{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T06:00:28Z","timestamp":1785218428771,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Korea government","award":["RS-2023-00278547"],"award-info":[{"award-number":["RS-2023-00278547"]}]},{"name":"EMBRI","award":["2023-EMBRIDJ0003"],"award-info":[{"award-number":["2023-EMBRIDJ0003"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We aimed to find the distinctions between IV and IA TXA concerning intraoperative visual clarity, postoperative pain management during ARCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In our retrospective cohort, propensity score matching study, we included patients who had a history of rotator cuff tears and at least six months of unsuccessful conservative treatment. The primary outcome, visual clarity during surgery, was evaluated using a five-grade arthroscopic visual scale (AVS) by the operating surgeon. This scale ranged from grade 1, indicating optimal clarity, to grade 5, the least clarity necessitating a switch to open surgery. These assessments were made at 10-minute intervals during the review of the operation\u2019s video footage. We also measured postoperative pain levels as secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>IA group included 30 patients and the IV group had 31 patients, with no significant differences in demographics or tear dimensions (p=0.686). The IA and IV groups showed similar irrigation fluid volumes, operation times, and AVS mean scores. IA group had a higher proportion of favorable AVS grades (grades 1\u20132) compared to IV group (90.0% vs 64.5%, p=0.011). Pain assessment using the Visual Analog Scales (VAS) were lower in the IA group at 24, 48, and 72 hours postoperatively; however, after Bonferroni correction, only the 48-hour difference remained statistically significant (2.7 vs. 4.2, p=0.008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both IA and IV TXA may be useful adjuncts in ARCR. In this propensity score-matched cohort, IA TXA was associated with a higher proportion of favorable AVS grades and a modest short-term pain benefit, with statistical significance only at 48 hours after correction for multiple comparisons. Within the limitations of this study, IA TXA may be considered a reasonable alternative, particularly when IV administration is not suitable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261468081","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:48:19Z","timestamp":1783579699000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intra-articular versus intravenous tranexamic acid in arthroscopic rotator cuff repair: Arthroscopic visual clarity and early postoperative pain in a propensity score-matched study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7665-536X","authenticated-orcid":false,"given":"Hyojune","family":"Kim","sequence":"first","affiliation":[{"name":"Hospital of Chung-Ang University of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taeho","family":"Oh","sequence":"additional","affiliation":[{"name":"Eulji University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Hospital of Chung-Ang University of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6181-9621","authenticated-orcid":false,"given":"Kyoung Hwan","family":"Koh","sequence":"additional","affiliation":[{"name":"Asan Medical Center"},{"name":"College of Medicine"},{"name":"University of Ulsan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.10.027"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211073332"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.051"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.10.020"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-004-0573-x"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20050401-16"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520981679"},{"key":"e_1_3_8_9_2","first-page":"1","article-title":"The effectiveness of tranexamic acid on operative and perioperative blood loss in long-segment spinal fusions: a consecutive series of 119 primary procedures","author":"Pernik MN","year":"2020","unstructured":"Pernik MN, Dosselman LJ, Aoun SG, et al. The effectiveness of tranexamic acid on operative and perioperative blood loss in long-segment spinal fusions: a consecutive series of 119 primary procedures. J Neurosurg Spine 2020: 1\u20137. https:\/\/doi.org\/10.3171\/2019.11.SPINE191174","journal-title":"J Neurosurg Spine"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.5397\/cise.2022.01291"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.03.031"},{"issue":"3","key":"e_1_3_8_12_2","first-page":"Cd001886","article-title":"Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion","volume":"2011","author":"Henry DA","year":"2011","unstructured":"Henry DA, Carless PA, Moxey AJ, et al. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. 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