Volume 26, Issue 128, October 2022

Post-operative physiotherapeutic rehabilitation of 32-year sickle cell anemia patient with avascular necrosis of femoral head - a case study

Shrutika Wankhade¹, Pratik Phansopkar^2♦, Neha Chitale³

¹Intern student, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
²Associate Professor & HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
³Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor & HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India

ABSTRACT

Genetic diseases include sickle cell anemia (SCA) which is autosomal recessive and results in decreased blood supply to bones and tissues. Avascular necrosis is a condition in which there is reduction in the blood supplied to the bones. Avascular necrosis mostly occurs at joints with commonly at femoral head. In this case report, 32-year female patient having SCA is presented, since last 4 years patient is having bilateral hip pain and from last one month family members and she noticed right side limping. She received a minor injury to her right hip while exercising a month ago, and she began limping as a result. With these concerns, the patient was referred to the AVBRH hospital, where he underwent different examinations. On examination, the patient was found to have a right-side sub capital neck femur fracture and avascular necrosis related to SCA-SS type and Arthritis of both hips. Following that, the patient underwent a complete hip replacement on the right side. Post-operative physiotherapy treatment was started and it shows significant improvement and used to prevent secondary complications.

Keywords: Avascular necrosis (AVN), Total hip replacement (THR), Sickle Cell Anemia, Case study

Medical Science, 2022, 26, ms419e2134

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DOI: https://doi.org/10.54905/disssi/v26i128/ms419e2134

Published: 21 October 2022