Staged Total Hip Arthroplasty for Septic Hip Following Core Decompression in Sickle Cell-Related Osteonecrosis: A Case Report and Review of the Literature

Osteonecrosis of the femoral head is a well-recognized musculoskeletal complication of sickle cell disease (SCD) that frequently results in early joint destruction and functional disability in young patients. The coexistence of avascular necrosis and septic arthritis in SCD patients is uncommon and presents significant diagnostic and therapeutic challenges. We report the case of a 24-year-old male patient with sickle cell disease who developed septic arthritis of the hip following femoral head core decompression, ultimately requiring staged total hip arthroplasty.