Abstract
The Caribbean has one of the higher prevalence rates of HIV in the world. Many HIV patients present to the Orthopaedic surgeon as a trauma victim. Trauma continues to be very prevalent as a result of interpersonal violence and motor vehicle accidents. This continues to drain the health budget, deplete blood banks and cause cancellations on elective lists. Orthopaedic surgeons continue to be at risk because a large percentage of their patients present with trauma. Factors affecting cumulative risk include the HIV prevalence in the practising community, the prevalence of trauma nearby communities, the nature and length of surgery as well as adherence to universal precautions.
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