Orthopaedic Surgery in the Jehovah's Witness Patient: Clinical, Ethical, and Legal Considerations.

J Bone Joint Surg Am · Mar 19 2025 · Review

Stone BK, Callanan TC, Perez-Albela A, Basques BA

Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Rhode Island

General Orthopaedics

SUMMARY — THE REDUCTIONJehovah's Witness patients undergoing orthopaedic surgery require careful perioperative planning, blood-conservation strategies, and shared decision-making about graft choice due to refusal of allogeneic blood products.
Abstract, as published

➢ Jehovah's Witnesses refuse allogeneic blood products based on religious beliefs that create clinical, ethical, and legal challenges in orthopaedic surgery, requiring detailed perioperative planning and specific graft selection.➢ Detailed perioperative planning is particularly important for procedures with high intraoperative blood loss.➢ Graft selection must align with Jehovah's Witnesses patients' religious beliefs, with options including autografts, allografts, and synthetic materials; this requires shared decision-making between the patient and surgeon.➢ A multidisciplinary approach, integrating medical, ethical, and religious considerations, ensures optimal care, with innovative techniques and open dialogue being key to successful outcomes.

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