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Published on: March 24, 2023
Treating Osteoarthritis in Jehovah's Witness Patients
Casey Cardillo1, Benjamin C Schaffler1, Kevin Lehane1
1Department of Orthopedic Surgery, NYU Langone Health, 301 East 17th Street, New York, NY 10003, USA.
Abstract:
This article addresses the challenges surrounding hip and knee osteoarthritis (OA) treatment in Jehovah's Witnesses (JWs), focusing on the complexities arising from their refusal of blood products and transfusions. Acknowledging the heightened risk of blood loss anemia during joint replacement surgery, this review explores documented strategies that enable safe elective joint arthroplasty in JW patients, emphasizing comparable initial diagnostic methods and non-operative treatments up until the pre-operative stage. Special considerations should be taken in the perioperative and intraoperative stage. Despite these challenges, safe arthroplasty is feasible with satisfactory outcomes through a combination of careful preoperative optimization, blood saving protocols, and cultural sensitivity.
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