Multidisciplinary management of orthopedic patients with sickle cell disease

Sathappan S Sathappan1, Daniel Ginat, Paul E Di Cesare

  • 1Musculoskeletal Research Center NYU Hospital for Joint Diseases, Department of Orthopedic Surgery, New York, NY, USA.

Orthopedics
|December 28, 2006
PubMed

Insights

Pharmacological treatments extend sickle cell disease (SCD) patient lifespan into the sixth decade. Multidisciplinary care for orthopedic SCD patients reduces complications and improves outcomes.

Area of Science:

  • Orthopedics
  • Hematology
  • Genetics

Background:

  • Sickle cell disease (SCD) significantly impacts patient lifespan and quality of life.
  • Pharmacological advancements extend survival to the sixth decade.
  • Hemopoietic cell transplantation offers a curative option but requires technical refinement.

Purpose of the Study:

  • To highlight the importance of multidisciplinary management for orthopedic complications in sickle cell disease patients.
  • To emphasize the need for improved clinical outcomes in SCD patients undergoing orthopedic surgery.

Main Methods:

  • Review of current literature on SCD management and orthopedic interventions.
  • Analysis of complication rates and clinical outcomes in SCD patients.
  • Discussion of multidisciplinary care models.

Main Results:

  • Pharmacological treatment extends patient lifespan.
  • Orthopedic procedures are common in SCD patients.
  • Multidisciplinary management is associated with decreased complication rates.

Conclusions:

  • Integrated, multidisciplinary care is crucial for optimizing orthopedic surgical outcomes in sickle cell disease.
  • Improved management strategies can enhance the quality of life for SCD patients requiring orthopedic interventions.

Related Concept Videos

Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...