Intravenous Versus Intra-articular Tranexamic Acid for Visual Clarity During Arthroscopic Rotator Cuff Repair
NCT07686705 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 122
Last updated 2026-07-07
Summary
This single-center, prospective, randomized, double-blind controlled trial evaluated whether intravenous (IV) or intra-articular (IA) administration of tranexamic acid (TXA) improves intraoperative visual clarity, compared with a no-TXA control, during arthroscopic rotator cuff repair. Patients with full-thickness rotator cuff tears were randomly allocated to one of three groups: a control group receiving no TXA; an IA group in which 500 mg of TXA was added to each 1 L of normal-saline irrigation fluid; and an IV group receiving 1000 mg of TXA intravenously 10 minutes before surgery. The operating surgeon graded visual clarity on a 0-10 numeric scale at the end of each of six predefined surgical stages. Secondary outcomes included total operative time, estimated blood loss, irrigation-fluid volume, the number of irrigation-pressure increases, postoperative shoulder swelling, and postoperative day 1 pain.
Conditions
- Rotator Cuff Tears
Interventions
- DRUG
-
Tranexamic acid (intra-articular)
500 mg of tranexamic acid added per 1 L of normal-saline irrigation fluid.
- DRUG
-
Tranexamic acid (intravenous)
1000 mg of tranexamic acid administered intravenously 10 minutes before surgery.
Sponsors & Collaborators
-
Konkuk University Medical Center
lead OTHER
Principal Investigators
-
Seok Won Chung, MD · Konkuk University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-18
- Primary Completion
- 2023-08-25
- Completion
- 2023-08-26
Countries
- South Korea
Study Locations
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