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Fortis Hospitals Puts 27 Year Old Nigerian Back on her Feet After Multiple Joint Replacement Surgery
Date:5/13/2010

MUMBAI, India, May 13, 2010 /PRNewswire/ -- Fortis Hospitals Mulund, Mumbai, performed a multiple joint replacement surgery on a 27 year old young Nigerian patient. Rebacca underwent a hip and a shoulder replacement surgery by Dr. Sachin Bhonsle, Consultant Orthopedic Surgeon, after years of suffering in pain and immobility.

Rebecca was suffering from a sickle cell disease since birth; an inherited (genetic) disorder where the RBC (red blood corpuscles) assumes an abnormal shape of a sickle under certain conditions. Any stress, injury, or operation can lead to change in shape of the RBCs. But they are extremely sensitive to drop in oxygen saturation of blood. This causes immediate 'sickling'.

Sickle cells contain abnormal haemoglobin, known as 'haemoglobin S', which causes the cells to have a sickle shape. Sickle-shaped cells don't move easily through blood vessels. The clumps of sickle cells block blood flow in the blood vessels that lead to the limbs and organs. Blocked blood vessels can cause pain, serious infections, and organ damage. It can be at times life threatening.

    Commonest problems encountered are:

    1. Sickle crises - painful abdominal emergencies because of
       blockage of blood vessels to abdominal viscera.

    2. Anaemia - red blood cells are easily destroyed and their
       life span is reduced causing anaemia.

    3. Avascular necrosis (AVN) of bones - certain bones with
       peculiar blood supply undergo AVN because of blockage of the artery.
       Once the blood circulation is lost the bone crumbles and the adjoining
       joints undergo arthritis. Commonest are hip and shoulder joints.
       Remodelling of entire skeleton is affected sometimes.

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SOURCE Fortis Hospitals Limited
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