blood tests

Von Willebrand's Disease

Incidence

 

Most common of the bleeding disorders

- 1:100

 

Function

 

vWF            

- needed for platelet adhesion and platelet-platelet interactions

- also carrier for factor VIII / protects it from rapid breakdown

 

Aetiology

 

Gene on chromosome 12

1.  Reduced production VWF

Infection

Risk factors

 

Patient 

 

Advanced age

Immunosuppression - steroids / Rheumatoid / DM

Malnutrition - Lymphocyte count / Transferrin / Albumin

Vascular disease

Obesity

Poor skin i.e. psoriasis

Previous infection in joint

Infection elsewhere - i.e. UTi

Prolonged hospital admission

Revision surgery

 

Operative Factors

 

Preoperative