Voltar
Artigo Acesso aberto Produção Nacional
BIBTEX RIS

AVASCULAR NECROSIS OF THE FEMORAL HEAD IN HIV-INFECTED PATIENTS: PRELIMINARY RESULTS FROM SURGICAL TREATMENT FOR CERAMIC-CERAMIC JOINT REPLACEMENT

2012; Brazilian Society of Orthopedics and Traumatology; Volume: 47; Issue: 5 Linguagem: Inglês

10.1016/s2255-4971(15)30014-8

ISSN

2255-4971

Autores

Henrique Amorim Cabrita, Alexandre Leme de Godoy Santos, Riccardo Gomes Gobbi, Ana Lúcia Lei Munhoz Lima, Priscila Rosalba Domingos de Oliveira, Leandro Ejnisman, Henrique Melo de Campos Gurgel, David Éverson Uip, Gilberto Luís Camanho,

Tópico(s)

Hip disorders and treatments

Resumo

To evaluate the initial functional results and early complication rate of ceramic-ceramic total hip replacements among patients living with HIV who presented osteonecrosis of the femoral head.Twelve HIV-positive patients with a diagnosis of osteonecrosis of the incongruent femoral head were evaluated using clinical and laboratory criteria and the WOMAC functional scale before and after treatment with joint replacement.We observed that 83.3% of the subjects were taking protease inhibitors, 75% had dyslipidemia and 66.6% had lipodystrophy syndrome. The improvement over the evolution of the WOMAC score was statistically significant at six and twelve months after the operation, in comparison with the preoperative score. We did not observe complications secondary to this procedure.Total hip arthroplasty with a ceramic-ceramic implant for treating avascular necrosis of the hip is an appropriate surgical option for this portion of the population. It provides a significant initial functional improvement and a low early complication rate.

Referência(s)