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Outcomes of total hip arthroplasty in human immunodeficiency virus-positive patients

Nimrod Snir1, Theodore S Wolfson, Ran Schwarzkopf

  • 1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York.

The Journal of Arthroplasty
|May 21, 2013
PubMed

Today, patients with human immunodeficiency virus (HIV) live long enough to develop chronic degenerative and HIV-associated joint disease. There is a growing population of patients infected with HIV who are candidates for total hip arthroplasty (THA). A total of 31 HIV-positive, non-hemophilic patients undergoing 41 THAs at our institution between 2000 and 2012 were identified. In-hospital medical complications were reported in 5 of 41 hips, all of which resolved prior to discharge. Deep infection developed in 1 of 41 hips and revision was required in 3 of 41 hips. These results suggest that low rates of complications and revision can be achieved in the HIV-positive, non-hemophilic population. We believe that with careful patient selection, THA may improve the quality of life in the HIV-positive population.

Keywords:
arthroplasty complicationshuman immunodeficiency virusperiprosthetic joint infectiontotal joint arthroplasty

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