Table 2.
Author | Year | Intervention | Prosthesis properties | Approach | Transfusion protocol | Thromboprophylaxis |
---|---|---|---|---|---|---|
Gillespie [20] | 2015 | TXA: 2 g in 100 ml NS for 5 min Placebo: 100 ml NS for 5 min |
N/S | DP | 1) Hb < 7.0 g/dl 2) 7.1 g/dl < Hb < 9.0 g/dl + symptoms |
N/S |
Pauzenberger [23] | 2017 | TXA: 1 g TXA intravenously in 100 ml NS, 2 doses Placebo: 100 ml NS, 2 doses |
TSA (Eclipse; Arthrex Inc., Naples, Florida) RTSA (Delta Xtend; DePuy Synthes, Warsaw, Indiana) |
DP | 1) Hb < 8 g/dl 2) 8 g/dl < Hb < 10 g/dl + symptoms |
Chemical prophylaxis (subcutaneous 40 mg of enoxaparin sodium + aspirin) |
Vara [34] | 2017 | TXA: 10 mg/kg IV, 1st dose within 60 mins before surgery, 2nd dose at wound closure Placebo: NS |
102 Non-cemented RTSA (79 Zimmer; 11 DePuy; 4 Biomet; 2 Encore,) |
DP | 1) Hb < 7 g/dl 2) 7 g/dl < Hb < 9 g/dl + symptoms |
Chemical prophylaxis (subcutaneous heparin + oral aspirin) Mechanical prophylaxis (compression stockings) |
Abildgaard [33] | 2016 | TXA: 1 g IV at skin preparation Placebo: no TXA |
TSA (Bigliani/ Flatow Anatomical Total Shoulder; Zimmer, Warsaw, IN, USA) RTSA (Trabecular Metal Inverse/Reverse Total Shoulder, Zimmer) |
DP | 1) Hb < 7 g/dl 2) 7 g/dl < Hb < 9 g/dl + symptoms |
Chemical prophylaxis was not routinely used postoperatively |
Friedman [19] | 2016 | TXA: 20 mg/kg IV at skin preparation Placebo: no TXA |
RTSA: cemented; brand N/S TSA: 90% non-cemented; |
N/S | N/S | N/S |
Kim [24] | 2017 | TXA: 500 mg IV | 25 DJO Reverse Shoulder Prosthesis; 16 Tornier reverse shoulder prosthesis; 7 Biomet Comprehensive Reverse Total Shoulder Replacement | DP | No absolute guideline | N/S |
DP Deltopectoral approach; Hb Hemoglobin; IV Intravenous; NS Normal saline; N/S Not shown; RTSA Reverse total shoulder arthroplasty; TSA Total shoulder arthroplasty; TXA Tranexamic acid