Noncemented Total Hip Arthroplasty in Sickle-Cell Disease: Long-Term Results

Ilyas, Imran; Alrumaih, Husam A.; Rabbani, Samar A.

doi:10.1016/j.arth.2017.09.010

Cited by 30 publications

(16 citation statements)

References 18 publications

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“…We encountered difficulty with the femoral canal in two thirds of the cases. We observed “femur within femur” appearance in a few cases, which is a thin cortical lining inside the true cortex as described by Ilyas et al [ 17 ]. However, we did not have to manufacture an anterior femoral cortical window to prepare the femoral canal as described by Hug et al [ 16 ].…”

Section: Discussionsupporting

confidence: 72%

“…Rates of dislocation in the literature vary between 0.75 and 3.7% [ 3 , 15 , 17 – 19 ]. We did not have any dislocation in our series.…”

Section: Discussionmentioning

confidence: 99%

“…We had only two cases (5.8%) of intra-operative femoral shaft perforation. Rates of femoral perforation and periprosthetic fractures range from 1.9 to 14.2% in the literature [ 1 , 4 , 15 , 17 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Azam et al [ 4 ] studied 87 uncemented THAs and showed a survival rate of 92.6% in 7.5 years. Ilyas et al [ 17 ] have reported long term results of uncemented THAs in 133 hips with a mean follow-up of 14.6 years. They observed 94.1% survival at 15 years.…”

Section: Discussionmentioning

confidence: 99%

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Total hip arthroplasty in osteonecrosis secondary to sickle cell disease

Farook

Awogbade

Somasundaram

et al. 2018

International Orthopaedics (SICOT)

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Background Sickle cell disease (SCD) is a multisystem disease, and the predominant articular manifestation is osteonecrosis (ON). Total hip arthroplasty (THA) is technically challenging, and the complication rates are high. In this retrospective study, we have analysed the outcome of THA in a cohort of patients with SCD at our institution. Materials and methods We identified 34 THAs between 1999 and 2016 in 30 patients (mean age 37 years) from our SCD database. Co-morbidities, both sickle and non-sickle-related, were documented. Complications and indications for revision surgery were analysed. Results An uncemented prosthesis was predominantly used. The mean follow-up was 10.5 years (range 1-18). Six patients had revision surgery (17.6%), 2 (5.8%) for Prosthetic Joint Infection (PJI), and 4 (11.7%) for osteolysis of the acetabular component. Conclusion Our revision rates were comparable to the published literature. Our combined sickle cell clinic and the coordinated multidisciplinary management have been successful in reducing morbidity.

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Section: Discussionsupporting

confidence: 72%

“…Rates of dislocation in the literature vary between 0.75 and 3.7% [ 3 , 15 , 17 – 19 ]. We did not have any dislocation in our series.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Total hip arthroplasty in osteonecrosis secondary to sickle cell disease

Farook

Awogbade

Somasundaram

et al. 2018

International Orthopaedics (SICOT)

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“…One of the main complications of THA for sickle cell disease (SCD) patients is periprosthetic hip fracture [1][2][3][4][5][6]. The incidence of fracture is affected by gender, age, race, BMI, implant fixation type, proximal femoral morphology, sickle cell genotype, and hemoglobin (Hb) level [7][8][9][10][11][12]. The Vancouver classification system classifies periprosthetic hip fracture according to the location, condition of the femoral implant, and value of surrounding femoral bone stock [13].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Periprosthetic Fractures in Total Hip Arthroplasty in Patients With Sickle Cell Disease at King Fahad Hospital Hofuf: A Cross-Sectional Study

Alsaleem

Alalwan

Alkhars

et al. 2020

Cureus

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Background Patients with avascular necrosis related to sickle cell disease (SCD) can be severely disabled by the severe degenerative changes of their hip. Total hip arthroplasty (THA) remains the only surgical option for some of these patients. Total hip arthroplasty can be a challenging procedure, and SCD patients demonstrate high percentages of medical, intraoperative, and postoperative complications and implant failure. Furthermore, the need for THA following avascular necrosis in the Eastern Province of Saudi Arabia is high, and the subsequent risk of periprosthetic fracture is prevalent. Therefore, it is crucial to conduct such a study. Aim of the study This cross-sectional retrospective study aimed to assess the prevalence and associated risk factors for periprosthetic fractures during total hip arthroplasty in sickle cell disease patients at King Fahad Hospital Hofuf, Saudi Arabia. Methods We collected the data of all SCD patients who had undergone THA during the study period, January 2015 to September 2020. Forty-nine SCD patients who had undergone THA during the study period were included. Patients who had undergone hip hemiarthroplasty, postoperative fractures, or had an indication of THA other than avascular necrosis were excluded. Surgeon factors, assistant factors, and surgical technique were also excluded. We then analyzed the data according to gender, age, BMI, American Society of Anesthesiologists classification, implant fixation type, avascular necrosis stage, proximal femoral morphology, Vancouver classification type, sickle cell type, preoperative hemoglobin (Hb) level, and the risk of periprosthetic fractures. Descriptive statistics were presented using frequency and percentages for categorical variables, and continuous variables were summarized using means ± standard deviations. Independent t-tests and chi-square tests were used to test for associations between categorical variables. At 0.05, the significance level was set. Results Of the patients, 32.7% were male and 67.3% were female. 32.7% of the patients had advanced degenerative changes due to avascular necrosis. Among the patients, 20.4% had an intraoperative periprosthetic femoral fracture, 90% had a Vancouver classification class A, and 10% had a Vancouver classification class B1. According to Dorr classification, 75.5% were classified as Dorr A and 24.5% as Dorr B. Of the patients, 48 had an uncemented implant, and only 1 had cemented. The mean perioperative Hb was 9.02 + 2.02, with a minimum of 6 and a maximum of 14. No significant associations were found between the incidence of intraoperative femoral fracture and the demographic variables and the operative profile characteristics. However, a significantly higher rate of fracture was observed in patients operated on the right side compared to patients operated on the left side. Conclusion The prevalence of periprosthetic intraoperative fracture among SCD patients at King Fahad H...

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Preexisting Conditions Leading to Total Hip Arthroplasty

Tokgoz

2022

Total Hip Arthroplasty

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Noncemented Total Hip Arthroplasty in Sickle-Cell Disease: Long-Term Results

Cited by 30 publications

References 18 publications

Total hip arthroplasty in osteonecrosis secondary to sickle cell disease

Total hip arthroplasty in osteonecrosis secondary to sickle cell disease

Intraoperative Periprosthetic Fractures in Total Hip Arthroplasty in Patients With Sickle Cell Disease at King Fahad Hospital Hofuf: A Cross-Sectional Study

Preexisting Conditions Leading to Total Hip Arthroplasty

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