Inclusion Criteria:  All patients >18 years old undergoing distal radius fracture open reduction and internal fixation through a volar approach at St. Joseph's hospital in London, Ontario All patients >18 years old undergoing open fasciectomy for Dupuytren's disease at St. Joseph's hospital in London, Ontario  Exclusion Criteria:  Revision surgery Distal radius fractures treated with additive or alternative approaches and fixation to the volar approach Known history of lymphedema or lymph node dissection on either upper extremity Known allergic reaction to TXA Cardiovascular problems (history of myocardial infraction, angina, and atrial fibrillation) Cerebrovascular conditions (history of previous stroke) Thromboembolic disorders (history of deep vein thrombosis [DVT] or pulmonary embolism [PE]), clotting disorders) Known seizure disorder Currently on dialysis Current pregnancy or breastfeeding Current use of hormone contraception Unable to read consent and patient surveys related to the study in English