Artroplastia total de cadera en necrosis avascular secundaria a anemia falciforme

Abstract

We report the case of a patient with a history of Sickle Cell Anemia, she comes to the hospital for pain in the inguinal region that is exacerbated by the walk causing important functional limitation. She was diagnosed of bilateral avascular necrosis of the femoral head grade IV according to the classification of Steimberg. As a result, she was surgically operated by total non-cemented hip arthroplasty to resolve her pathology. After surgery, the patient reported recovery of mobility ranges in Hip with decreased pain.

Avascular necrosis of the femoral heads is an important complication in patients with sickle cell anemia, which must be treated according to its evolution period, for which there are clinical and surgical treatments including decompression of the core in early stages and hip arthroplasty in advanced stages of the disease. The post-surgical complications that may be caused by the underlying disease in these patients should be taken into account.