Reduction prevalence of fragility fracture hospitalisation during the COVID-19 lockdown

Barreto, Philipe de Souto; Fabre, Didier; Vellas, Bruno; Blain, Hubert; Molinier, Laurent; Rolland, Yves

doi:10.1007/s11657-022-01099-5

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…Furthermore, the trends in this analysis are likely to be conservative estimates as a result of incorporating the years in which the COVID-19 pandemic had the greatest impact (2020 and 2021). Previous reports have clearly illustrated the drastic reduction in hospitalizations for geriatric fractures and in TKAs and THAs during this time period 25-28 . Consequently, the observed and predicted trends of periprosthetic fractures are likely to have been underestimated in this study.…”

Section: Discussionmentioning

confidence: 64%

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Fixation or Revision for Periprosthetic Fractures

Minutillo,

Karnuta,

Koressel

et al. 2024

Journal of Bone and Joint Surgery

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Background: Periprosthetic fractures can be devastating complications after total joint arthroplasty (TJA). The management of periprosthetic fractures is complex, spanning expertise in arthroplasty and trauma. The purpose of this study was to examine and project trends in the operative treatment of periprosthetic fractures in the United States. Methods: A large, public and private payer database was queried to capture all International Classification of Diseases, Tenth Revision (ICD-10) diagnosis codes for periprosthetic femoral and tibial fractures. Statistical models were created to assess trends in treatment for periprosthetic fractures and to predict future surgical rates. An alpha value of 0.05 was used to assess significance. A Bonferroni correction was applied where applicable to account for multiple comparisons. Results: In this study, from 2016 to 2021, 121,298 patients underwent surgical treatment for periprosthetic fractures. There was a significant increase in the total number of periprosthetic fractures. The incidence of periprosthetic hip fractures rose by 38% and that for periprosthetic knee fractures rose by 73%. The number of periprosthetic fractures is predicted to rise 212% from 2016 to 2032. There was a relative increase in open reduction and internal fixation (ORIF) compared with revision arthroplasty for both periprosthetic hip fractures and periprosthetic knee fractures. Conclusions: Periprosthetic fractures are anticipated to impose a substantial health-care burden in the coming decades. Periprosthetic knee fractures are predominantly treated with ORIF rather than revision total knee arthroplasty (TKA), whereas periprosthetic hip fractures are predominantly treated with revision total hip arthroplasty (THA) rather than ORIF. Both periprosthetic knee fractures and periprosthetic hip fractures demonstrated increasing trends in this study. The proportion of periprosthetic hip fractures treated with ORIF relative to revision THA has been increasing. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 64%

“…The shaded area indicates projected values, with the error bars representing the 95% CI of each value. hospitalizations for geriatric fractures and in TKAs and THAs during this time period [25][26][27][28] . Consequently, the observed and predicted trends of periprosthetic fractures are likely to have been underestimated in this study.…”

Section: Discussionmentioning

confidence: 95%

Fixation or Revision for Periprosthetic Fractures

Minutillo,

Karnuta,

Koressel

et al. 2024

Journal of Bone and Joint Surgery

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“…A review of the literature identified several studies demonstrating a decrease in orthopaedic trauma cases during the lockdown 1,2,4-8 with just a few studies focusing solely on the older demographic. 2,[5][6][7] The study by Barreto et al revealed a decrease in the number of fracture hospitalisations of older people throughout the COVID year (2020). 2 According to Fadi et al, the proportion of geriatric patients with hip fractures in the lockdown group was considerably greater than in the non-lockdown group, while the overall number of trauma patients was lower.…”

Section: Discussionmentioning

confidence: 99%

“…2,[5][6][7] The study by Barreto et al revealed a decrease in the number of fracture hospitalisations of older people throughout the COVID year (2020). 2 According to Fadi et al, the proportion of geriatric patients with hip fractures in the lockdown group was considerably greater than in the non-lockdown group, while the overall number of trauma patients was lower. Although the frequency of hip fractures was lower in our research during the nonlockdown phase and considerably lower during the lockdown period.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of orthopedic trauma patterns in geriatric patients during COVID-19 pandemic led lockdown and non-lockdown periods

Singh

Roy

Singh

et al. 2023

Int J Community Med Public Health

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Background: Lockdown had hindered persons’ ability to engage in regular physical activity. Our study analysed bone trauma patients who visited the orthopedic department based on the mode of injury, kind of extremity involved, and the bone implicated. Methods: This was a retrospective cross-sectional study of patients visiting the orthopedic surgery department of a North Indian tertiary health care centre. Patient data was recorded from the case sheets. Results: A total of 792 patients’ data was collected, out of which 250 patients were those of during lockdown, and 542 patients were of non-lockdown phase. During the lockdown phase, the patients who have undergone RTA were 37 (14.8%), those admitted for domestic trauma were 128 (51.2%), and those for miscellaneous causes were 85 (34%). During the non-lockdown phase, RTA were 145 (26.739%), domestic were 318 (58.608%) and miscellaneous were 79 (14.652%). During lockdown, the site of injury was upper limb in 59 patients, lower limb in 154 patients, vertebrae in 37 patients. In the non-lockdown phase, the upper limb was injured in 95 patients, lower limb in 377 patients, vertebrae in 52 patients and hip bone in 17 patients. Femur was the most affected bone. Conclusions: There was a decrease in the number of instances during the lockdown. During both the periods, the majority of geriatric patients were from rural areas. Domestic trauma cases were most prevalent in the older age range, and the most common extremity implicated appeared to be the lower limb, with the femur being the most involved bone in both stages.

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Adoption of telemedicine care for osteoporotic patients during the COVID-19 pandemic: experience from a tertiary care center in Saudi Arabia

et al. 2022

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Summary The aim of this study was to examine the feasibility and effectiveness of telemedicine care provided to osteoporotic patients in Saudi Arabia. Our results show that this service was effective and feasible, and patients had a good rate of satisfaction with it. Purpose To investigate the efficacy and feasibility of telemedicine care in osteoporotic patients during the COVID-19 lockdown period in Saudi Arabia compared to in-person patients, as well as their satisfaction with this service. Methods This observational retrospective study was conducted between March 2021 and September 2021 in King Saud University Medical City, Saudi Arabia. A survey was used to compare patients attending telemedicine clinics with in-person patients in terms of access and adherence to medications, occurrence of new fractures, and overall satisfaction with this service. Results 195 patients attended the telemedicine clinic, while 63 attended the in-person clinic. Exercise frequency was similar in both groups, although exercise intensity was greater in the in-person group. 25(OH)D levels were stable in both groups. The availability and delay of supply of osteoporosis medications were not statistically different between both groups while adherence to treatment did not differ significantly between the two groups. The majority of patients in the telemedicine group were satisfied. Conclusions Telemedicine care was feasible and effective in managing osteoporotic patients during the COVID-19 epidemic. Such service could be considered in the future for managing disabled patients and those living in remote areas.

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Reduction prevalence of fragility fracture hospitalisation during the COVID-19 lockdown

Cited by 4 publications

References 16 publications

Fixation or Revision for Periprosthetic Fractures

Fixation or Revision for Periprosthetic Fractures

Comparison of orthopedic trauma patterns in geriatric patients during COVID-19 pandemic led lockdown and non-lockdown periods

Adoption of telemedicine care for osteoporotic patients during the COVID-19 pandemic: experience from a tertiary care center in Saudi Arabia

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