title: Complications related to fracture treatment in HIV patients: a case report.
abstract: We present the case report of a 40-year-old woman who was HIV-positive in Highly Active Anti-Retroviral Therapy (HAART) and affected by femural pertrochanteric fracture, which was treated by endomedullary nailing. Two years after the surgical operation, the woman developed an aseptic symptomatic osteolysis around the implant. Hardware removal was resolutive. Aseptic and septic hardware mobilization, hardware removal, and implant decision in HIV patients with pertrochanteric fractures is discussed. The authors suggest close follow-up and prompt hardware removal, as soon as X-rays demonstrate healing signs, in HIV patients with fracture fixation, if general condition allows.
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy. Electronic address: filippo.randelli@fastwebnet.it.
authors.forename: F
authors.initials: F
authors.lastname: Randelli
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Pulici
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Favilla
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Maglione
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Zaolino
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Carminati
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Pace
authors.affiliation: I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Randelli
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D020878:Device Removal / Q000379:methods*; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000276:immunology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D017102:Fracture Healing; D006679:HIV Seropositivity / Q000150:complications / Q000276:immunology*; D006801:Humans; D007111:Immunity, Cellular; D010014:Osteolysis / Q000209:etiology / Q000276:immunology*; D016059:Range of Motion, Articular; D012086:Reoperation; D016896:Treatment Outcome
keywords: Aseptic mobilisation; Endomedullary nailing; Femural pertrochanteric fracture; Fracture fixation; HAART; HIV; Hardware removal