Wound Complications in HIV-Positive Male Patients with Fractures after Operation

Objective: The aims of our study were to evaluate wound healing in human immunodeficiency virus (HIV)-positive male patients with fractures and make a comparison with HIV-negative patients. Methods: Thirty HIV-positive male patients who underwent surgery for fractures were reviewed in this consecutive study. HIV-negative patients were chosen as controls. According to the CDC criteria, wounds were classified and reviewed, including surgical site infection (SSI) and other wound complication. Results: Seven of the 30 HIV-positive patients suffered wound complications, including 1 SSI, whereas 1 HIV-negative patient had wound complications with 1 SSI. The incidence of wound complications was significantly increased in the HIV-positive patients compared to the HIV-negative patients; however, the difference of SSI was not significant. Conclusion: HIV-positive male patients with fractures exhibited a higher incidence of wound complications compared to HIV-negative patients. However, all patients achieved satisfactory outcomes through correct management. Prompt interventions such as debridement, antibiotic and nutritional support, should be emphasized to minimize wound complications once any problem was recognized.