期刊
JOURNAL OF CLINICAL MEDICINE
卷 12, 期 1, 页码 -出版社
MDPI
DOI: 10.3390/jcm12010293
关键词
human immunodeficiency virus (HIV); highly active antiretroviral therapy (HAART); occupational exposure; joint replacement surgery
The safety and efficacy of joint replacement surgery in HIV patients were studied. Retrospective review of 21 HIV patients and 27 non-HIV patients who underwent arthroplasties revealed that the hospital stay of HIV patients was significantly lower and there were no significant complications in both groups at the last follow-up. The study concluded that joint replacement surgery in HIV patients is safe and effective, with optimization of patients and strict adherence to protection measures being key.
Whether joint replacement surgery can be performed safely on HIV patients is still a matter of debate. This study aimed to report the surgical efficacy and complications of joint replacement surgery in HIV patients. A total of 21 HIV patients and 27 non-HIV patients who underwent arthroplasties in our hospital were retrospectively reviewed. The 21 HIV patients received 29 joint replacement surgeries including 27 cases of total hip arthroplasty (THA) and 2 cases of total knee arthroplasty (TKA). The non-HIV patients received 16 THA, 10 TKA, and 3 unicompartmental arthroplasty (UKA). The length of hospital stay of HIV patients was significantly lower than that of non-HIV patients. At the last follow-up, there were no significant complications both in the HIV group and the non-HIV groups. No medical staff had any occupational exposure. We concluded that joint replacement surgery in HIV patients is safe and effective. Optimization of patients is key to treatment success. Strictly following the standardized protection protocol can prevent the risk of occupational exposure.
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