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. 2022;33(1):3-8.
doi: 10.52312/jdrs.2022.550. Epub 2022 Mar 28.

In-hospital complications following total knee and hip arthroplasty in patients with human immunodeficiency virus

Mustafa Akkaya, Zoltan Buday, Serhat Akcaalan, Philip Linke, Thorsten Gehrke, Mustafa Citak  1
Affiliations

In-hospital complications following total knee and hip arthroplasty in patients with human immunodeficiency virus

Mustafa Akkaya et al. Jt Dis Relat Surg. 2022.

Abstract

Objectives: This study aims to analyze the in-hospital complication rates in patients with human immunodeficiency virus (HIV) following primary total knee (TKA) and total hip arthroplasty (THA).

Patients and methods: This retrospective study included a total of 37 patients including 11 patients undergoing TKA (11 males; mean age: 60.8±16.0 years; range, 48 to 80 years) and 26 patients undergoing THA (23 males, 3 females; mean age: 49.9±11.5 years; range, 35 to 70 years) between January 2010 and December 2019. The patients were evaluated in terms of body mass index (BMI), American Society of Anesthesiology (ASA) scores, pre and postoperative blood tests, indications for surgery, operative time, length of hospital stay, and in-hospital complications.

Results: The overall in-hospital complication rate following primary TKA (n=2, 18.2%) and THA (n=2, 7.7%) was 10.8%. Following TKA, one patient had deep vein thrombosis and one patient developed acute renal failure. In the THA group, postoperative delirium and trochanteric fracture were noted.

Conclusion: The in-hospital complication rates increased in HIV-positive patients following TKA and THA. The risk of complications can be mitigated with the aid of a better interdisciplinary cooperation and thorough surgical planning.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

References

    1. Learmonth ID, Young C, Rorabeck C. The operation of the century: Total hip replacement. Lancet. 2007;370:1508–1519. - PubMed
    1. Heckmann N, Ihn H, Stefl M, Etkin CD, Springer BD, Berry DJ, et al. Early results from the American Joint Replacement Registry: A comparison with other national registries. S125-S134.e1.J Arthroplasty. 2019;34(7S) - PubMed
    1. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg [Am] 2007;89:780–785. - PubMed
    1. Sepucha K, Feibelmann S, Chang Y, Clay CF, Kearing SA, Tomek I, et al. Factors associated with the quality of patients’ surgical decisions for treatment of hip and knee osteoarthritis. J Am Coll Surg. 2013;217:694–701. - PubMed
    1. Quintana JM, Escobar A, Arostegui I, Bilbao A, Azkarate J, Goenaga JI, et al. Health-related quality of life and appropriateness of knee or hip joint replacement. Arch Intern Med. 2006;166:220–226. - PubMed