Orthopedic surgery post COVID-19: an opportunity for innovation and transformation

Menendez, Mariano E.; Jawa, Andrew; Haas, Derek A.; Warner, Jon J.P.

doi:10.1016/j.jse.2020.03.024

Cited by 47 publications

(55 citation statements)

References 12 publications

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“…In particular, new services such as telehealth, virtual visits, and online tools for postoperative rehabilitation have been developed. 29,30 These technologies will accompany virtual and enhanced reality training and digitalisation of meetings in the healthcare system in the future.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Elbardesy

2020

EMJ Microbiol Infect Dis

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Background: The novel coronavirus disease-2019 (COVID-19) has been identified as the cause of a rapidly spreading respiratory illness that is thought to have originated from Wuhan, China in early December 2019. Since then, the free movement of people has decreased, which has thus reduced the number of trauma-related casualties. The Irish governments initiated strict social distancing measures in response to the COVID-19 pandemic in late March 2020. It remains challenging to quantify the impact this had on reducing the spread of the virus. The viral outbreak has led to significant changes in the lifestyle of Irish citizens. The aim of this study was to examine the impact of the pandemic on activity, related to emergencies in trauma and orthopaedics departments. Methods: Patients admitted to the Trauma and Orthopaedic Department at Cork University Hospital (CUH), Cork, Ireland and South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland between the 1st of March and the 15th of April 2020 were documented and compared to the patient admissions from the same time period in 2019. Results: The total numbers of lower limb trauma cases dropped by 20.44% from 137 (females: 87; males: 50) to 109 (females: 74; male: 35), (p=0.72). Of note, there was a 30.00% reduction in the number of male cases (from 50 to 35; p<0.05), in comparison to the 14.94% reduction observed in the female population (from 87 to 74; p<0.05). The total number of upper limb trauma cases increased by 0.14% from 90 (female: 44; men: 46) to 94 (female: 54; male: 40; p=0.14). The increase reported was only applicable to the female population; the number of male cases of upper limb trauma slightly decreased from 46 to 40 (p<0.005). Conclusion: The COVID-19 crisis has led to a decrease in the total numbers of lower limb trauma surgeries but an increase in the number of upper limb fractures. The main reduction was amongst the male patients, while the number of female cases increased.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Elbardesy

2020

EMJ Microbiol Infect Dis

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“…We believe that as there is no significant scientific evidence of viral elimination in the urine and based on the reported data on the criteria for curing the disease, elective endourological surgery in urinary lithiasis could be safely performed after 30 days at the onset of symptoms, however, we suggest that new randomized studies are taken as a reference for the topic (19). Some strategic changes to contain the spread of SARS Cov-2 can be consolidated as permanent, including in the structure of care of the operating rooms, use of computerized tools for virtual follow-up in the postoperative period and the managerial awareness of hospital resources (20).…”

Section: Indications and Prioritization Of Surgeriesmentioning

confidence: 99%

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

Socarrás¹,

Esperto

Bapstistussi³

et al. 2020

Int. braz j urol.

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Purpose: To provide recommendations on the endourological management of lithiasis in the scenario of the COVID-19 pandemic. Materials and Methods: A non-systematic review in PubMed and the grey literature, as well as recommendations by a panel of stakeholders was made, regarding management, surgical considerations and follow-up of patients affected by lithiasis in the COVID-19 era. Results: Under the current outbreak and COVID-19 pandemic scenario, patients affected by lithiasis should be prioritized into low, intermediate and high risk categories, to decide their delay and save resources, healthcare personnel, beds and ventilators. However, patients with potentially serious septic complications need emergency interventions. The possibility of performing or restarting elective activity depends on local conditions, the availability of beds and ventilators, and the implementation of screening protocols in the context of the COVID-19 pandemic. Delaying lithiasis surgery and increasing waiting lists will have consequences and will require considerable additional effort. Teleconsultation may be useful in guiding these patients, reducing visits and unnecessary exposure. Conclusions: categorization and prioritization of patients affected by lithiasis is crucial for management, surgical selection and follow-up. Protocols, measures and additional efforts should be carried out in the current situation of the COVID-19 pandemic.

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“…Apart from video consultation and sharing of radiological images, improvement in technology allows use of video services to show physiotherapy exercises, wound care, stoma care, and other physical demonstrations through telemedicine. Previous studies have shown the redundancy of frequent physical follow-up visits of patients to consult doctors in illnesses like shoulder cuff repair, spinal decompressions, and joint replacement surgeries, 10 wherein telemedicine would come handy.…”

Section: Telemedicine-the Future?mentioning

confidence: 99%

The Impact of COVID-19 on Future Orthopaedic Practice

Kanna

Rajasekaran

2021

Journal of Hand and Microsurgery

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No single event hitherto has stumped the world more significantly than the present Corona pandemic. In a short span of a few months, the world economy, healthcare, livelihood, and human survival have been direly threatened by the rapid increase in the number of COVID-19 cases and fatalities. While dispensations across the world are finding ways to tackle the pestilence, the medical fraternity faces a unique conundrum. On the one side, the health care team is at the forefront fighting the disease and saving patients from the grip of death. On the other side, the healthcare industry is facing a crisis in terms of safety of healthcare personnel, difficulties in online tele-healthcare, economic sustainability, challenges in healthcare education and other problems in safe health care delivery. The authors provide a broad perspective at the current pandemic and its implications on orthopaedic practice in the near future.

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Orthopedic surgery post COVID-19: an opportunity for innovation and transformation

Cited by 47 publications

References 12 publications

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

The Impact of COVID-19 on Future Orthopaedic Practice

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