Post-COVID-19 return to elective orthopaedic surgery-is rescheduling just a reboot process? Which timing for tests? Is chest CT scan still useful? Safety of the first hundred elective cases? How to explain the "new normality health organization" to patients?

International Orthopaedics
Jacques HernigouPhilippe Hernigou

Abstract

The long incubation period and asymptomatic spread of COVID-19 present considerable challenges for health care institutions when patients return to elective surgery. A retrospective review of the first adult elective cases performed between May 18, 2020 and June 14, 2020, after the end of lockdown was analysed in Belgium to answer the following questions: (1) for the 236 cancelled patients during the outbreak, how easy was rescheduling? (2) How useful was universal RT-PCR testing and chest CT scan for the 211 orthopaedic and trauma admissions? (3) How were surgical difficulty category, number of operations and complications different when compared to the pre-COVID period? (4) How would patients balance the benefit of surgery against the unknown risk of developing COVID-19? Before surgery, blood tests for anaesthesiology and imaging related to the surgical procedure were scheduled prior to universal testing (COVID-19 PCR and chest CT) performed 72-120 hours before surgery. Among the 211 asymptomatic patients who were tested before surgery, six had positive PCR, while no abnormality was found on the chest CT scan of all the patients. With this timing for tests, the 104 patients included in the current study for elective surgery w...Continue Reading

References

Apr 13, 2020·International Orthopaedics·Andreas F MavrogenisMarius M Scarlat
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May 26, 2020·International Orthopaedics·Carlo Luca RomanòUNKNOWN World Association against Infection in Orthopedics and Trauma (WAIOT) Study Group On Bone And Joint Infection Definitions
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Jun 22, 2020·The Knee·C B Hing, O Al-Dadah

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Citations

Aug 21, 2020·International Orthopaedics·Marius M Scarlat, Andreas F Mavrogenis
Aug 3, 2021·The Spine Journal : Official Journal of the North American Spine Society·Zoe A NorrisCharla R Fischer

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Methods Mentioned

BETA
PCR
total hip arthroplasty

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