Early outcomes of patients undergoing total hip arthroplasty for trauma during COVID-19

Bone & Joint Open
Adam C S StonehamRebecka Asp

Abstract

This study aimed to identify patients receiving total hip arthroplasty (THA) for trauma during the peak of the COVID-19 pandemic in the UK and quantify the risks of contracting SARS-CoV-2 virus, the proportion of patients requiring treatment in an intensive care unit (ICU), and rate of complications including mortality. All patients receiving a primary THA for trauma in four regional hospitals were identified for analysis during the period 1 March to 1 June 2020, which covered the current peak of the COVID-19 pandemic in the UK. Overall, one of 48 patients (2%) contracted COVID-19 during their admission. Although they required a protracted stay in hospital, they did not require ICU treatment. Two patients did require ICU support for medical problems but not relating to COVID-19. Complications were no greater than expected given the short follow-up. There were no mortalities. There is a paucity of evidence to guide restarting elective joint arthroplasties following the COVID-19 pandemic. Although THAs for trauma are by no means a perfect surrogate, the results of this study show a low incidence of contracting COVID-19 virus during admission and no significant sequalae during this period.Cite this article: Bone Joint Open 2020;1-...Continue Reading

References

Oct 27, 2001·The Journal of Bone and Joint Surgery. American Volume·J ParviziD G Lewallen
Mar 20, 2013·The Journal of Arthroplasty·Atul F KamathCraig L Israelite
Feb 6, 2018·The Journal of Arthroplasty·Elizabeth B GausdenBarret N M Rush
Mar 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Thomas PartridgeMike R Reed
Apr 26, 2018·Annals of the Royal College of Surgeons of England·T RichardsS Thati
Jun 27, 2020·Wellcome Open Research·Gillian SantorelliJohn Wright

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Citations

Dec 29, 2020·Bone & Joint Open·Fares S Haddad
Jun 2, 2021·The Bone & Joint Journal·Antony Johansen, Dominic S Inman
Jul 24, 2021·Bone & Joint Open·Ahmed CherryAmit Atrey

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Methods Mentioned

BETA
total hip arthroplasties
total hip arthroplasty

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