title: Total Joint Arthroplasty in Patients with Human Immunodeficiency Virus.
abstract: With the advent of highly active antiretroviral therapy (HAART), total joint arthroplasty has become a safe and effective procedure for patients infected with the human immunodeficiency virus (HIV). A correlation between a low CD4+ count (<200 cells/mm3) and major postoperative complications such as deep joint infection has been postulated, although high-level studies are not available in the literature. As most studies have not demonstrated an increase in the incidence of deep-vein thrombosis in patients with HIV/AIDS (acquired immunodeficiency syndrome), our recommendation is to use the standard prophylaxis that is followed by the operating surgeon.
authors.affiliation: Department of Orthopaedic Surgery (K.N.S. and L.E.R.) and Division of Infectious Diseases, Department of Medicine (F.T.R.), Warren Alpert Medical School, Brown University, Providence, Rhode Island.
authors.forename: Kalpit N
authors.initials: KN
authors.lastname: Shah
authors.affiliation: Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California.
authors.forename: Jeremy N
authors.initials: JN
authors.lastname: Truntzer
authors.affiliation: Department of Orthopaedic Surgery (K.N.S. and L.E.R.) and Division of Infectious Diseases, Department of Medicine (F.T.R.), Warren Alpert Medical School, Brown University, Providence, Rhode Island.
authors.forename: Francine
authors.initials: F
authors.lastname: Touzard Romo
authors.affiliation: Department of Orthopaedic Surgery (K.N.S. and L.E.R.) and Division of Infectious Diseases, Department of Medicine (F.T.R.), Warren Alpert Medical School, Brown University, Providence, Rhode Island.
authors.forename: Lee E
authors.initials: LE
authors.lastname: Rubin
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy*; D023241:Antiretroviral Therapy, Highly Active; D001178:Arthroplasty; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D015994:Incidence; D007596:Joints / Q000601:surgery