The hip in sickle-cell anemia and its surgical treatment. Apropos of 4 cases
Adrianne, Y.; Lamoureux, J.; Quintin, J.; Clemens, M.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 69(1): 61-68
1983
ISSN/ISBN: 0035-1040 PMID: 6222433 Document Number: 221132
The authors report 4 cass of hip involvement in sickle-cell anaemia. The patients were aged, 3, 12, 18 and 24 years and presented with the appearances of avascular necrosis of the femoral head. Three had a femoral osteotomy with a good result. A review of the literature was made to determine the pathogenesis, epidemiology and classification into 3 groups. The authors consider that osteotomy acts by diminishing pressure in the area of bone necrosis. The eventual need for total hip replacement is discussed.