Short term results of XXXX in sicklers.

@entity1 @entity190 @entity23984 @entity3458 @entity1463 @entity281 @entity1410 @entity572 @entity4421 @entity1349 @entity2736 @entity11511 @entity1930 @entity3564 @entity2530
BACKGROUND: Sickle cell (SC) disease leading to @entity23984 induces skeletal changes in the form of @entity4421 , @entity1463 of femoral canal and @entity2530 of the femoral head. All these make @entity572 ( @entity572 ) difficult and prolonged. There is increased risk of @entity281 , SC crisis and increased complication rate. Our paper aims to highlight preoperative, intraoperative and postoperative hurdles encountered in performing @entity572 in sicklers and the short term outcome using cementless implants. MATERIALS AND METHODS: Thirty-nine @entity1 with @entity3458 , who had @entity2530 of the femoral head, were operated between 2007 and 2011. The mean age of @entity1 was 22 years (range 13-49 years). There were twenty eight females and 11 males. @entity572 (THR) was performed in 11 @entity1 (22 hips) and in the rest unilateral (28 hips). Preoperative and postoperative modified Harris hip score was evaluated. The average followup was 3.8 years (range 2-6 years). RESULTS: The average operating time was 96 min (range 88-148 min). The average @entity190 was 880 ml (range 650-1200 ml). The average intraoperative blood transfused was 2.3 units (range 2-5 units). All @entity1 showed an improvement in Harris hip score from 42 points preoperatively to 92 points at latest followup. Intraoperatively, one @entity1 had a @entity3564 . Six @entity1 developed @entity11511 and were managed in intensive care unit. Three @entity1 developed wound @entity1410 . Three @entity1 developed limb length discrepancy less than 1 cm. None had early or late dislocations, @entity281 , @entity2736 , @entity1930 and @entity1349 . CONCLUSION: @entity572 in sicklers involves considerable challenge for the orthopedic surgeon. Management requires a multidisciplinary approach involving the anesthetist, hematologist and the orthopedic surgeon. Contrary to previous reports, @entity572 in sicklers now has a predictable outcome especially with the use of cementless implants.
