SciELO - Scientific Electronic Library Online

vol.7 issue1An evaluation of firework injuries to the hand - New Year 2007 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X


BRIJLALL, S. Hip arthroplasty in HIV-infected patients. SA orthop. j. [online]. 2008, vol.7, n.1, pp.10-17. ISSN 2309-8309.

We conducted a prospective study evaluating the clinical outcome of the arthroplasty in HIV-infected patients. Between July 2000 to August 2001, 14 patients (mean age 42 years) underwent uncemented total hip replacement for osteonecrosis (10 patients) and neglected neck of femur fractures (four patients). Patients were classified according to the WHO and CDC classification and were operated by a single surgeon using the Hardinge approach. At a mean follow-up of 72 months, all patients were fully ambulant. The mean total lymphocyte count (TLC) was 2.24 cells/mm3, CD4-425 cells/mm3, CD8-873 cells/mm3 and CD4 /CD8-0.52. In three patients the CD4 counts declined to <200 and they are presently receiving antiretroviral therapy. There was no loosening, infection or dislocation. One patient sustained a periprosthetic fracture which was treated successfully non-operatively. We conclude that total hip replacement in HIV-infected patients who have not progressed to WHO stage IV can be rewarding and the procedure does not carry an increased risk of postoperative infection.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License