scholarly journals Complex primary hips for total hip replacement surgery at a tertiary institution in Nigeria

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 22 ◽  
Author(s):  
Udo Ego Anyaehie ◽  
Gabriel Okey Eyichukwu ◽  
Cajetan Uwatoronye Nwadinigwe ◽  
Amechi Uchenna Katchy
Keyword(s):  
Sickle Cell Disease ◽  
Blood Loss ◽  
Total Hip Replacement ◽  
Sickle Cell ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Cell Disease ◽  
Total Hip ◽  
Increased Risk ◽  
Duration Of Surgery

Introduction: Total hip replacement (THR) surgery is still evolving in Nigeria with increasing awareness as more cases are being done. This has attraction for individuals who hitherto had no solutions for their hip pathologies. These are mostly complex primary hips which present challenging technical difficulties with increased risk of complications, thus requiring detailed planning to ensure successful operation. This work aims to present the pattern of complex primary hips presenting for THR, the challenges and complications. Methodology: Data collected over a seven year period, of patients who presented for THR, were analyzed for age, sex, diagnosis, type of hip, complications, duration of surgery, blood loss and transfusions, challenges and outcome. Results: Fifty-nine (43.4%) of the 136 cases of THR done were complex primary hip replacement surgeries. Avascular necrosis of femoral head amongst sickle cell disease patients (23.7%) was the commonest cause of complex primary hips in our series. Most of them had absent/tight medullary canals. This is followed by old unreduced hip dislocation and non-united hip fractures with an incidence of 10.1% each. The major peri operative complication noted was calcar split in 10 patients (16.9%) Discussion: Sickle cell disease patients presented more with complex primary hips and the commonest difficulty was recreating medullary canals. Increased operation time and blood loss alongside technical difficulties should be anticipated and measures put in place to avert complications.

scholarly journals Total hip replacement in sickle cell disease

2002 ◽  
Vol 26 (3) ◽  
pp. 157-161 ◽  
Author(s):  
Al-Mousawi F. ◽  
Malki A. ◽  
Al-Aradi A. ◽  
Al-Bagali M. ◽  
Al-Sadadi A. ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Total Hip Replacement ◽  
Sickle Cell ◽  
Hip Replacement ◽  
Cell Disease ◽  
Total Hip

The Learning Curve of the Direct Anterior Approach without Traction Table in Total Hip Replacement: Using the LC-CUSUM Method

2019 ◽  
Vol 03 (01) ◽  
pp. 041-047 ◽  
Author(s):  
Koen Steentjes ◽  
Stefan Beekhuizen ◽  
Wouter Eilander ◽  
Wendy Meesters ◽  
Paulien van Kampen ◽  
...  
Keyword(s):  
Blood Loss ◽  
Learning Curve ◽  
Total Hip Replacement ◽  
Complication Rate ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
Duration Of Surgery ◽  
Cusum Method

AbstractThe surgical approach for total hip replacement (THR) depends on surgeon preference or the preference and experience of the surgeon with a specific approach. The aim of this study was to analyze the learning curve of the direct anterior approach (DAA) using the cumulative summation test for learning curve (LC-CUSUM). A retrospectively collected database of 400 THRs using the DAA (January 2010–September 2014) at a single center by a single surgeon. The learning curve was analyzed by determining the duration of surgery, blood loss, and number of complications. All 400 primary THRs were reviewed. Based on the LC-CUSUM, duration of surgery, and surgical failure, the learning curve plateau was achieved after the 19th surgery and the curve follows a substantially negative trend. The average duration of surgery changed significantly for the first hundred (78 minutes) to the last hundred (61 minutes). A significant decrease in blood loss was observed as well. A total of 17 (4.25%) complications occurred, with reduction of the complication rate as surgeons' experience increases. The authors' study did not show the long learning curve as previously described in the literature. The number of complications was small, and there was a significant decrease in duration of surgery, blood loss, and number of complications as surgeon's experience increases. The authors suggest that the educational environment of a teaching hospital, combined with the use of the DAA as a standard approach for all primary THRs and supervision of experienced surgeons, contribute to the favorable learning curve with a low complication rate.

Cementless Total HIP Replacements in Sickle Cell Disease

2015 ◽  
Vol 26 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Christopher M. Jack ◽  
Jo Howard ◽  
Emad S. Aziz ◽  
Rachel Kesse-Adu ◽  
Marcus J. Bankes
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Cell Disease ◽  
Total Hip ◽  
Total Hip Replacements ◽  
Hip Replacements

Blood loss in total hip replacement

1991 ◽  
Vol 111 (1) ◽  
pp. 34-38 ◽  
Author(s):  
P. A. Flordal ◽  
G. Neander
Keyword(s):  
Blood Loss ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip

Does lumbar plexus blockade provide less blood loss and better analgesia after total hip replacement surgery?

2004 ◽  
Vol 21 (Supplement 32) ◽  
pp. 114 ◽  
Author(s):  
G. Utebey ◽  
T. Akkaya ◽  
M. M. Sayin ◽  
A. Alptekin ◽  
G. Keskin ◽  
...  
Keyword(s):  
Blood Loss ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Lumbar Plexus ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery

Lead Neuropathy and Sickle Cell Disease

PEDIATRICS ◽  
1974 ◽  
Vol 54 (4) ◽  
pp. 438-441
Author(s):  
Gerald Erenberg ◽  
Steven S. Rinsler ◽  
Bernard G. Fish
Keyword(s):  
Case Report ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Lead Poisoning ◽  
Cell Disease ◽  
Hemoglobin S ◽  
Increased Risk ◽  
Rare Manifestation ◽  
Poisoning In Children

Four cases of lead neuropathy in children with hemoglobin S-S or S-C disease are reported. Neuropathy is a rare manifestation of lead poisoning in children, and only ten other cases have been well documented in the pediatric literature. The last previous case report of lead neuropathy was also in a child with hemoglobin S-S disease. The neuropathy seen in the children with sickle cell disease was clinically similar to that seen in the previously reported cases in nonsicklers, but differed in both groups from that usually seen in adult cases. It is, therefore, postulated that children with sickle cell disease have an increased risk of developing neuropathy with exposure to lead. The exact mechanism for this association remains unknown, but in children with sickle cell disease presenting with symptoms or signs of peripheral weakness, the possibility of lead poisoning must be considered.

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