Ortho-biological management of osteonecrosis in sickle cell disease using core decompression with bone marrow aspirate: A case report

Authors

  • Santoshkumar Hakkalamani Senior Consultant - Orthopaedics, Chief of Joint Replacements, Robotic Surgery & Sports Injuries, KIMS Hospital Electronic city, Bangalore
  • Abhijith Bapuram Consultant, Department of Orthopaedics, KIMS Hospital Electronic city, Bangalore
  • Mohan Kumar Jagadeesan Senior Consultant - Orthopaedics, Chief of Arthroscopy Division, Sports Injury Specialist, Knee & Shoulder Surgeon, KIMS Hospital Electronic city, Bangalore
  • Vijay A Kulkarni Consultant – Orthopaedics & Robotic Joint Replacement, KIMS Hospital Electronic city, Bangalore
  • Gautham Mariswamy Post Graduate student, Department of Orthopaedics, KIMS Hospital, Hubballi, Karnataka

Keywords:

Avascular necrosis, Sickle Cell Disease, Ficat-Arlet, Core Decompression, Bone marrow aspirate

Abstract

Background: Avascular necrosis is a debilitating manifestation of Sickle Cell Disease caused due to structural abnormality of the red blood cells and the precarious blood supply of the femoral head. Prompt identification of the condition in susceptible individuals is of utmost importance. Here,we present a case of sickle cell disease with bilateral avascular necrosis in Ficat-Arlet stages IIa(left hip) which was managed by core decompression augmented with bone marrow aspirate injection.

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Published

2026-06-08

How to Cite

Santoshkumar Hakkalamani, Abhijith Bapuram, Mohan Kumar Jagadeesan, Vijay A Kulkarni, & Gautham Mariswamy. (2026). Ortho-biological management of osteonecrosis in sickle cell disease using core decompression with bone marrow aspirate: A case report. Kauverian Medical Journal, 3(8), 43–46. Retrieved from https://kauverianjournal.com/index.php/research/article/view/356

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