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Disruption of joint arthroplasty services in Europe during the COVID-19 pandemic: an online survey within the European Hip Society (EHS) and the European Knee Associates (EKA).
Thaler, M; Khosravi, Ismail; Hirschmann, M T; Kort, N P; Zagra, L; Epinette, J A; Liebensteiner, M C.
  • Thaler M; Department of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria.
  • Khosravi I; Department of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria. ismail.khosravi@tirol-kliniken.at.
  • Hirschmann MT; Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.
  • Kort NP; University of Basel, Basel, Switzerland.
  • Zagra L; CortoClinics, Schijndel, The Netherlands.
  • Epinette JA; Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
  • Liebensteiner MC; Center of Research and Documentation of Arthroplasty, Houdain, France.
Knee Surg Sports Traumatol Arthrosc ; 28(6): 1712-1719, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-1826408
ABSTRACT

PURPOSE:

The aim of the present study was to evaluate the impact of the coronavirus (COVID-19) pandemic on joint arthroplasty service in Europe by conducting an online survey of arthroplasty surgeons.

METHODS:

The survey was conducted in the European Hip Society (EHS) and the European Knee Associates (EKA). The survey consisted of 20 questions (single, multiple choice, ranked). Four topics were addressed (1) origin and surgical experience of the participant (four questions); (2) potential disruption of arthroplasty surgeries (12 questions); (3) influence of the COVID-19 pandemic on the particular arthroplasty surgeon (four questions); (4) a matrix provided 14 different arthroplasty surgeries and the participant was asked to state whether dedicated surgery was stopped, delayed or cancelled.

RESULTS:

Two-hundred and seventy-two surgeons (217 EHS, 55 EKA) from 40 different countries participated. Of the respondents, 25.7% stated that all surgeries were cancelled in their departments, while 68.4% responded that elective inpatient procedures were no longer being performed. With regard to the specific surgical procedures, nearly all primary TJA were cancelled (92.6%) as well as aseptic revisions (94.7%). In most hospitals, periprosthetic fractures (87.2%), hip arthroplasty for femoral neck fractures and septic revisions for acute infections (75.8%) were still being performed.

CONCLUSION:

During the current 2020 COVID-19 pandemic, we are experiencing a near-total shutdown of TJA. A massive cutback was observed for primary TJA and revision TJA, even in massively failed TJA with collapse, dislocation, component failure or imminent dislocation. Only life-threatening pathologies like periprosthetic fractures and acute septic TJA are currently undergoing surgical treatment. LEVEL OF EVIDENCE V.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Orthopedic Procedures / Delivery of Health Care / Pandemics / Betacoronavirus Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans / Male Country/Region as subject: Europa Language: English Journal: Knee Surg Sports Traumatol Arthrosc Journal subject: Sports Medicine / Traumatology Year: 2020 Document Type: Article Affiliation country: S00167-020-06033-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Orthopedic Procedures / Delivery of Health Care / Pandemics / Betacoronavirus Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans / Male Country/Region as subject: Europa Language: English Journal: Knee Surg Sports Traumatol Arthrosc Journal subject: Sports Medicine / Traumatology Year: 2020 Document Type: Article Affiliation country: S00167-020-06033-1