Meta-Analysishigh evidence
Optimal Route of Tranexamic Acid Administration in Total Knee Arthroplasty: A Bayesian Network Meta-Analysis with Decision-Analytic Cost Evaluation.
The Journal of arthroplasty·June 29, 2026·PMID 42373027
Why it mattersOrthopedic surgeons need evidence-based guidance on TXA route selection that balances efficacy, safety, cost, and ease of use. This analysis clarifies that oral TXA offers a pragmatic, cost-effective default for routine primary TKA without sacrificing safety.

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