Bilateral ankylosed hip joint in a sickle cell disease patient: A case report

Abstract

Sickle cell disease affects 10% of tribal population of India. These patients have multiple orthopaedic complications like AVN (avascular necrosis) of femoral and humeral head, osteomyelitis, etc. One such patient having an atypical bilateral hip ankylosis has been reported. A 17 year female, known case of sickle cell disease, came to our hospital with complains of pain in bilateral hip since five years, both hips showed ankylosis and both knees showed flexion deformities. Ideal treatment for ankylosed hip in modern era is total hip replacement. However in sickle cell disease patients belonging to tribal population requiring squatting ability and having financial constraints, alternatives like RAO (resection angulation osteotomy) and arthrodesis for mobility as well as stability respectively should be considered inspite of inferior outcomes.

Keywords

• sickle cell disease
• ankylosis
• tribal
• rao
• arthrodesis