The impact of COVID-19 on hand surgery: A French retrospective comparative study in COVID-19 and non-COVID-19 hand trauma centers

Regas, Inès; Pichonnat, Marine; Pluvy, I.; Obert, L.; Bellemère, P.; Chaves, Camilo; Loisel, François

doi:10.1016/j.otsr.2021.103118

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…Most probably, those results can be explained by the fact that the authors analyzed numbers for the full year following the initial lockdown when homeschooling and sports limitations were underway, but people were allowed to go back to work and use their cars. Also, as in the two papers mentioning the severity of ED injuries [19,21], after the outbreak of COVID, injuries were more severe in the authors' EDs. Moreover, in the same period, the authors had an increase in intervention rates such as reported by Atia [17] and Pichard [18].…”

Section: Discussionmentioning

confidence: 63%

“…Fortaine [19] and Pidgeon [20] both described a diminution of 52% of patients reaching their ED, with Fortaine's group also giving details of how sport and work incidents diminished, whereas domestic injuries increased, and how there was a global increase in severity of lesions. Regas et al [21] also mentioned how hand and wrist lesions were less frequent but more severe. Finally, Ho et al [13] are the only group with an increase in the number of cases reaching their ED (332 versus 310), this is likely due to the fact that patients from another hospital were automatically transferred to theirs during the lockdown period.…”

Section: Discussionmentioning

confidence: 98%

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One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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2020 will be remembered worldwide as the year of COVID-19 outbreak. The onset of this pandemic abruptly changed everybody’s life and, in a particular manner, doctors’ lives. Our hand surgery department became rapidly one of the first COVID-19-specialized wards in Italy, impacting considerably the authors’ routines and activities. In this paper, the authors focus on how the demographics of patients with hand trauma changed and how they had to modify their activity. The authors retrospectively took into consideration all patients reaching their emergency department (ED) with hand trauma between 9 March 2020 (the day of the beginning of the first lockdown in Italy) and 8 March 2021 and compared them to those who reached the ED in the three previous years. Authors have analyzed the number of patients, their gender and age, the severity of their trauma, where the trauma occurred, the type of lesion, the percentage of patients who underwent surgery, and the percentage of patients who had an emergency admission. In the last year, the number of patients reaching the ED for a hand trauma has been reduced by two thirds (975 patients during the past year), the mean age of those patients has slightly increased, the severity of cases has increased, places of trauma and type of lesions have changed, and, lastly, the percentage of patients needing surgery who were admitted immediately has increased. This paper shows how the type of patients reaching the ED changed and discusses how surgeons evolved and modified their habits in treating those patients during the first lockdown and the year that followed.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 98%

One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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“…Data collected on a larger scale in 2 hand trauma centers in France showed similar results with a reduction in frequency of hand and wrist trauma. 5 We saw a 13.5% and 22.8% increase in patients referred to the VFC in April and May 2019 compared with December/January 2019 and July/August 2019, respectively. Therefore, the decrease in hand injuries during the lockdown period is not attributed to seasonal variations.…”

Section: Discussionmentioning

confidence: 82%

Hand Injuries During COVID-19 UK Lockdown: How Did the Pandemic Affect 1-Year Functional Outcomes?

Morcos

Barrett-Lee

Hindi

et al. 2022

Hand (New York, N,Y.)

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Background: The COVID-19 outbreak was declared a pandemic in March 2020, forcing the United Kingdom into a national lockdown. The aim was to evaluate the effect of this lockdown on hand injuries referred through the trauma and orthopedics virtual fracture clinic (VFC) service and their subsequent management given limited resources. This study also aimed to identify complications and evaluate functional outcomes. Methods: Patients referred through VFC at Queen Alexandra Hospital during April and May 2020 with hand injuries were analyzed. Isolated injuries to the carpus and wrist were excluded. Controls were compared over identical time spans prior to lockdown and after the restrictions were eased. Functional outcomes were measured using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, at 12 months after injury. Results: There was a 68% reduction in referrals of hand injuries during lockdown. Lower numbers of sporting injuries were seen, in contrast to an increased rate of falls, crush injuries, and recreational cycling. Despite a higher number of patients being discharged from VFC during lockdown, there were no increased rates of complications from conservatively managed hand fractures. Eighty percent reported low QuickDASH scores with a median of 2.3. Satisfaction was high, with 73% either satisfied or very satisfied with their treatment and outcome. Conclusion: This study demonstrates that there remains a burden of hand trauma during lockdowns, and therefore, service provision for future lockdowns should consider this. Most patients can be managed conservatively, and a high proportion can be discharged from VFC with low complication rates and high satisfaction.

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