Tranexamic Acid in Pediatric Undergoing Proximal Femoral Osteotomies and/or Acetabular Osteotomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-18
SponsorAssiut University

About this trial

Surgical hip reconstruction reduces the hip joint through soft tissue releases and osteotomies of the femur and/or pelvis. Blood loss and subsequent blood transfusion are normal consequences of hip reconstruction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

ASA I - II

Scheduled for acetabular osteotomy and/or proximal femoral derotation osteotomies.

Disqualifiers

Patient's guardian refusal to participate in the study.

Children known to have pre-existing bleeding or coagulation disorders.

Children with anemia; defined according to (WHO ) cutoffs as Hb level<11g/dl for girls and <12g/dl for boys

History of epilepsy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Tranexamic acid

    Drug

    patients treated with TXA will have reduced blood loss and transfusion requirements compared with those who did not receive TXA

  • caudal epidural block

    Procedure/Surgery

    regional anesthesia in orthopedic procedures are known to help reduction of intraoperative blood loss

  • Placebo

    Other intervention

    participants will receive standard care but neither TXA nor caudal epidural block

Treatment groups

400 Participants
are divided into 4 treatment groups
Group A: T groupActive comparator 1 intervention
Group B: TC groupActive comparator 2 interventions
Group C: C groupActive comparator 1 intervention
Group D: P groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

amount of intraoperative blood loss

calculated from the fall in red blood cell volume

Time frame
24 hours

Secondary outcomes

1

Rate of blood transfusion

either intraoperative or postoperative blood transfusion

Time frame
24 hours
2

Incidence of adverse effects or complications of TXA

e.g. thromboembolic events or perioperative seizures will be managed and recorded

Time frame
24 hours
3

length of hospital stay

readiness for hospital discharge

Time frame
24 hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.