Infection rate following total joint arthroplasty in the HIV population

Brian M. Capogna, Andrew Lovy, Yossef Blum, Sun Jin Kim, Uriel R. Felsen, David S. Geller

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

The purpose of this study is to review a large series of HIV-infected patients who underwent total joint arthroplasty and identify potential risk-factors for infection. Sixty-nine HIV-infected arthroplasty cases were analyzed with 138 matched controls. Deep infection rate following total hip or knee arthroplasty was 4.4% (3 of 69) among HIV cases compared to 0.72% (1 of 138) among controls, yielding a non-significant 6.22 times increased odds of infection (95% CI 0.64-61.0, P= 0.11). Kaplan-Meier survival curves for infection free survival and revision free survival revealed non-significantly decreased survival in HIV cases compared to controls ( P= 0.06 and P= 0.09). Our results suggest that the rate of early joint infection following primary total joint arthroplasty in the HIV-infected population is lower than reported in a number of previously published studies.

Original languageEnglish (US)
Pages (from-to)1254-1258
Number of pages5
JournalJournal of Arthroplasty
Volume28
Issue number8
DOIs
StatePublished - Sep 1 2013

Keywords

  • Arthroplasty
  • Hip
  • Human immunodeficiency virus (HIV)
  • Infection
  • Knee

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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