Fracture Surgery in Known COVID-19 Infected Patients: What Are the Challenges? | ||
| The Archives of Bone and Joint Surgery | ||
| دوره 8، شماره 3، مرداد 2020، صفحه 378-382 اصل مقاله (419.17 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.47899.2372 | ||
| نویسندگان | ||
| Mehrdad Sadighi1؛ SM Javad Mortazavi2؛ Adel Ebrahimpour* 1؛ Alireza Manafi-Rasi3؛ Mohammad H. Ebrahimzadeh4؛ Meisam Jafari KafiAbadi1؛ Seyyed Saeed Khabiri5؛ Saber Barazandeh Rad1؛ Monireh Yaghoubi5؛ Mohammadreza Chehrassan1 | ||
| 1Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| 2Joint Reconstruction Research Center (JRRC), Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran | ||
| 3Department of Orthopedic Surgery, Imam Hossein Hospital,Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| 4Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 5Department of Orthopedic Surgery, Kermanshah University of Medical Sciences, Kermanshah Iran | ||
| چکیده | ||
| Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracture patients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting during the surgical treatment of fracture patients with concomitant COVID-19 infection. Methods: Demographic and fracture related data of 13 fracture patients with concomitant COVID-19 infection who were treated with surgery was collected from three trauma centers in Tehran and Kermanshah cities from 21, February 2020 to April 3, 2020. Results: All patients were male with mean age of 38.6±19.5 years. Eight patients had high energy fracture and seven patients had multiple fractures and trauma. Wrist and hand were the common sites of fracture following hip and pelvis. The mean interval time period between the diagnosis of COVID-19 infection and surgery was 2.3±1.5 days. Before surgery, all patients except one had been admitted to the corona dedicated wards, while two patients were admitted to the intensive care unit (ICU). One of the ICU admitted patients died. All the 12 alive patients remained in home isolation after discharge. Conclusion: Fracture surgery in COVID-19 patients has many challenges such as lack of medical resources, delay of surgery, medial staff fear, and patient isolation. However, a multidisciplinary approach using all potential hospital resources would lead to successful operation and acceptable outcome. Level of evidence: III | ||
| کلیدواژهها | ||
| Coronavirus؛ COVID-19؛ Fracture؛ Orthopedic؛ Trauma | ||
| مراجع | ||
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