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Published on: July 28, 2020
Bleeding disorders in orthopedic surgery.
John Mansour1, Kenneth Graf, Paul Lafferty
1Department of Orthopaedic Trauma, Cooper University Hospital, Camden, New Jersey, USA. drmansourjr@gmail.com
Orthopedic surgeons need to understand bleeding disorders for patient safety. Proper evaluation and multidisciplinary care enable safe orthopedic procedures for coagulopathic patients.
Area of Science:
- Orthopedic Surgery
- Hematology
Background:
- Coagulopathies pose significant risks in orthopedic surgery.
- A knowledge gap exists regarding bleeding disorder management among orthopedic surgeons.
Purpose of the Study:
- To emphasize the importance of understanding common bleeding disorders for orthopedic surgeons.
- To outline the essential components of evaluating coagulopathic patients.
- To highlight the necessity of a multidisciplinary approach for safe surgical outcomes.
Main Methods:
- Review of common bleeding disorders including platelet and coagulation factor issues.
- Emphasis on comprehensive patient evaluation: history, physical examination, and laboratory tests.
- Discussion of management strategies for coagulopathies in elective and non-elective orthopedic settings.
Main Results:
- Coagulopathies encompass platelet dysfunction, coagulation factor deficiencies, and inhibitors.
- Effective patient evaluation is crucial for identifying bleeding risks.
- Multidisciplinary collaboration with hematology and cardiology is key.
Conclusions:
- Orthopedic surgeons require foundational knowledge of bleeding disorders.
- A systematic approach to evaluation and management is essential.
- Safe surgical outcomes are achievable through informed decision-making and collaborative care.
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