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THA in Patients with Idiopathic Thrombocytopenic Purpura (ITP): A Case Report.

Suzuki K, Kawachi S, Nanke H, Ito T - J Rural Med (2011)

Bottom Line: She left the hospital 20 days after the operation with a T-cane.Three years after the operation, she had no groin pain and could walk without ambulatory assistive devices.We did not observe implant loosening.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, JA Toride Medical Center, Ibaraki, Japan.

ABSTRACT
We report a case of idiopathic thrombocytopenic purpura (ITP) accompanied by steroid-induced avascular necrosis of the femoral head in a 68-year-old woman. Extremely low platelet counts of ITP patients prohibit any surgical interventions. Her platelet count was 25,000/μL. We performed a total hip arthroplasty with high-dose immunoglobulin therapy and transfusion of platelet concentrates. Her platelet count increased to 94,000/μL just before the operation. No hemostatic complications were encountered perioperatively, and the postoperative course was uneventful. She left the hospital 20 days after the operation with a T-cane. Her platelet count decreased to 34,000/μL on the day she left the hospital. Three years after the operation, she had no groin pain and could walk without ambulatory assistive devices. We did not observe implant loosening.

No MeSH data available.


Related in: MedlinePlus

Radiograph reveals collapse of the left femoral head.
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fig_001: Radiograph reveals collapse of the left femoral head.

Mentions: Radiographs and magnetic resonance imaging revealed that her left femoral head hadcollapsed and steroid-induced avascular necrosis was diagnosed (Figures 1Figure 1


THA in Patients with Idiopathic Thrombocytopenic Purpura (ITP): A Case Report.

Suzuki K, Kawachi S, Nanke H, Ito T - J Rural Med (2011)

Radiograph reveals collapse of the left femoral head.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4309353&req=5

fig_001: Radiograph reveals collapse of the left femoral head.
Mentions: Radiographs and magnetic resonance imaging revealed that her left femoral head hadcollapsed and steroid-induced avascular necrosis was diagnosed (Figures 1Figure 1

Bottom Line: She left the hospital 20 days after the operation with a T-cane.Three years after the operation, she had no groin pain and could walk without ambulatory assistive devices.We did not observe implant loosening.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, JA Toride Medical Center, Ibaraki, Japan.

ABSTRACT
We report a case of idiopathic thrombocytopenic purpura (ITP) accompanied by steroid-induced avascular necrosis of the femoral head in a 68-year-old woman. Extremely low platelet counts of ITP patients prohibit any surgical interventions. Her platelet count was 25,000/μL. We performed a total hip arthroplasty with high-dose immunoglobulin therapy and transfusion of platelet concentrates. Her platelet count increased to 94,000/μL just before the operation. No hemostatic complications were encountered perioperatively, and the postoperative course was uneventful. She left the hospital 20 days after the operation with a T-cane. Her platelet count decreased to 34,000/μL on the day she left the hospital. Three years after the operation, she had no groin pain and could walk without ambulatory assistive devices. We did not observe implant loosening.

No MeSH data available.


Related in: MedlinePlus