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Original Article
Online Published: 23 Jan 2020
 


Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia

Abdulhakam Ahmed, Asmaa Khalid Hassan Abdelkarim, Tahani Rajab Ali Alzahrani, Saeed Faleh Saeed Alshahrani, Abdulaziz Khalid Saleh Alghamdi, Abdullah Nasser H Leslom.


Abstract
Background: Sickle cell disease (SCD) is an autosomal recessive disorder characterized by the production of abnormal hemoglobin S and is associated with high morbidity and mortality. The current study was aimed to determine the incidence of avascular necrosis (AVN) of the head of the femur in SCD patients in Al-Baha region.
Methodology: A retrospective, descriptive cross-sectional study was conducted in the King Fahad Hospital located in Al-Baha region in the Kindom of Saudi Arabia. The patient's data collected were the well organized using a computerized system established in 2017.
Results: The study showed a significant relationship between female gender SCD and developing AVN, 25 (56.8%). Among the total subjects, 44 patients were females, while only 19 patients were male. Furthermore, the study also found a strong statistically significant relationship between the incidence of AVN and recurrence. A total of 44 (24.3%) patients developed recurrence after AVN development. In 12.1% of them, the recurrence was in the left hip, while 9.0% had it on the right hip, followed by 4% on both the hip and only 2% has developed it on the left shoulder. Among the total, 97.7% of the study group were treated from AVN by replacement while 2.3% continued on conservative treatment.
Conclusion: The incidence of AVN of the head of the femur among 24% of the study patients was considered less than that observed in countries of high incidence including Nigeria with 47% but still this percentage needs attention from health system as the avascular necroses of femur head could affect all aspect of life of the patients and health system economy.

Key words: Incidence, avascular necrosis, head of the femur, sickle cell


 
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Pubmed Style

Ahmed A, Abdelkarim AKH, Alzahrani TRA, Alshahrani SFS, Alghamdi AKS, Leslom ANH. Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. IJMDC. 2020; 4(2): 469-472. doi:10.24911/IJMDC.51-1577695480

Web Style

Ahmed A, Abdelkarim AKH, Alzahrani TRA, Alshahrani SFS, Alghamdi AKS, Leslom ANH. Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. https://www.ijmdc.com/?mno=79926 [Access: June 27, 2026]. doi:10.24911/IJMDC.51-1577695480

AMA (American Medical Association) Style

Ahmed A, Abdelkarim AKH, Alzahrani TRA, Alshahrani SFS, Alghamdi AKS, Leslom ANH. Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. IJMDC. 2020; 4(2): 469-472. doi:10.24911/IJMDC.51-1577695480


Vancouver/ICMJE Style

Ahmed A, Abdelkarim AKH, Alzahrani TRA, Alshahrani SFS, Alghamdi AKS, Leslom ANH. Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. IJMDC. (2020), [cited June 27, 2026]; 4(2): 469-472. doi:10.24911/IJMDC.51-1577695480


Harvard Style

Ahmed, A., Abdelkarim, . A. K. H., Alzahrani, . T. R. A., Alshahrani, . S. F. S., Alghamdi, . A. K. S. & Leslom, . A. N. H. (2020) Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. IJMDC, 4 (2), 469-472. doi:10.24911/IJMDC.51-1577695480


Turabian Style

Ahmed, Abdulhakam, Asmaa Khalid Hassan Abdelkarim, Tahani Rajab Ali Alzahrani, Saeed Faleh Saeed Alshahrani, Abdulaziz Khalid Saleh Alghamdi, and Abdullah Nasser H Leslom. 2020. Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (2), 469-472. doi:10.24911/IJMDC.51-1577695480


Chicago Style

Ahmed, Abdulhakam, Asmaa Khalid Hassan Abdelkarim, Tahani Rajab Ali Alzahrani, Saeed Faleh Saeed Alshahrani, Abdulaziz Khalid Saleh Alghamdi, and Abdullah Nasser H Leslom. "Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia." International Journal of Medicine in Developing Countries 4 (2020), 469-472. doi:10.24911/IJMDC.51-1577695480


MLA (The Modern Language Association) Style

Ahmed, Abdulhakam, Asmaa Khalid Hassan Abdelkarim, Tahani Rajab Ali Alzahrani, Saeed Faleh Saeed Alshahrani, Abdulaziz Khalid Saleh Alghamdi, and Abdullah Nasser H Leslom. "Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia." International Journal of Medicine in Developing Countries 4.2 (2020), 469-472. Print. doi:10.24911/IJMDC.51-1577695480


APA (American Psychological Association) Style

Ahmed, A., Abdelkarim, . A. K. H., Alzahrani, . T. R. A., Alshahrani, . S. F. S., Alghamdi, . A. K. S. & Leslom, . A. N. H. (2020) Incidence of avascular necrosis of the head of the femur among sickle cell patients in Albaha region, Kingdom of Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (2), 469-472. doi:10.24911/IJMDC.51-1577695480




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