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Rapid sequence quadruple joint replacement in a rheumatoid Jehovah's Witness

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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.

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Authors and Affiliations

  1. University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK

    Konstantinos Panousis, Bardeep Rana & Peter Grigoris

  2. Department of Rheumatology, Western Infirmary, Glasgow, UK

    John Hunter

Authors
  1. Konstantinos Panousis
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  2. Bardeep Rana
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  3. John Hunter
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  4. Peter Grigoris
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Correspondence to Konstantinos Panousis.

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Panousis, K., Rana, B., Hunter, J. et al. Rapid sequence quadruple joint replacement in a rheumatoid Jehovah's Witness. Arch Orthop Trauma Surg 123, 128–131 (2003). https://doi.org/10.1007/s00402-003-0483-2

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  • DOI: https://doi.org/10.1007/s00402-003-0483-2

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