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
  • 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.

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.

Keyword

Perioperative management; Immune thrombocytopenic purpura; Total knee replacement

MeSH Terms

Arthroplasty
Arthroplasty, Replacement, Knee
Hemorrhage
Humans
Joints
Knee
Perioperative Care
Platelet Count
Purpura, Thrombocytopenic, Idiopathic
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