DM, Miller BS, Bhandari M, Khan M. Journal: JBJS Rev. 2017 Sep;5(9):e3. doi: 10.2106/JBJS.RVW.17.00021. PMID: 28902659