ABSTRACT
Sickle cell anemia is protective against the malaria protozoan. The heterozygous form of the disease is not fatal, and may cause musculoskeletal disorders when sickling occurs, and small vessels are occluded. When the head of the femur is involved, this may result in hip arthritis, often bilateral, at a young age. This article describes three patients in whom bilateral total hip arthroplasty (THA) was performed in the context of a humanitarian mission in Togo, Africa.
Subject(s)
Anemia, Sickle Cell , Arthroplasty, Replacement, Hip , Femur Head Necrosis , Anemia, Sickle Cell/surgery , Femur , Femur Head Necrosis/etiology , Femur Head Necrosis/surgery , Humans , Retrospective Studies , Sitting Position , Treatment OutcomeABSTRACT
Mycobacterium Tuberculosis infections are moderately frequent in developing countries. Because of migratory flows, these diseases will always have an increasing prevalence even in those countries that do not usually present these types of cases. Extra-pulmonary tuberculosis often affects the musculoskeletal system. The sites most involved are the spine (Pott's disease) and the large joints, especially hips and knees. We describe a patient with tuberculosis of the hip, who underwent total hip arthroplasty.
Subject(s)
Arthroplasty, Replacement, Hip , Mycobacterium tuberculosis , Prosthesis-Related Infections , Africa , Humans , Togo/epidemiology , TuberculosisABSTRACT
80% of Sickle Cell Disease cases are estimated to be in Sub-Saharan Africa. It can lead to various acute and chronic complications and osteonecrosis of the femoral head is one of these. Girdlestone procedure is an option to treat osteonecrosis in patients who could not afford arthroplasty. We report here the first case of bilateral total hip arthroplasty in a patient with a previous Girdlestone procedure on the right side and an osteonecrosis of the femoral hip on the left side.
