Novel Coronavirus and Orthopaedic Surgery

Liang, Zhen; Wang, Wilson; Murphy, Diarmuid; Hui, James

doi:10.2106/jbjs.20.00236

Cited by 181 publications

(166 citation statements)

References 17 publications

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“…Only one article specifically addressing how the novel Coronavirus has affected the orthopaedic surgery during lockdown and how crucial orthopaedic surgeons might be in reining this pandemic, was found [2].…”

Section: Resultsmentioning

confidence: 99%

“…Whereas the pathology may cause significant functional impairment to the patient, severely reducing his quality of life, major surgeries such as total joint replacement should still be performed. Patients undergoing total joint replacement will need to be able to be discharged from the hospital in the shortest delay possible (generally less than 72 h), thus to reduce the risk of nosocomial infections [2,8]. Some outpatient surgery can be considered in early start-up phase, as the pathology can become more complex if left untreated or associated with a major functional deficit (defined as urgent, somewhat elective).…”

Section: Return To Orthopaedic Business As Usual In the Ormentioning

confidence: 99%

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Returning to orthopaedic business as usual after COVID-19: strategies and options

de¹,

Hirschmann

Verdonk

2020

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this manuscript is to review the available strategies in the international literature to efficiently and safely return to both normal orthopaedic surgical activities and to normal outpatient clinical activities in the aftermath of a large epidemic or pandemic. This information would be beneficial to adequately reorganize outpatient clinics and hospitals to provide the highest possible level of orthopaedic care to our patients in a safe and efficient manner. Methods A literature search was performed for relevant research articles. In addition, the World Health Organisation (WHO), the US Centers for Disease Control (CDC), American Association of Orthopaedic Surgeons (AAOS), the EU CDC and other government health agency websites were searched for any relevant information. In particular, interest was paid to strategies and advise on managing the orthopaedic patient flow during outpatient clinics as well as surgical procedures including the necessary safety measures, while still providing a high-quality patient experience. The obtained information is provided as a narrative review. Results There was not any specific literature concerning the organization of an outpatient clinic and surgical activities and the particular challenges in dealing with a high-volume practice, in the afterwave of a pandemic. Conclusion As the COVID-19 crisis has abruptly halted most of the orthopaedic activities both in the outpatient clinic and the operating room, a progressive start-up scenario needs to be planned. The exact timing largely depends on factors outside of our control. After restrictions will be lifted, clinical and surgical volume will progressively increase. This paper offers key points and possible strategies to provide the highest level of safety to both the orthopaedic patient and the orthopaedic team including administrative staff and nurses, during the start-up phase. Level of evidence Review, Level V.

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Section: Resultsmentioning

confidence: 99%

Section: Return To Orthopaedic Business As Usual In the Ormentioning

confidence: 99%

Returning to orthopaedic business as usual after COVID-19: strategies and options

de¹,

Hirschmann

Verdonk

2020

Knee Surg Sports Traumatol Arthrosc

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“…In die Entscheidung, ob eine Operation unter den gegebenen Bedingungen durchführbar ist, sollte nicht nur der Aspekt der Funktionsstörung bei Unterlassung einfließen. Es sollte auch berücksichtigt werden, inwieweit die Durchführung dieser Operation die Bekämpfung der Pandemie beeinträchtigt [3]. So eignen sich planbare Operationen, die postoperativ Intensivkapazitäten benötigen, nicht für die Phase 3.…”

Section: Coronavirus Pandemic and Its Effect On Orthopedics And Traumunclassified

“…B. Operationen bevorzugt behandelt, wenn sie ambulant oder tagesstationär erfolgen (Arthroskopien von Knie-, Schulter-und Sprunggelenk) [3]. Auch der Verzicht auf eine Intubationsnarkose schont die zur Bekämpfung der Pandemie notwendigen Ressourcen [3]. Ebenfalls sollte das Ri-sikoprofil der Patienten in die Entscheidung mit einbezogen werden.…”

Section: Covidunclassified

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Coronavirus-Pandemie und ihre Auswirkungen auf Orthopädie und Unfallchirurgie: Operationen, Risiken und Prävention?

Petersen

Bierke

Karpinski

et al. 2020

Knie J.

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Husten 53 % Fieber 42 % Schnupfen 23 % Um die Ressourcen des Gesundheitssystems für die Behandlung von COVID-19-Patienten zu bündeln, wurde empfohlen, nicht dringliche Operationen zu verschieben oder zurückzustellen. In manchen Regionen wird die Durchführung planbarer Operationen sogar behördlich untersagt (Bayern bis 15.05.2020). In Berlin hingegen werden die Krankenhäuser Knie Journal Zusammenfassung · AbstractKnie J. https://doi.

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Management of orthopedic oncology patients during coronavirus pandemic

Şahbat

Buyuktopcu

Topkar

et al. 2020

Journal of Surgical Oncology

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The new measures implemented in hospitals also altered the operation of orthopedics and traumatology departments. The main purpose of this article is to discuss how orthopedic oncology clinics should be organized during the pandemic and to present the process management scheme for patients requiring orthopedic surgery, including trauma surgery, from diagnosis to treatment, together with our experiences. Instead of thinking about the global emergence of the epidemic, it is time to act decisively. At first glance, the coronavirus disease 2019 (COVID‐19) pandemic and orthopedics may seem to be unrelated disciplines, but the provision of healthcare services to patients who require them proves that these two fields are parts of the same whole. Our experiences in treating neutropenic, lymphocytopenic, and chemotherapy patients seem to have proven beneficial during this process. We operated on 10 biopsy patients, 15 primary bone sarcomas, 9 soft tissue sarcomas, and 82 trauma patients within this time frame. Only three patients were suspected to have COVID‐19 before admission. The early identification, strict isolation, and effective treatment of these patients prevented any nosocomial infections and disease‐related comorbidities. This success is the result of the multidisciplinary cooperation of the Ministry of Health, our hospital, and our clinic.

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Novel Coronavirus and Orthopaedic Surgery

Cited by 181 publications

References 17 publications

Returning to orthopaedic business as usual after COVID-19: strategies and options

Returning to orthopaedic business as usual after COVID-19: strategies and options

Coronavirus-Pandemie und ihre Auswirkungen auf Orthopädie und Unfallchirurgie: Operationen, Risiken und Prävention?

Management of orthopedic oncology patients during coronavirus pandemic

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