Revision Hip Arthroplasty in a Jehovah's Witness with Pelvic Discontinuity: A Case Report

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.