Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant
An acute-on-chronic liver disease patient, during workup for liver transplant, presented with a transcervical neck of femur fracture following a trivial trauma. High risks were associated with performing the surgery under general anesthesia, coagulation failure, and risks of infection, resulting in...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Amrita Journal of Medicine |
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| Online Access: | https://doi.org/10.4103/AMJM.AMJM_74_23 |
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| author | S. Aravind Jai Thilak Arun Valsan Mathew George Koushik Gundavalli Shine Sadasivan S. Sudhindran |
| author_facet | S. Aravind Jai Thilak Arun Valsan Mathew George Koushik Gundavalli Shine Sadasivan S. Sudhindran |
| author_sort | S. Aravind |
| collection | DOAJ |
| description | An acute-on-chronic liver disease patient, during workup for liver transplant, presented with a transcervical neck of femur fracture following a trivial trauma. High risks were associated with performing the surgery under general anesthesia, coagulation failure, and risks of infection, resulting in intraoperative or post-operative mortality. Addressing each of these risk factors, the patient underwent a cemented bipolar hemiarthroplasty under regional nerve block, followed by early live donor liver transplantation with an uneventful post-op recovery and currently mobilizing without support. In the case of patients with acute-on-chronic liver failure, identifying the risk factors and complications that are expected perioperatively and intraoperatively and further planning the management by a multidisciplinary team approach can result in improved outcomes. |
| format | Article |
| id | doaj-art-cdbeded39ee548f387b54bcab2020240 |
| institution | Kabale University |
| issn | 0975-9662 2772-2805 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Amrita Journal of Medicine |
| spelling | doaj-art-cdbeded39ee548f387b54bcab20202402025-01-14T11:18:32ZengWolters Kluwer Medknow PublicationsAmrita Journal of Medicine0975-96622772-28052024-12-0120418218610.4103/AMJM.AMJM_74_23Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver TransplantS. AravindJai ThilakArun ValsanMathew GeorgeKoushik GundavalliShine SadasivanS. SudhindranAn acute-on-chronic liver disease patient, during workup for liver transplant, presented with a transcervical neck of femur fracture following a trivial trauma. High risks were associated with performing the surgery under general anesthesia, coagulation failure, and risks of infection, resulting in intraoperative or post-operative mortality. Addressing each of these risk factors, the patient underwent a cemented bipolar hemiarthroplasty under regional nerve block, followed by early live donor liver transplantation with an uneventful post-op recovery and currently mobilizing without support. In the case of patients with acute-on-chronic liver failure, identifying the risk factors and complications that are expected perioperatively and intraoperatively and further planning the management by a multidisciplinary team approach can result in improved outcomes.https://doi.org/10.4103/AMJM.AMJM_74_23hepatitiship arthroplastyliver disease |
| spellingShingle | S. Aravind Jai Thilak Arun Valsan Mathew George Koushik Gundavalli Shine Sadasivan S. Sudhindran Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant Amrita Journal of Medicine hepatitis hip arthroplasty liver disease |
| title | Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant |
| title_full | Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant |
| title_fullStr | Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant |
| title_full_unstemmed | Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant |
| title_short | Hip Arthroplasty in an Acute-On-Chronic Liver Failure Patient Followed by Early Live Donor Liver Transplant |
| title_sort | hip arthroplasty in an acute on chronic liver failure patient followed by early live donor liver transplant |
| topic | hepatitis hip arthroplasty liver disease |
| url | https://doi.org/10.4103/AMJM.AMJM_74_23 |
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