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Considerations in the Sickle Cell Patient Undergoing Hip Reconstructive Surgery

Sara J Sustich1, Benjamin M Stronach1, Jeffrey B Stambough1

  • 1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 531, Little Rock, AR 72205, USA.

The Orthopedic Clinics of North America
|October 8, 2022
PubMed

Insights

Sickle cell disease (SCD) causes bone complications like hip osteonecrosis, impacting quality of life. Patients often need early joint replacement surgery, requiring specialized multidisciplinary care due to unique risks.

Area of Science:

  • Orthopedics
  • Hematology
  • Surgical Complications

Background:

  • Sickle cell disease (SCD) is a genetic blood disorder with significant musculoskeletal manifestations.
  • Common complications include osteonecrosis of major joints, particularly the hip, and bone infarcts.
  • These complications lead to pain, reduced function, and diminished quality of life for patients.

Purpose of the Study:

  • To highlight the unique challenges in surgical management of patients with SCD.
  • To emphasize the increased risk of complications in SCD patients undergoing surgery.
  • To advocate for a multidisciplinary approach in the surgical care of SCD patients.

Main Methods:

  • This section is not applicable as the abstract does not detail specific methods.
  • The abstract focuses on the clinical presentation and management considerations of SCD.

Main Results:

  • SCD frequently leads to osteonecrosis and bone infarcts, causing pain and functional decline.
  • Patients with SCD often require early surgical interventions like total hip arthroplasty.
  • The inherent pathology of SCD presents substantial medical and surgical challenges.

Conclusions:

  • Surgical care for SCD patients is complex due to disease-specific risks.
  • A coordinated, multidisciplinary team approach is essential for optimal surgical outcomes in SCD.
  • Early recognition and management of SCD-related musculoskeletal issues are crucial.

Keywords:
OsteonecrosisProsthetic joint infectionSickle cell diseaseTotal hip arthroplasty

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