Best Practice & Research Clinical Rheumatology
Volume 22, Issue 4 , Pages 605-619, August 2008

Impact of HIV on bone and joint surgery

  • S. Govender, MBBS, MD, FRCS (Professor and Head of Orthopaedics)

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +27 031 2604297; Fax: +27 031 2604518.
  • W.J. Harrison, MA (Oxon), FRCS (Trauma and Orth) (Consultant Orthopaedic Surgeon, and Honorary Senior Lecturer)
  • M. Lukhele, MBChB, M.Med, FC (Orth) (Professor and Head of Orthopaedics)

Nelson R. Mandela School of Medicine, University of Kwazulu-Natal, 719 Umbilo Road, Durban 4013, South Africa

Beit Cure International Hospital and College of Medicine, PO Box 31236, Blantyre, Malawi

Wits Medical School, University of Witwatersrand, 7 York Road, Parktown, 2193, Johannesburg, South Africa

In 2007, approximately 33 million people were living with human immunodeficiency virus (HIV) infection worldwide. Sub-Saharan Africa has been hardest hit by the HIV pandemic. In this chapter the impact of HIV infection on bone and joint surgery is reviewed. The management of orthopaedic trauma and diseases specific to HIV infection (such as osteonecrosis, bone tumours, and bone and joint infection) in patients with HIV infection are discussed. The importance of universal protection during surgical procedures is emphasized. The guidelines developed by the Centers for Disease Control for HIV-positive health workers and their involvement in the treatment of these are discussed.

Key words: HIV infection, universal protection, orthopaedic trauma, osteonecrosis, bone tumours, bone and joint infection

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PII: S1521-6942(08)00053-3

doi:10.1016/j.berh.2008.05.002

Best Practice & Research Clinical Rheumatology
Volume 22, Issue 4 , Pages 605-619, August 2008

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