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Record W4415430259 · doi:10.1302/1358-992x.2025.10.009

THE ROLE OF TRANEXAMIC ACID (TXA) IN TOTAL ANKLE ARTHROPLASTY (TAA): A SYSTEMATIC REVIEW

2025· review· en· W4415430259 on OpenAlexaff
Jamal Al‐Asiri, Ahmed Saidahmed, Omar A. Al-Mohrej, Mohaned Argan

Bibliographic record

VenueOrthopaedic Proceedings · 2025
Typereview
Languageen
FieldMedicine
TopicFoot and Ankle Surgery
Canadian institutionsHamilton General Hospital
Fundersnot available
KeywordsTranexamic acidAnkleArthroplastyBlood lossTotal hip arthroplasty

Abstract

fetched live from OpenAlex

Tranexamic acid (TXA) has been used in different orthopedicdepartments to reduce blood loss, transfusions, hemarthrosis, wound formation, infections, and other related complications. Nonetheless, the role or efficacy of Tranexamic acid (TXA) in total ankle arthroplasty (TAA) is not precisely depicted. This systematic review aims to report the role or efficacy of Tranexamic acid (TXA) in total ankle arthroplasty (TAA). This study conducted to find out the role or efficacy of Tranexamic acid (TXA) in total ankle arthroplasty (TAA). Database searches were conducted for eligible studies from 26thFebruary 2002 to 26th October 2022. Clinical studies on the use of Tranexamic acid in total ankle arthroplasty (TAA) were included. The outcomes were projected blood loss, hemarthrosis, change in hemoglobin, wound infections, and complications. Eight studies met the inclusion criteria. In six studies, Tranexamic acid (TXA) was found to be effective in reducing wound formations, infections, and complications in total ankle arthroplasty (TAA). However, two studies reported the use of Tranexamic acid (TXA) in total ankle arthroplasty (TAA) as non-effective. Six studies reported on blood loss, in which, in 4 studies there was no significant difference in blood loss between patients that received Tranexamic acid (TXA) during total ankle arthroplasty (TAA) and the control group. However, in twostudies Tranexamic acid (TXA) was found to be effective in reducing blood loss. In conclusion, Tranexamic acid (TXA) is associated with reduced wound formations, infections, and complications in total ankle arthroplasty (TAA). Additionally, TXA does not significantly reduce blood loss in total ankle arthroplasty.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.235
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.002
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0050.001
Bibliometrics0.0000.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.274
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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