Abstract | Introduction: Case Report: We analyzed a 35-year-old female patient with HIV infection on ART for 5 years. She was diagnosed with right-sided subtrochanteric femur and bilateral forearm fracture and stress fracture in the left lower limb. Tenofovir was substituted with Zidovudine before surgery. Subtrochanteric femur fracture and right forearm fracture were managed surgically, whereas the other fractures were managed conservatively. The patient was followed up till 1 year and assessed with serial X-rays, blood investigations, Harris Hip Score, and Upper Extremity Functional Index. Functional outcome in all four limbs was found to be satisfactory. Conclusion: The patient taking ART based on Tenofovir should be monitored for pathological fractures. ART-induced fractures can be managed surgically and conservatively like any other pathological fracture. Tenofovir-containing regimens may be gradually replaced with alternative regimens for the treatment of HIV infection, especially in those at a higher risk for fragility fractures.
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Authors | S Subith, Shubham Tungenwar, Tanmay Avhad, Tejas Apte, Shubham Dakhode |
Journal | Journal of orthopaedic case reports
(J Orthop Case Rep)
Vol. 13
Issue 5
Pg. 111-115
(May 2023)
ISSN: 2250-0685 [Print] India |
PMID | 37255633
(Publication Type: Case Reports)
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Copyright | Copyright: © Indian Orthopaedic Research Group. |