Does HCV Seropositivity Affect Short Term Postoperative Clinical Outcome In Intertrochanteric Fracture Femur? A Retrospective Study at a Tertiary Care Center
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Date
2023-02
Journal Title
Journal ISSN
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Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: The influence of hepatitis C virus (HCV) infection on outcome of hip fracture surgery has never been studied in the past despite increasing incidence of infection as well as osteoporotic hip fractures. The purpose of our study was to evaluate the correlation between hepatitis C and perioperative outcomes of intertrochanteric fractures in elderly. Method: This was a retrospective study carried out in a tertiary care center where five years data of peri and postoperative outcome of intertrochanteric fracture HCV +ve and matched control in a ratio of 1:2 were studied. The medical and surgical complications of the two groups along with the clinicoradiological outcome were evaluated using t test, odds ratio and confidence intervals (p<.05). Results: Amount of blood loss during surgery and consequently blood transfusion was significantly higher in HCV+ve grou (255ml:185ml and 19:9 units respectively). Duration of hospital stay was 33% higher in the seropositive group. Persistent oozing and superficial site infection were 5 and 2 fold higher than control group. Initial Harris Hip Score was significantly better in control group (74.9:67.1) whereas at 9 months the difference was insignificant (81.2:79.2). Clinical milestones like weight bearing and walking on stairs were achieved earlier in control group and time of fracture union was convincingly earlier in the control group (5.5:7.2 months). Conclusion: This is one of the initial study showingintraoperative and postoperative complications are higher in HCV seropositive patients with intertrochanteric fractures along with prolonged hospital stay, low HHS at 3 months and delayed union.
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Keywords
Complications, Hepatitis C, Intertrochanteric Fractures
Citation
Dahuja Anshul, Khatri Kavin, Kaur Rashmeet, Kaur Haramritpal, Singh Jagdeep, Garg Nitish. Does HCV Seropositivity Affect Short Term Postoperative Clinical Outcome In Intertrochanteric Fracture Femur? A Retrospective Study at a Tertiary Care Center. International Journal of Medical Research Professionals. 2023 Jan; 9(1): 9-12