---

Management, outcome and complications of fractures in Patients Living with HIV Aids (PLHA)

Full Text PDF

---

Original Article

Author Details : Bhavya B. Shah, Hriday Acharya, Shaival Dalal

Volume : 3, Issue : 1, Year : 2017

Article Page : 23-28

Suggest article by email

Get Permission

Abstract

Objectives: To determine the incidence of infection, compare the rates of infection, union and functional outcome of fractures in 5 PLHA patients with that of various previous studies, determine the correlation of various parameters with 6 complications and to determine the final outcome and approach of treatment of fractures in HIV positive patients.
Design: This is retrospective study of 70 PLHA(People Living with HIV/AIDS) patients.
Setting: Patients treated operatively at our institute are included in our study.
Patients: All the PLHA patients having fractures to be treated operatively and admitted in year 2014 are included in our study.
Intervention: The patients were managed operatively depending on fracture type and age of the patient.
Main Outcome Measurements: Infection and bony union assessed clinically and radiographically and functional outcome according to SF-12 scoring.
Results: Mean CD4 count was 452 with a range of 150 to 682. 44 patients belonged to WHO stage 1, 23 belonged to 26 stage 2 and 3 belonged to stage 3. There were no stage 4 patients in our study. The SF-12 score pattern showed gradual increment in values. Out of the 14 patients who underwent debridement post-operatively, 12 patients showed an eventual good outcome.
Conclusions: Although, HIV-positive male patients with fractures exhibited a higher incidence of wound complications and non- union compared to HIV-negative patients, almost all patients achieved satisfactory clinical and functional outcomes through correct, prompt and systematic interventions.

Keyword: PLHA, Fracture Outcomes, Complications

How to cite : Shah B B, Acharya H, Dalal S, Management, outcome and complications of fractures in Patients Living with HIV Aids (PLHA). IP Int J Orthop Rheumatol 2017;3(1):23-28

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution 4.0 International License, which allows others to remix, and build upon the work, the licensor cannot revoke these freedoms as long as you follow the license terms.