Total hip replacement in HIV-positive patients

Abstract

We report the short-term follow-up, functional outcome and incidence of early and late infection after total hip replacement (THR) in a group of HIV-positive patients who do not suffer from haemophilia or have a history of intravenous drug use. A total of 29 patients underwent 43 THRs, with a mean follow-up of three years and six months (five months to eight years and two months). There were ten women and 19 men, with a mean age of 47 years and seven months (21 years to 59 years and five months). No early (< 6 weeks) or late (> 6 weeks) complications occurred following their THR. The mean pre-operative Harris hip score (HHS) was 27 (6 to 56) and the mean post-operative HHS was 86 (73 to 91), giving a mean improvement of 59 points (p = < 0.05, Student's t-test). No revision procedures had been undertaken in any of the patients, and none had any symptoms consistent with aseptic loosening. This study demonstrates that it is safe to perform THR in HIV-positive patients, with good short-term functional outcomes and no apparent increase in the risk of early infection.

Outcomes of Total Knee Arthroplasty in Human Immunodeficiency Virus-Positive Patients

“…23 Recent studies have shown more promising results of TJA in the nonhemophiliac, non-intravenous drug user, HIVþ population. [23][24][25][26][27][28][29][30][31] Boylan, et al 24 found that although HIVþ patients are at an increased risk for perioperative wound infections, they are not at an elevated risk for overall complications. Falakassa et al 23 hypothesized that one change contributing to improvement in complications is that the incidence of hemophilia with HIV infection has gone down due to improvements in blood screening and recombinant factor.…”

Risk Factors for Periprosthetic Joint Infections Following Primary Total Hip Arthroplasty

“…[23,24] 3.11. HIV Graham et al (2014) reported of none correlation between having HIV and suffering from a periprosthetic joint infection. [25]…”

Manifestations ostéoarticulaires associées à l’infection par le VIH

“…Ainsi, dans une étude épidémiologique réalisée en Californie à partir de la base de données « The Nationwide Inpatient Sample » (NIS), il est noté que 61 % des patients VIH+ bénéficiant de cette prise en charge chirurgicale sont âgés de 22 à 50 ans versus 8 % dans la population VIH− dans cette même tranche d'âge (p < 0,01) [27]. Il n'a pas été démontré une augmentation significative des infections prothétiques postopératoires [28,29].…”