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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Tranexamic acid
Drugpatients treated with TXA will have reduced blood loss and transfusion requirements compared with those who did not receive TXA
caudal epidural block
Procedure/Surgeryregional anesthesia in orthopedic procedures are known to help reduction of intraoperative blood loss
Placebo
Other interventionparticipants will receive standard care but neither TXA nor caudal epidural block
Treatment groups
Trial outcomes
Primary outcomes
amount of intraoperative blood loss
calculated from the fall in red blood cell volume
Secondary outcomes
Rate of blood transfusion
either intraoperative or postoperative blood transfusion
Incidence of adverse effects or complications of TXA
e.g. thromboembolic events or perioperative seizures will be managed and recorded
length of hospital stay
readiness for hospital discharge
Sponsors and contacts
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