title: Outcomes of total hip arthroplasty in human immunodeficiency virus-positive patients.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York.
authors.forename: Nimrod
authors.initials: N
authors.lastname: Snir
authors.forename: Theodore S
authors.initials: TS
authors.lastname: Wolfson
authors.forename: Ran
authors.initials: R
authors.lastname: Schwarzkopf
authors.forename: Stephanie
authors.initials: S
authors.lastname: Swensen
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Alvarado
authors.forename: Mathew
authors.initials: M
authors.lastname: Hamula
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Dayan
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
keywords: arthroplasty complications; human immunodeficiency virus; periprosthetic joint infection; total joint arthroplasty