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KMID : 0359620120240040245
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Journal of Korean Knee Society
2012 Volume.24 No. 4 p.245 ~ p.248
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Perioperative Care of a Patient with Refractory Idiopathic Thrombocytopenic Purpura Undergoing Total Knee Arthroplasty
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Rohit Singhal
Veera Gudimetla
Andrew Stewart
Karen L Luscombe
Charalambos P Charalambous
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Abstract
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Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder leading to low platelet count and an increased risk of bleeding. Major joint replacement surgery in a patient with ITP can be associated with severe postoperative bleeding. We present our experience of perioperative management in a patient with severe refractory chronic idiopathic thrombocytopenic purpura who successfully underwent a cemented total knee replacement.
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KEYWORD
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Perioperative management, Immune thrombocytopenic purpura, Total knee replacement
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