J Korean Hip Soc 2008; 20(1): 15-18
Published online March 1, 2008
© The Korean Hip Society
김용식∙정진화∙성병윤∙우영균∙권순용
가톨릭대학교 의과대학 정형외과학교실
Correspondence to : 권순용
서울특별시 영등포구 여의도동 62 성모병원 정형외과
TEL: 82-2-3779-1192
FAX: 82-2- 783-0252
E-mail: sykwon@catholic.ac.kr
* 본 논문의 요지는 2007년도 대한고관절학회 춘계학술대회에서 발표되었음.
Purpose: Patients with idiopathic thrombocytopenic purpura (ITP) survive longer now than in the past, secondary to the development of more effective treatment modalities. The risk of osteonecrosis of the femoral head was known to be increased in these patients in the past. However, until now, there has been no issuance of definite guidelines concerning the perioperative management of patients with ITP undergoing arthroplasty of the hip. We analyzed the outcomes of hip arthroplasty in patients with ITP who received appropriate perioperative hematologic management.
Materials and Methods: Five patients (six cases) with the diagnoses of osteonecrosis of the femoral head and ITP underwent total hip arthroplasty between November 2001 and January 2004. Perioperatively, their hematologic profiles were evaluated, and appropriate management was undertaken, including transfusion.
Results: Total hip arthroplasty in patients with ITP was successful in spite of the risks of perioperative bleeding and infection.
Conclusion: We recommend total hip arthroplasty in patients with thrombocytopenic disorders like ITP, as long as they are provided with appropriate perioperative hematologic management.
Keywords Femoral head, Osteonecrosis, Idiopathic thrombocytopenic purpura, Total hip arthroplasty
J Korean Hip Soc 2008; 20(1): 15-18
Published online March 1, 2008 https://doi.org/10.5371/jkhs.2008.20.1.15
Copyright © The Korean Hip Society.
김용식∙정진화∙성병윤∙우영균∙권순용
가톨릭대학교 의과대학 정형외과학교실
Yong-Sik Kim, M.D., Jin-Wha Chung, M.D., Byung-Yun Sung, M.D., Young-Kyun Woo, M.D., Soon-Yong Kwon, M.D.
Deprtment of Orthopedic Surgery, St. Mary's Hospital, Catholic Medical College, Seoul, Korea
Correspondence to:권순용
서울특별시 영등포구 여의도동 62 성모병원 정형외과
TEL: 82-2-3779-1192
FAX: 82-2- 783-0252
E-mail: sykwon@catholic.ac.kr
* 본 논문의 요지는 2007년도 대한고관절학회 춘계학술대회에서 발표되었음.
Purpose: Patients with idiopathic thrombocytopenic purpura (ITP) survive longer now than in the past, secondary to the development of more effective treatment modalities. The risk of osteonecrosis of the femoral head was known to be increased in these patients in the past. However, until now, there has been no issuance of definite guidelines concerning the perioperative management of patients with ITP undergoing arthroplasty of the hip. We analyzed the outcomes of hip arthroplasty in patients with ITP who received appropriate perioperative hematologic management.
Materials and Methods: Five patients (six cases) with the diagnoses of osteonecrosis of the femoral head and ITP underwent total hip arthroplasty between November 2001 and January 2004. Perioperatively, their hematologic profiles were evaluated, and appropriate management was undertaken, including transfusion.
Results: Total hip arthroplasty in patients with ITP was successful in spite of the risks of perioperative bleeding and infection.
Conclusion: We recommend total hip arthroplasty in patients with thrombocytopenic disorders like ITP, as long as they are provided with appropriate perioperative hematologic management.
Keywords: Femoral head, Osteonecrosis, Idiopathic thrombocytopenic purpura, Total hip arthroplasty
Jong Oh Kim, MD, Kwon Jae Noh, MD, Hyun Sik Park, MD1, Nam Hoon Do, MD, Tae Ho Kim, MD, Hun Sang Son, MD2
J Korean Hip Soc 2009; 21(2): 141-147Joon Soon Kang, MD, Kyong Ho Moon, MD, Ryuh Sup Kim, MD, Suk In Na, MD
J Korean Hip Soc 2011; 23(4): 297-302Bun Jung Kang, MD, Jue-Hee Lee, Young-Bok Jung, MD, Jin-Hong Kim, MD Yongmoon Han, Eui-Chan Jang, MD, Kyoung-Woon Kim, MD
J Korean Hip Soc 2011; 23(4): 275-281