Total Joint Arthroplasty in Patients with Human... : JBJS Reviews (original) (raw)

Total Joint Arthroplasty in Patients with Human Immunodeficiency Virus

• Kalpit N. Shah1,a
• Jeremy N. Truntzer2
• Francine Touzard Romo1
• Lee E. Rubin1

JBJS Reviews

4

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11

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November 1, 2016

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| DOI: 10.2106/JBJS.RVW.15.00117

• ➢ 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.