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Rapid sequence quadruple joint replacement in a rheumatoid Jehovah's Witness
Konstantinos Panousis1, Bardeep Rana, John Hunter
1University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK. panousis@hotmail.com
Archives of Orthopaedic and Trauma Surgery
|May 2, 2003
Abstract:
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.