Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
Vol. 24, No. 1, 2012, pp. 14-16
Bioline Code: mm12004
Full paper language: English
Document type: Case Report
Document available free of charge
Malawi Medical Journal, Vol. 24, No. 1, 2012, pp. 14-16
© Copyright 2012 - Malawi Medical Journal
Hip and Knee Replacement in the HIV positive patient|
Anand, E.R.; Scott, L.A. & Harrison, W.J.
Arthroplasty is used to relieve pain associated with degenerative or
inflammatory joint disease, some post-traumatic joint problems, and
avascular necrosis. Avascular necrosis, inflammatory and post-traumatic
problems are seen on a regular basis in areas of high HIV seroprevalence.
Degenerative arthritis is rare in younger HIV patients, however. Historically
the only group of HIV patients in which arthroplasty has been common
is that which received contaminated factor VIII transfusions in the 1980’s.
Haemophiliacs get a haemophilic arthropathy from repeated bleeds into
joints and so is an additional complication.
Much of the previous literature on this topic has focused on haemophiliac
patients. This review examines the success of arthroplasty in HIV positive
patients, with an emphasis on non-haemophiliac patients. We conclude
that arthroplasty can be a safe procedure for HIV positive individuals if the
surgery is carried out in good conditions, and early results are encouraging.
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