[Diagnosis and surgical management of femoral head osteonecrosis in sickle cell disease].
OBJECTIVE
To investigate diagnosis and surgical management of femoral head osteonecrosis in sickle cell disease (SCD).


METHODS
The related literature available today was reviewed, and the clinical advance in the diagnosis of femoral head osteonecrosis complicating SCD and its surgical management was evaluated.


RESULTS
Although the advance in the diagnosis and the surgical treatment for the femoral head osteonecrosis in SCD had been achieved, challenging clinical problems still remained because of many complications after the surgical treatment. Whether the surgical management was reasonable in a particular stage of the disease and for a specific patient still required investigation.


CONCLUSIONS
Whether the salvage of the patient's hip joint should be performed or the artificial joint replacement should be performed still needs a cautious consideration before either of the surgical managements is given.
Wu
Hao
H
Department of Orthopedics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning Guangxi, China. wuhaorthop@yahoo.com.cn
Yang
Fangyuan
F
Hernigou
Philippe
P
D000755:Anemia, Sickle Cell / Q000150:complications* / Q000473:pathology; D019644:Arthroplasty, Replacement, Hip; D016026:Bone Marrow Transplantation; D016025:Bone Transplantation / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005271:Femur Head Necrosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006450:Hemoglobin SC Disease / Q000150:complications / Q000473:pathology; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography