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.
Panousis
Konstantinos
K
University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK. panousis@hotmail.com
Rana
Bardeep
B
Hunter
John
J
Grigoris
Peter
P
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