2021
DOI: 10.1016/j.arth.2020.08.021
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Good Functional Outcomes and Low Infection Rates in Total Hip Arthroplasty in HIV-Positive Patients, Provided There Is Strict Compliance With Highly Active Antiretroviral Therapy

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Cited by 11 publications
(11 citation statements)
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“…As HIV infection can be effectively controlled, the number of HIV-infected patients undergoing surgical procedures has increased. Some studies have shown that the postoperative complication rate of patients with well-controlled HIV infection is comparable to that of HIV (−) patients [ 21 24 ]. However, HIV infection is generally considered a surgical risk in terms of higher postoperative complications and longer hospital stays [ 3 ].…”
Section: Discussionmentioning
confidence: 99%
“…As HIV infection can be effectively controlled, the number of HIV-infected patients undergoing surgical procedures has increased. Some studies have shown that the postoperative complication rate of patients with well-controlled HIV infection is comparable to that of HIV (−) patients [ 21 24 ]. However, HIV infection is generally considered a surgical risk in terms of higher postoperative complications and longer hospital stays [ 3 ].…”
Section: Discussionmentioning
confidence: 99%
“…According to the literature, there are varying complication rates of arthroplasty procedures performed in patients who are positive for HIV. [10,22,23,[25][26][27] Naziri et al [10] reported the major and minor complication rates following THA in 9,275 HIV-positive patients and found that major complications occurred in 2.9% and minor complications in 5.2%. In another study conducted by Dimitriou et al, [23] the risk of periprosthetic joint infection (PJI) was with 7.6% in HIV-positive patients who underwent THA and TKA, which was relatively high.…”
Section: Discussionmentioning
confidence: 99%
“…[19,20] However, there are varying complication rates in the literature depending on the existing infection load, HAART status, and comorbidities in patients undergoing TJA. [21][22][23][24] Therefore, TJA practices still involve several uncertainties in this patient population.…”
mentioning
confidence: 99%
“…However, with advancements in ART, HIV infection is now becoming a controllable chronic disease (20,21). Some recent studies revealed that postoperative complication rates in patients with well-controlled HIV infections were comparable to those in HIV-negative patients (15,(22)(23)(24)(25)(26). CD4+ lymphocyte status is one of the indicators of HIV infection status (27,28), and various reports have revealed that a low CD4+ lymphocyte count (especially < 200 cells/μL) was associated with a significant increase in postoperative complications (12,29,30).…”
Section: Discussionmentioning
confidence: 99%