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July 2021 -
Volume 19, Issue 7


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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Desired Future Specialty and Influential Factors Among Medical Students in Al-Ahsa in Saudi Arabia: A Perceptual Study
Tareq Alyahya, Faisal Ali Al Jabr, Abdulaziz Ahmed Albahrani, Ahmed Yousef Almulhim, Ali Salman Alzaid, Hassan Abdrabalreda Alqattan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94072

Reject rate analysis in radiography in Primary health care corporation, Qatar
Tamer F. Ali, Mona A. M. Mohammed
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94073

Hip replacement in sickle cell anemia patient and the effect of Musculoskeletal changes other than hip joint on outcome
Mohammed Lafi Al-Otaibi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94074

Risk Factors of Diabetic Ketoacidosis among Type 1 Diabetic Patients in Abha City, Saudi Arabia
Youssef H. Al Zahib, Saleh A. Alshaikhi, Ayoub A. Alshaikh, Mohammed H. Al Zahib, Hassan MH Alshehri, Saad A. Alamri, Ayedh AA Alahmari
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94075

Assessment of Knowledge of Physicians and their Practices in Managing Asymptomatic Hyperuricemia at Primary Health centers in Bisha Province, Saudi Arabia
Muffarah Hamid Alharthi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94085

Covid 19 in the Region

Lifestyle changes that can increase the risk of cardiovascular disease during the COVID-19 pandemic: a cross-sectional study
Mohammed A Alrubaysh, Abdullah A Alkahtani, Ziyad S Alluwaymi, Samar M Alanazi, Amal M Alanazi, Khalid M Al Harbi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94076

Development patterns of olfactory disorders in Covid-19 patients, Aden, Yemen
Saleh Mohamed Abobaker Alshaiby
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94077

Population and Community Studies

Functional constipation and its association with lifestyle habits of medical students using Rome IV Diagnostic Criteria
Jawairia Ilyas, Shahnoor Shahid, Aliya Jafri, Munazza Saeed, Asra Rizwan, Ushna Khan, Saniya M Zahir
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94078

Alopecia areata: characteristics and associated diseases among patients in Aden, Yemen
Asia Hassan Abdulla Saleh, Amer Omer Abdullah Bin Alzou
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94079


Knowledge, Attitudes and Practice toward Testicular Cancer and Testicular Self-Examination among adolescents and young adults in Aseer region, Saudi Arabia
Abdulaziz Alamri, Yahya Mohammed Alqahtani, Mohammed Mushabab Al-Mudhi
Bander Bin Saleh A. Alsalmy Asiri, Khalid Abdullah Alasmari, Shehata Farag Shehata, Raed Almannie
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94082

Reviews

Why are SGLT2 inhibitors a good choice in the management of Type 2 Diabetes Mellitus?
Nhila Ghazanfar
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94080

Degeneration of a fibroid:
A challenging diagnosis - Case report
Nhila Ghazanfar, Lamia Zafrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94081

Pituitary dysfunction following a traumatic brain injury (TBI) at the desk of a General Practitioner
Almoutaz Alkhier Ahmed, Nada Najb Almulla, Manal Ali Ahli, Aisha Abdelrahman Alzarouni
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94083

COVID-19 Mass Vaccination
Hamda A.Alqaatri
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94084

Regional Thesis

Communication Challenges Between the Primary Health Care Command Center and Nodal Health Centers During Disasters in Qatar
Hamda Ahmed J H AlQaatri
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94088

Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
   
July 2021 - Volume 19, Issue 7

Hip replacement in sickle cell anemia patient and the effect of Musculoskeletal changes other than hip joint on outcome

Mohammed Lafi Al-Otaibi

MD, FRCSC; Orthopedic Department, College of Medicine, King Khalid University, Abha Saudi Arabia.

Correspondence:
Mohammed Lafi Al-Otaibi Associate Professor,
Orthopedic Department
College of Medicine, King Khalid University, Abha,
Kingdom of Saudi Arabia, Mobile: +966502211636
Email: mlalotaibi@kku.edu.sa

Received: May 2021; Accepted: June 2021; Published: July 1, 2021. Citation: Mohammed Lafi Al-Otaibi. Hip replacement in sickle cell anemia patient and the effect of Musculoskeletal changes other than hip joint on outcome. World Family Medicine. 2021; 19(7): 20-26 DOI: 10.5742/MEWFM.2021.94074

Abstract


Introduction: Sickle cell anemia is endemic in south west of Saudi Arabia, and patients with hip pain and sickle cell anemia are frequently seen in orthopedic clinics and are a challenge to treat. Total hip replacement is proven to be of benefit for patients with secondary hip joint degeneration due to avascular necrosis. Patient’s other musculoskeletal manifestations of sickle cell anemia have their impact on patient’s outcome following hip replacement.

Objective: To compare the effects of disease manifestation other than that on the replaced hip on outcome of hip replacement in sickle cell anemia patients.

Material and Methods: Retrospective study of 20 patients who underwent total hip procedure with 6 month follow up divided into two groups, to see the effect of other musculoskeletal changes on outcome.

Results: The total hip procedure was done for all 20 patients; all patients were aged 25 to 52-years old; females were 13 patients and Males 7 patients; Left hip was affected in 12 patients and right hip in 8 patients. All patients had uneventful post-operative recovery; all patients’ data is shown in Table one. 6 months post op showed less satisfaction in patients with manifestation of sickle cell anemia involving, in addition of the replaced hip, spinal disorders such as scoliosis or back pain due to infarct and collapse or soft tissue contractures of hips or knees.

Conclusion: Categorizing all sickle cell hip avascular necrosis in one group is unfair for patients and surgeons. Patients with multiple sites of disease manifestation must be considered a difficult primary hip and handled with care, while some patients with isolated hip involvement have comparable results to hip replacement in other conditions.

Key words: Sickle cell anemia, Total hip, hip scores, hip replacement, avascular necrosis.







 


 
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