Case Reports
Pantaloon Hip Spica Cast and Constrained Liner for the Treatment of Early Total Hip Dislocation in a Young Patient With Sickle Cell Disease
Am J Orthop. 2009 December;38(12):E184-E186
Author and Disclosure Information
John P. Meehan, MD, Amir A. Jamali, MD, and James A. Ryan, MD
Dr. Meehan is Associate Professor, Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California.
Dr. Jamali is Assistant Professor, Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California.
Dr. Ryan is Adult Reconstruction Fellow, Hospital for Special Surgery, New York, New York.
Abstract not available. Introduction provided instead.
Sickle cell disease often leads to osteonecrosis of the femoral head and subsequent degenerative arthritis of the hip. Pain and ambulatory limitations prompt orthopedic surgeons to consider total hip arthroplasty (THA). In these patients, THA can be challenging secondary to distorted anatomy, prior surgeries, and significant soft-tissue contractures. The case reported here illustrates early prosthetic dislocation after THA in a young patient with sickle cell disease successfully treated with open reduction, conversion to a constrained liner, and 8 weeks in a pantaloon hip spica cast.