Hepatitis C virus infection: review and implications for the orthopedic surgeon

B J McGrory1, A E Kilby

  • 1Maine Joint Replacement Institute, Orthopaedic Associates of Portland, USA.

Insights

Hepatitis C virus (HCV) affects 1-2% of the US population, with higher rates in orthopedic surgery patients. Orthopedic surgeons must understand HCV for patient safety and surgical planning.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Hepatitis C virus (HCV) is a significant global health concern, identified in 1989.
  • An estimated 1%-2% of the United States population is infected with HCV.
  • The incidence of HCV infection can be as high as 5% in patients undergoing orthopedic surgery.

Purpose of the Study:

  • To inform orthopedic surgeons about Hepatitis C virus (HCV) infection.
  • To highlight the risks of blood-borne diseases for surgical teams.
  • To provide guidance on managing HCV-positive patients in the context of orthopedic surgery.

Main Methods:

  • Review of the natural history of HCV infection.
  • Analysis of HCV transmission routes, particularly in surgical settings.
  • Evaluation of current diagnostic and treatment strategies for HCV.

Main Results:

  • Orthopedic surgeons may be the first to diagnose HCV in patients donating autologous blood.
  • Awareness of HCV is crucial for operating room team safety.
  • Understanding HCV allows for informed surgical planning and patient counseling.

Conclusions:

  • Orthopedic surgeons play a key role in identifying and managing Hepatitis C virus (HCV).
  • Knowledge of HCV natural history, transmission, and treatment is essential for safe surgical practice.
  • Proactive management of HCV-positive patients optimizes surgical outcomes and team safety.

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