title: Perioperative care of a patient with refractory idiopathic thrombocytopenic purpura undergoing total knee arthroplasty.
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.
authors.affiliation: Department of Trauma and Orthopaedics, Leighton Hospital, Crewe, United Kingdom.
authors.forename: Rohit
authors.initials: R
authors.lastname: Singhal
authors.forename: Veera
authors.initials: V
authors.lastname: Gudimetla
authors.forename: Andrew
authors.initials: A
authors.lastname: Stewart
authors.forename: Karen L
authors.initials: KL
authors.lastname: Luscombe
authors.forename: Charalambos P
authors.initials: CP
authors.lastname: Charalambous