WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS

W J Harrison; C P Lewis; C B D Lavy

doi:10.1302/0301-620X.85BSUPP_II.0850103a

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WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS

W J Harrison
C P Lewis
C B D Lavy

WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS

Harrison WJ, Lewis CP, Lavy CBD. WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS. Orthop Procs. 2003;85-B(SUPP_II):103-103. doi:10.1302/0301-620X.85BSUPP_II.0850103a

Harrison, W J, et al. “WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS.” Orthopaedic Proceedings, vol. 85-B, no. SUPP_II, 2003, pp. 103-103., https://doi.org/10.1302/0301-620X.85BSUPP_II.0850103a

Harrison, W. J., Lewis, C. P., & Lavy, C. B. D. (2003). WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS. Orthopaedic Proceedings, 85-B(SUPP_II), 103-103. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850103a

Harrison, W. J., Lewis, C. P. and Lavy, C. B. D. (2003) “WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS.” Orthopaedic Proceedings, 85-B(SUPP_II), pp. 103-103. Available at: https://doi.org/10.1302/0301-620X.85BSUPP_II.0850103a

Harrison, W J, C P Lewis, and C B D Lavy. “WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS.” Orthopaedic Proceedings 85-B, no. SUPP_II (2003): 103-103. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850103a

Harrison WJ, Lewis CP, Lavy CBD. WOUND HEALING AFTER IMPLANT SURGERY IN HIV POSITIVE PATIENTS. Orthop Procs. 2003 Feb 1;85-B(SUPP_II):103-103. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850103a

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Abstract

A prospective study was undertaken of wound healing in HIV positive patients undergoing orthopaedic implant surgery. 175 implant operations were assessed. 40 operations (23%) were in HIV positive individuals. Wounds were scored using the Asepsis scoring system.

Closed fractures in HIV positive patients had 1 (3. 5%) major infection. No correlation was seen between CD4 count and risk of wound infection.

With regards to early wound sepsis, implant surgery can be undertaken safely in HIV positive individuals with closed injuries regardless of CD4 count. The risk of wound sepsis rises dramatically in implant surgery for HIV positive patients with open fractures.

The abstracts were prepared by Mr Simon Donell. Correspondence should be addressed to him at the Department of Orthopaedics, Norfolk & Norwich Hospital, Level 4, Centre Block, Colney Lane, Norwich NR4 7UY, United Kingdom