Knee Surg Relat Res.
2012 Dec;24(4):245-248. 10.5792/ksrr.2012.24.4.245.
Perioperative Care of a Patient with Refractory Idiopathic Thrombocytopenic Purpura Undergoing Total Knee Arthroplasty
- Affiliations
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- 1Department of Trauma and Orthopaedics, Leighton Hospital, Crewe, United Kingdom. singhal.rohit75@gmail.com
- 2Department of Anaesthesiology, Leighton Hospital, Crewe, United Kingdom.
- 3Department of Haematology, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom.
- 4Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, United Kingdom.
- KMID: 2094231
- DOI: http://doi.org/10.5792/ksrr.2012.24.4.245
Abstract
- Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder leading to low platelet count and an increased risk of bleeding. Major joint replacement surgery in a patient with ITP can be associated with severe postoperative bleeding. We present our experience of perioperative management in a patient with severe refractory chronic idiopathic thrombocytopenic purpura who successfully underwent a cemented total knee replacement.
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