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Published on: November 5, 2019
Orthopaedic complications associated with sickle-cell disease
Antoine de Gheldere1, Roger Ndjoko, Pierre-Louis Docquier
1Department of Orthopaedic Surgery, Cliniques universitaires Saint-Luc, UCL, Brussels, Belgium.
Sickle cell disease, a common hemoglobinopathy, frequently causes osteo-articular complications. This study details these orthopedic issues in 79 sickle cell disease patients over 30 years.
Area of Science:
- Hematology
- Orthopedics
- Genetics
Background:
- Sickle cell disease is the world's most prevalent hemoglobinopathy, primarily affecting individuals of African descent but also found in specific European and Asian populations.
- The disease is characterized by a range of complications, including hemolytic anemia crises and multi-systemic manifestations affecting the cardiopulmonary, digestive, neurological, ocular, and osteo-articular systems.
- Osteo-articular complications are particularly frequent and can significantly impede harmonious growth in affected individuals.
Purpose of the Study:
- To retrospectively analyze the spectrum and frequency of osteo-articular complications associated with sickle cell disease.
- To document the orthopedic manifestations encountered in patients with sickle cell disease within a specific institutional cohort.
- To provide insights into the impact of sickle cell disease on skeletal health and growth.
Main Methods:
- Retrospective study design.
- Data collection from patients diagnosed with sickle cell disease between 1975 and 2004.
- Analysis of documented osteo-articular and orthopedic complications.
Main Results:
- Osteo-articular complications were identified in 79 out of 325 patients followed for sickle cell disease.
- The study highlights the significant prevalence of orthopedic issues within this patient group.
- Specific types of osteo-articular complications were detailed in the patient cohort.
Conclusions:
- Osteo-articular complications are a common and significant feature of sickle cell disease.
- These orthopedic manifestations can negatively impact patient growth and well-being.
- Further research and clinical attention are warranted for managing skeletal complications in sickle cell disease.
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