Possibilities for bone reconstruction in @entity2530 of the @entity2738 in sickle cell hemoglobinopathies before the end of growth have not been assessed. The aim of our study was to evaluate the morphological and functional results in 11 @entity2530 of the @entity2738 because of homozygous @entity3458 . Surgical treatment consisted of a triple acetabular osteotomy in seven cases, femoral @entity3192 in two cases and a combination of both in two cases. The severity of the @entity2530 was evaluated on radiographs and magnetic resonance imaging (MRI), pre- and postoperative, and function of the hip joint was assessed by Harris and Postel Merle d'Aubign   scores. The anesthetic part (pre- and postoperative) and eventual complications were collected and analyzed. The maximum follow-up was between 1 to 9.6 years. All @entity1 were considered to be satisfactory at maximum follow-up. The severity of the initial damage was not associated with any morphological or functional outcome at maximum follow-up. All @entity1 had an objective functional gain. We found no general complications. We proposed a decision tree for the @entity1 's management of avascular @entity39 of the @entity2738 in sickle cell hemoglobinopathies before bone maturity, and with an Arlet and Ficat's stage of 3 or 4. The results of this study confirmed the interest of conservative surgical treatment in @entity1 with homozygous @entity3458 in case of @entity2530 of the @entity2738 . LEVEL OF EVIDENCE: IV (cases series of our department).

@entity2530 of the Femoral Head: A Proposed New Treatment in Homozygous XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity3458 :: ('MESH:D000755', 'Disease') :: ['sickle cell anemia', 'sickle cell disease'] @entity3192 :: ('MESH:D060905', 'Disease') :: ['varus osteotomy'] @entity2738 :: ('MESH:D005271', 'Disease') :: ['femoral head'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['osteonecrosis']
@entity3458 :: (MESH:D000755,Disease) :: ['Sickle Cell Disease']
