GEDOS-SECOT consensus on the care process of patients with knee osteoarthritis and arthoplasty

Ibán, Miguel Ángel Ruiz; Tejedor, Ana Viana; Garay, E. Gil; Revenga, C.; Hermosa, J.C.; Montfort, Jordi; Peña, M.J.; Millan, Jorge; Matamala, Antonio Montero; Grasa, A. Capa; Navarro, Manuel Jiménez; Gobbo, Massimiliano; Loza, Estíbaliz

doi:10.1016/j.recote.2017.08.003

Cited by 1 publication

(1 citation statement)

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“…Pain, joint stiffness, and significant limitation in activities of daily living including difficult walking are the main symptoms complained by the patients eligible for surgery. [6,7] In America, implementation of this principle is estimated to have resulted in the cancelation of 33,000 primary hip and knee replacements a week throughout 2020, thus making it necessary to reschedule approximately 130,000 operations. [8,9] Consequently, the increased waiting times for joint replacement surgery have led to a deterioration in the candidates' quality of life.…”

Section: Introductionmentioning

confidence: 99%

The impact of the pandemic on functional outcomes for joint replacement patients: An observational study

Morri¹,

Ruisi²,

Peccerillo³

et al. 2022

Medicine

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Elective surgeries, as joint replacement, were resumed after the first COVID-19 pandemic wave in 2020 and a phase of coexistence with the virus began. Surgery was organized in a new way that incorporated procedures aimed at reducing the risk of spreading the virus. The aim of this study is to describe the early functional results for patients undergoing hip and knee replacements at the time healthcare services were being reopened and to compare them with the same outcomes recorded in the prepandemic period. This is a controlled retrospective study. All patients consecutively admitted during 2020 and who underwent hip and knee replacement were enrolled in the study. Patient records from January to March 2020 constituted the prepandemic control group, while patient records from May to December 2020 constituted the study group. Functional recovery was described through the patient's ability to walk using antebrachial devices and to climb up and down 3 steps. The day after surgery on which these activities were first performed was also recorded. The prepandemic group consisted of 183 patients and the pandemic group of 280 patients. The mean age of patients was 66 years (±13.1), female was 44.9% and hip replacement was 66.5%. The number of patients who climbed stairs and the timing thereof was comparable for the 2 groups (68.5% vs 72.2%, respectively; P = .403). There was no significant difference in the incidence of patients able to walk with antebrachial device and incidence of pressure ulcers and major complications. Multivariate analysis confirmed that the incidence of stair climbing was not associated with the prepandemic or pandemic inclusion. During the reopening of orthopedic surgery activity, the reorganization and treatment pathway did not affect the functional outcome achieved by patients underwent joint replacement. Constant monitoring of the functional outcomes will be required so as to further increase the number of joint replacement surgeries.

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