title: Simultaneous bilateral total hip arthroplasty in sickle cell disease.
abstract: Simultaneous bilateral uncemented total hip arthroplasty for avascular necrosis of the femoral head resulting from sickle cell disease was performed in 18 consecutive patients (36 hips). The patients were followed 2 to 10 years (mean, 5.7 years). All patients showed improvement in postoperative hip scores compared with preoperative scores for pain, range of motion, and function. There were 2 immediate postoperative complications related to sickling of red blood cells. One intraoperative fracture of the proximal femur occurred. There was 1 superficial and 1 deep infection. There was no femoral stem loosening, but 1 protrusio acetabuli occurred. One acetabular cup was revised for instability. Heterotopic ossification developed in 2 patients. Simultaneous bilateral total hip arthroplasty in sickle cell disease is a good option in a select group of patients with adequate hydration and ventilation in the perioperative and postoperative periods.
authors.affiliation: Department of Orthopedic Surgery, King Faisal Specialist Hospital & RC, Riyadh, Saudi Arabia. imram_ilyas@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: Ilyas
authors.forename: P
authors.initials: P
authors.lastname: Moreau
mesh_terms: D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D002484:Cementation; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors