The Journal of Bone and Joint Surgery, Vol 70, Issue 6 853-855, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Total hip arthroplasty in patients who have sickle-cell hemoglobinopathy
AR Bishop, JR Roberson, JR Eckman and LL Fleming
Emory University School of Medicine, Atlanta, Georgia 30322.
Eleven patients who had a form of sickle-cell hemoglobinopathy had a total
hip arthroplasty for avascular necrosis of the hip. Four patients had a
revision and three had a resection arthroplasty. Four had a serious
infection postoperatively. Both acute and late complications were numerous.
We concluded that patients who have a sickle-cell hemoglobinopathy are at
markedly increased risk for complications after total hip replacement
arthroplasty, yet that over-all the results are favorable.