Avascular necrosis: a growing concern for the HIV population

Abstract

A 33-year-old woman with history of HIV presented with 4 months of gradually progressing right hip pain and was found to have avascular necrosis (AVN) of both femoral heads. She had no other risk factors for AVN including sickle cell disease, systemic lupus erythematosus, prolonged steroid used or trauma. She initially failed conservative management and ultimately had bilateral hip core decompressions. After decompression therapy, the left femoral head collapsed and patient underwent a left total hip arthroplasty. Her postsurgical course was complicated by the left sciatic nerve neuropathy for which she is currently being managed with duloxetine. She has yet to follow-up with her orthopaedic surgeon for further evaluation.

In-hospital complications following total knee and hip arthroplasty in patients with human immunodeficiency virus

“…[30,31] The incidence of degenerative joint diseases increased particularly with age, while there was also an increase in the number of joint arthroplasties performed for AVN secondary to antiviral and steroid therapy. [32][33][34] In the present study, 50% of the patients who underwent THA had the operation due to AVN, which is consistent with the data provided in the literature. [35,36] According to the literature, hepatitis is the most common comorbidity observed in patients with HIV and the risk of postoperative infection is significantly increased particularly in patients who have a chronic hepatitis C coinfection.…”

Human Immunodeficiency Virus in the Focus of Bone Tissue Destruction in Patients With Aseptic Osteonecrosis of the Femoral Head: Two Case Reports

“…[7]. В публикациях последних лет приводятся данные о том, что асептический некроз головки бедренной кости является наиболее частой причиной заболеваемости среди ВИЧинфицированных [3,8].…”