An observational case series of HIV-positive patients treated with open reduction internal fixation for a closed lower extremity fracture
| Autor: | Derly O. Cuellar, Heather Young, Vivek Chadayammuri, Cyril Mauffrey, Benoit Herbert, Jiandong Hao, Juan C. Quispe, M. Hammerberg, Mark E. Hake, Ji Wan Kim, David J. Hak |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Fracture Fixation Internal Young Adult Closed Fracture Postoperative Complications Risk Factors HIV Seropositivity medicine Humans Surgical Wound Infection Internal fixation Orthopedics and Sports Medicine Fractures Closed Reduction (orthopedic surgery) Aged Retrospective Studies Fixation (histology) business.industry Medical record Trauma center Postoperative complication Middle Aged Surgery Female business Cohort study |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology. 25:815-819 |
| ISSN: | 1432-1068 1633-8065 |
| DOI: | 10.1007/s00590-015-1595-4 |
| Popis: | The purpose of this study was to investigate the influence of immune deficiency status of HIV-positive patients on postoperative complication such as surgical site infection and nonunions. Retrospective observational cohort study: Level III. Level I trauma center. Consecutive adult HIV-positive patients with closed fractures who underwent operative treatment between January 1, 2001 and December 31, 2012. postoperative complication including infection and fracture nonunion. A total of 42 HIV-positive patients with closed fractures who underwent surgical fracture fixation were identified during the 12-year study time window. Of these, 18 patients were excluded due to incomplete medical records (n = 16) or open fractures (n = 2). The remaining 24 patients with closed fracture treated surgically (19 males and 5 females; mean age 45.1 ± 10.5 years; age range 20–67 years) were included in the study. Within a 6-month period from the time of injury, 16 patients had a CD4+ cell count >200 and five patients had a CD4+ cell count |
| Databáze: | OpenAIRE |
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