Case ReportsRevision Hip Arthroplasty in a Jehovah's Witness with Pelvic Discontinuity A Case ReportKusek, Andrew MDCM, CCFP1,a; Hart, Adam BEng, MASc, MDCM, FRCSC1; Baldini, Gabriele MD, MSc1 Author Information 1McGill University Health Centre, Montreal, Canada aE-mail address for A. Kusek: [email protected] Investigation performed at McGill University Health Centre, Montreal, Canada Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B957). JBJS Case Connector 12(4):e22.00028, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00028 Buy Metrics Abstract Case: A 68-year-old Jehovah's Witness (JW) presented with pelvic discontinuity 9 years after right total hip arthroplasty. Her pelvis was previously irradiated for cervical cancer. Meticulous hemostasis, blood conserving strategies, and a prophylactic arterial balloon catheter were used to mitigate bleeding. She underwent an uneventful revision total hip arthroplasty with excellent functional recovery and radiographic evaluation at 1 year postoperatively. Conclusion: Pelvic discontinuity in a JW with irradiated bone makes for a challenging revision arthroplasty with high bleeding risk. Preoperative coordination with anesthesia and blood loss mitigation strategies can lead to successful surgical outcomes in cases of high-risk surgery among JW patients. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
