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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

Before surgery, we consecutively performed intravenous transfusion of 5 g/100 ml ofVenoglobulin IH for seven days. We transfused 10 units of platelets the day beforesurgery and after the surgery. The peak platelet count was 160,000/μL four days afterthe operation and decreased to 34,000/μL three weeks after the operation. PC: plateletconcentrate, IVIG: intravenous Venoglobulin IH.
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fig_003: Before surgery, we consecutively performed intravenous transfusion of 5 g/100 ml ofVenoglobulin IH for seven days. We transfused 10 units of platelets the day beforesurgery and after the surgery. The peak platelet count was 160,000/μL four days afterthe operation and decreased to 34,000/μL three weeks after the operation. PC: plateletconcentrate, IVIG: intravenous Venoglobulin IH.

Mentions: We performed a cementless total hip arthroplasty under general anesthesia. The implant usedwas a TriAD-Securfit, (Stryker, Mahwah, NJ, USA). The operating time was 75 minutes, and theintraoperative blood loss was 360 mL. No hemostatic complications were sustained, and thepostoperative course was uneventful. She left the hospital 20 days after the operation witha T-cane. Her platelet count decreased to 34,000/μL on the day she left the hospital (Figure 3Figure 3


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

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

Before surgery, we consecutively performed intravenous transfusion of 5 g/100 ml ofVenoglobulin IH for seven days. We transfused 10 units of platelets the day beforesurgery and after the surgery. The peak platelet count was 160,000/μL four days afterthe operation and decreased to 34,000/μL three weeks after the operation. PC: plateletconcentrate, IVIG: intravenous Venoglobulin IH.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig_003: Before surgery, we consecutively performed intravenous transfusion of 5 g/100 ml ofVenoglobulin IH for seven days. We transfused 10 units of platelets the day beforesurgery and after the surgery. The peak platelet count was 160,000/μL four days afterthe operation and decreased to 34,000/μL three weeks after the operation. PC: plateletconcentrate, IVIG: intravenous Venoglobulin IH.
Mentions: We performed a cementless total hip arthroplasty under general anesthesia. The implant usedwas a TriAD-Securfit, (Stryker, Mahwah, NJ, USA). The operating time was 75 minutes, and theintraoperative blood loss was 360 mL. No hemostatic complications were sustained, and thepostoperative course was uneventful. She left the hospital 20 days after the operation witha T-cane. Her platelet count decreased to 34,000/μL on the day she left the hospital (Figure 3Figure 3

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