We present the case report of a 40-year-old woman who was HIV-positive in Highly Active Anti-Retroviral Therapy (HAART) and affected by femural pertrochanteric fracture, which was treated by endomedullary nailing. Two years after the surgical operation, the woman developed an aseptic symptomatic osteolysis around the implant. Hardware removal was resolutive. Aseptic and septic hardware mobilization, hardware removal, and implant decision in HIV patients with pertrochanteric fractures is discussed. The authors suggest close follow-up and prompt hardware removal, as soon as X-rays demonstrate healing signs, in HIV patients with fracture fixation, if general condition allows.
|Titolo:||Complications related to fracture treatment in HIV patients : a case report|
RANDELLI, PIETRO SIMONE (Ultimo)
|Parole Chiave:||Aseptic mobilisation; Endomedullary nailing; Femural pertrochanteric fracture; Fracture fixation; HAART; Hardware removal; HIV|
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||2014|
|Digital Object Identifier (DOI):||10.1016/j.injury.2013.09.026|
|Appare nelle tipologie:||01 - Articolo su periodico|