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LIMB LOSS FOLLOWING THE USE OF HEPARIN

A lesson to be remembered



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Abstract

The optimal method of prophylaxis against venous thromboembolism after total hip replacement (THR) remains uncertain. Most surgeons use some form of pharmacological prophylaxis, most commonly heparin. The precise balance of the benefits and risks is unclear, and serious complications can occur. We describe a case of heparin-induced thrombocytopenia and thrombosis syndrome in a 62-year-old woman after THR.


Correspondence should be sent to Mr F. Lam at 4 Middlefield, London NW8 6NE, UK.

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