Fracture union following internal fixation in the HIV population
| Autor: | R.O.E. Gardner, WJ Harrison, E. Ng’oma, Jes Bates |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Malawi medicine.medical_specialty Anti-HIV Agents medicine.medical_treatment Population Fracture union Human immunodeficiency virus (HIV) HIV Infections Avascular necrosis medicine.disease_cause Non union Fracture Fixation Internal Fractures Bone Bone Density Risk Factors medicine Humans Internal fixation Prospective Studies education Prospective cohort study General Environmental Science Fracture Healing education.field_of_study business.industry Osteonecrosis Middle Aged medicine.disease CD4 Lymphocyte Count Surgery Fractures Ununited Radiological weapon General Earth and Planetary Sciences Female business |
| Zdroj: | Injury. 44:830-833 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2012.11.024 |
| Popis: | Introduction HIV is thought to be associated with increased rates of fracture non-union. We report on a prospective cohort of 96 HIV positive patients with 107 fractures that required internal fixation. The CD4 count was measured and patients were reviewed until eventual clinical or radiological union or non-union was established. Results Four percent of fractures (4 out of 100) failed to unite. Three patients required one further procedure to induce union, and two developed avascular necrosis. The CD4 count was not related to fracture union. Conclusion Contrary to previous assumptions, this study suggests that HIV infection does not increase rates of non-union in surgically managed fractures. |
| Databáze: | OpenAIRE |
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