title: [Healing status of surgical incisions in human immunodeficiency virus-positive patients with fractures].
abstract: OBJECTIVE
  To observe the healing status of surgical incisions in human immunodeficiency virus (HIV)-positive patients with fractures and explore the factors related with poor wound healing, treatment and preventive measures.
  
  
  METHODS
  Retrospective analyses were performed for the clinical data of 61 HIV-positive patients with fractures. And the influencing factors, treatment and outcomes of poor wound healing were analyzed.
  
  
  RESULTS
  Among them, the healing status was good (n = 50) and poor (n = 11). And the outcomes included redness (n = 10), oozing (n = 8), split (n = 3), infection (n = 2), hematoma (n = 1), fat liquefaction (n = 2) and delayed healing (n = 2). All healed well after treatment. There was no infection or death during the follow-up period. Compared with HIV-negative patients, it was not statistically significant in wound infection. However, poor healing rates were significantly different (P < 0.05). The risk factors included advanced age, low body mass index, low albumin, low hemoglobin, low total lymphocyte count, low CD4⁺ T lymphocyte count, high HIV infection clinical stage, long operative duration, emergency surgery and incision contamination.
  
  
  CONCLUSIONS
  In HIV-positive patients with fractures, the healing of surgical incision is generally good. However few have poor wound healing due to multiple factors. If poor healing is identified early and handled timely and correctly, good healing ensues.
authors.affiliation: Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China. Email: zhangqwte@sina.com.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
authors.forename: Changsong
authors.initials: C
authors.lastname: Zhao
authors.affiliation: Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
authors.forename: Sheng
authors.initials: S
authors.lastname: Sun
authors.affiliation: Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
authors.forename: Juan
authors.initials: J
authors.lastname: Cai
mesh_terms: D018791:CD4 Lymphocyte Count; D050723:Fractures, Bone; D015658:HIV Infections; D006679:HIV Seropositivity; D006801:Humans; D012189:Retrospective Studies; D012307:Risk Factors; D014945:Wound Healing; D014946:Wound Infection