Inclusion Criteria:  Patients scheduled for primary unilateral total knee arthroplasty Preoperative Hemoglobin >11mg/dL Preoperative platelet count of >150,000  Exclusion Criteria:  Patients unable to take aspirin or apixaban for VTE prophylaxis Allergy to any of the ingredients in bone wax (beeswax, paraffin, or isopropyl palmitate) Patients taking clopidogrel (Plavix), ticagrelor (Brilinta), or prasugrel (Effient) or any other antiplatelet medication (except for aspirin 81 mg) Patients unable to get IV Tranexamic Acid for any reason Patients requiring anticoagulant treatment prior to surgery