Background: Sickle cell disease (SCD) is the commonest cause of avascular necrosis (AVN) among teenagers in our environment. When diagnosed early, joint preserving operations and physical therapy may prolong the congruency of the hip joint. However, due to the sociocultural behavior and the disequilibrium in universal health system in our sub region, the affected population often gets to the orthopaedic surgeons with advanced stage of the pathology affecting activities of daily living and carrier progression. This makes total hip arthroplasty (THA) inevitable. We looked at the functional outcome of THA in teenagers with advanced AVN secondary to SCD.
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