• Seyit Ali Gümüştaş, Zekeriya Ersin Çelen, Tolga Onay, Mehmet Süleyman Abul, and Hüseyin Bilgehan Çevik.
• Department of Orthopaedics and Traumatology, Kartal Dr. Lütfi Kırdar City Hospital, University of Health Sciences, Istanbul, Turkey.
• Eur J Trauma Emerg Surg. 2022 Feb 1; 48 (1): 351-356.

PurposeThis study aimed to investigate the efficiency and safety of tranexamic acid use in open reduction and internal fixation of pelvis and acetabulum fractures.Materials And Methods73 consecutive patients were included. 1000 mg TXA was administered intravenously to all patients before surgery. The patients were evaluated on the basis of preoperative, postoperative first and third day hemoglobin-hematocrit values, amount of drainage collected, total blood loss, transfusion rates and complications.ResultsMean operative time was 120.1 min. Average decrease in hematocrit levels between preoperative and postoperative first day was 2.1 g/dL. Average collected blood from the drain was 177 mL. Mean total blood loss was 1137 mL. Transfusion rate of the patients was 21%. Mean transfused units was 0.9 units. Three patients died within 3 weeks after the operation due to myocardial infarction, acute kidney failure and pneumonia. There were no cases of symptomatic venous or pulmonary thromboembolism during the 90 days of follow-up.ConclusionUse of TXA in pelvic and acetabular fractures was found to be effective in reducing total blood loss, hemoglobin drop and transfusion rates without increasing venous and pulmonary thromboembolism in our series.© 2021. Springer-Verlag GmbH, DE part of Springer Nature.

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