Journal of the Bahrain Medical Society
Year 2020, Volume 32, Issue 2, Pages 56-61
https://doi.org/10.26715/jbms.32_2020_2_9Duaa Ebrahim Ahmed*1, Fatema Jalal AlQassab2, Stefan Dragulescu3
1German Orthopaedic Hospital, 99 King Abdulaziz St, Manama 973, Bahrain
2General practitioner, MBBS, German Orthopaedic Hospital, 99 King Abdulaziz St, Manama 973, Bahrain
3Senior Consultant (Orthopaedic surgeon), German Orthopaedic Hospital, 99 King Abdulaziz St, Manama 973, Bahrain
*Corresponding author:
Dr. Duaa Ebrahim Ahmed, German Orthopaedic Hospital, 99 King Abdulaziz St, Manama 973, Bahrain; Email: duaa.ebrahim@germanortho.com
Received date: January 28, 2020; Accepted date: May 5, 2020; Published date: June 30, 2020
Abstract
Sickle cell disease (SCD) is an inherited blood disorder that distorts the red blood cells into a sickle shaped. These deformed cells can interrupt the blood vessels supply to the bones and lead to Avascular Necrosis (AVN). Femoral head is the most vulnerable bone owing to vascular damage. In patients with SCD, the condition progresses rapidly, the femoral head collapses and causes severe pain and limited range of motion. In the advanced stages of the femoral head necrosis where there is no existing standard medical management, the orthopaedic surgeons conventionally recommends Total Hip Arthroplasty (THA). This option is challenging and carries a high risk for serious complications both peri-operatively and post-operatively.The present report illustrates a case of pre-operative 3D planning for ideal bone geometry and personalized care before, during, and after THA in a young adult which was a competent technique for the management of SCD.
Keywords: Articular range of motion; Femur Head Necrosis; Hip Replacement Arthroplasty; SickleCell Anaemia.