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Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations.
Donell, Simon T; Thaler, Martin; Budhiparama, Nicolaas C; Buttaro, Martin A; Chen, Antonia F; Diaz-Ledezma, Claudio; Gomberg, Bruce; Hirschmann, Michael T; Karachalios, Theofilos; Karpukhin, Alexey; Sandiford, Nemandra Amir; Shao, Hongyi; Tandogan, Reha; Violante, Bruno; Zagra, Luigi; Kort, Nanne P.
  • Donell ST; Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.
  • Thaler M; Department of Orthopaedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
  • Budhiparama NC; Nicolaas Institute of Constructive Orthopaedic Research and Education Foundation for Arthroplasty and Sports Medicine, Jakarta, Indonesia.
  • Buttaro MA; Italian Hospital in Buenos Aires, Potosi 4247, Buenos Aires, Argentina.
  • Chen AF; Department of Orthopaedic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
  • Diaz-Ledezma C; Jefe Subrogante Unidad de Ortopeda y Traumatologia, Hospital El Carmen and Clinica Redsalud Santiago, Santiago, Chile.
  • Gomberg B; OA Centers for Orthopaedics, Portland, ME, USA.
  • Hirschmann MT; Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), Bruderholz, 4101, Basel, Switzerland.
  • Karachalios T; Orthopaedic Department, Faculty of Medicine, School of Health Sciences, University General Hospital of Larissa, University of Thessalia, Volos, Greece.
  • Karpukhin A; The Federal Centre of Traumatology, Orthopedics and Arthroplasty, Cheboksary, Russia.
  • Sandiford NA; Joint Reconstruction Unit, Southland Hospital, Invercargill, New Zealand.
  • Shao H; Department of Joint Surgery, Beijing Jishuitan Hospital, Beijing, China.
  • Tandogan R; Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.
  • Violante B; Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.
  • Zagra L; Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
  • Kort NP; CortoClinics, Schijndel, The Netherlands.
Knee Surg Sports Traumatol Arthrosc ; 28(9): 2747-2755, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-716275
ABSTRACT

PURPOSE:

To plan for the continuance of elective hip and knee arthroplasty during a resurgence or new wave of COVID-19 infections.

METHOD:

A systematic review was conducted using the terms "COVID-19" or "SARS-Cov-2" and "second wave". No relevant citations were found to inform on recommendations the plan. Therefore, an expert panel of the European Hip Society and the European Knee Associates was formed to provide the recommendations.

RESULTS:

Overall, the recommendations consider three phases; review of the first wave, preparation for the next wave, and during the next wave. International and national policies will drive most of the management. The recommendations focus on the preparation phase and, in particular, the actions that the individual surgeon needs to undertake to continue with, and practice, elective arthroplasty during the next wave, as well as planning their personal and their family's lives. The recommendations expect rigorous data collection during the next wave, so that a cycle of continuous improvement is created to take account of any future waves.

CONCLUSIONS:

The recommendations for planning to continue elective hip and knee arthroplasty during a new phase of the SARS-Cov-2 pandemic provide a framework to reduce the risk of a complete shutdown of elective surgery. This involves engaging with hospital managers and other specialities in the planning process. Individuals have responsibilities to themselves, their colleagues, and their families, beyond the actual delivery of elective arthroplasty.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee Type of study: Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Humans 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: S00167-020-06213-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee Type of study: Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Humans 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: S00167-020-06213-z