Rapid sequence quadruple joint replacement in a rheumatoid Jehovah's Witness.
We report the case of a wheelchair-bound rheumatoid Jehovah's Witness who underwent rapid sequence, staged, simultaneous ipsilateral hip and knee replacements. Using perioperative erythropoietin and postoperative blood salvage, all four joints were reconstructed without homologous blood transfusion. One year following surgery, the patient has achieved an independent functional status, and all four replaced joints remain painless.
University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK. panousis@hotmail.com
Konstantinos
K
Panousis
Bardeep
B
Rana
John
J
Hunter
Peter
P
Grigoris
D019072:Antibiotic Prophylaxis; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D019645:Arthroplasty, Replacement, Knee / Q000379:methods; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000379:methods; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D008875:Middle Aged