Research Article

[Retracted] Tranexamic Acid versus Epsilon-Aminocaproic Acid in Total Knee Arthroplasty: A Meta-Analysis

Table 1

Basic characteristics of included literature.

AuthorsYearCountryType of studyPeriod of enrollmentType of surgeryTXA groupEACA group
AgeFemale (%)TXA usageAgeFemale (%)EACA usage

Camarasa2006SpainRCTFrom March 2004 to March 2005TKA73 (61–84)74.3TXA 10 mg·kg−1 i.v. just before the tourniquet was deflated and 3 h later.73 (59–80)87.5EACA 100 mg kg−1 before tourniquet deflation followed by continuous perfusion (1 g/h−1) during 3 h.

Churchill2017USANon-RCTBetween April 1, 2012, and December 31, 2014TKA65.8 (11.09)64.3A single 1 g infusion of TXA or when EACA is used, 5 g infusion done for patients weighing 50 kg or less, or 10 g done for patients weighing more than 50 kg.63.9 (10.29)64.3A single 1 g infusion of TXA or when EACA used, 5 g infusion done for patients weighing 50 kg or less, or 10 g done for patients weighing more than 50 kg.

Boese2017USARCTFrom January 2014 to December 2015TKA64.97 ± 9.5970.4The regimen for TXA was 1 g in 250 mL of saline solution given over 30 minutes prior to inflating the tourniquet and making the initial incision. A second 1 g in 250 mL of saline solution was infused over 30 minutes beginning at the time of wound closure.66.12 ± 9.7374.0The regimen for EACA was 7 g in 250 mL of saline solution given over 30 minutes just prior to inflating the tourniquet and making the initial incision. A second 7 g of EACA in 250 mL of saline solution was infused over 30 minutes beginning at the time of wound closure.

Bradley2019USARCTBetween February 2015 and December 2017TKA64.7 (60.7–69.6)68.5The first dose was given immediately before making the incision and a second dose was given during wound closure. TXA was given as 1 g intravenously in two doses.65.6 (58.8 to 69.4)58.3The first dose was given immediately before making the incision and a second dose was given during wound closure. EACA was given as a 5 g dose in 250 ml of normal saline.

RCT = randomized controlled trial; TKA = total knee arthroplasty; TXA = tranexamic acid; EACA = epsilon-aminocaproic acid.