Hip Replacements No Riskier for People Residing With HIV

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By Steven Reinberg HealthDay Reporter>

MONDAY, July 31, 2023 — Hip alternative surgical procedure is secure for HIV sufferers, a brand new examine reveals.

Some surgeons are reluctant to carry out complete hip alternative surgical procedure on sufferers with HIV or AIDS, due to issues about problems, together with larger danger of an infection, want for repeated surgical procedure and longer hospital keep.

“Sufferers residing with HIV are at the next danger for orthopedic-related illnesses comparable to osteoarthritis or osteonecrosis of the hip, as a result of adjustments of their bone metabolism and results from their treatment routine,” defined researcher Dr. Senthil Sambandam, an assistant professor of orthopedic surgical procedure at UT Southwestern Medical Middle in Dallas.

“With enhancements in HIV therapy resulting in elevated life expectations, we’re seeing an increase within the want for [hip replacement] procedures on this affected person inhabitants,” he added in a medical heart information launch. “Our examine demonstrates that HIV-positive sufferers can safely endure [hip replacement] … and provides to the rising quantity of literature that encourages surgeons to ship acceptable medical care to a marginalized affected person inhabitants.”

For the examine, researchers in contrast postoperative problems in 504 HIV sufferers who had hip alternative surgical procedure with 493 non-HIV sufferers. They used 2016-2019 knowledge from a nationwide inpatient pattern.

The info confirmed that problems after surgical procedure, comparable to pneumonia, an infection close to the implant, wound reopening and surgical website an infection weren’t considerably totally different between the HIV-positive and HIV-negative sufferers.

Blood transfusion charges additionally have been decrease amongst HIV sufferers.

“These are essential findings as a result of they might help alleviate worries among the many medical neighborhood about treating a bunch of sufferers who are sometimes missed,” Sambandam mentioned. “It’s an essential quality-of-life problem for a lot of HIV-positive sufferers.”

The findings have been printed July 26 within the Journal of Medical Orthopaedics and Trauma.

Sources

  • UT Southwestern Medical Middle, Dallas, information launch, July 26, 2023

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