Introduction: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) coronavirus disease-2019 (COVID-19) outbreak became a pandemic across the world after the outbreak in China in December 2019. This study aimed to determine the impact on the emergency orthopedic fixation during the COVID-19 pandemic in the Institute of Orthopaedics and Traumatology, Coimbatore.
Materials and methods: This is a retrospective study done on patients of trauma admitted in the emergency orthopaedic unit, under Tamilnadu Accident and Emergency Care Initiative (TAEI), Coimbatore Medical College Hospital from April 2020 to December 2020. All the patients admitted were evaluated as per the routine protocols followed in this COVID-19 pandemic in our institution and the patients were taken up for emergency orthopedic fixation based on the COVID-19 status.
Results: The total number of emergency orthopedic surgical fixation procedures done during the pandemic period from April 2020 to December 2020 was 245. Orthopedic surgical fixation done in elective theatres during this pandemic in 2020 is 245 cases. As per the results, during the COVID-19 pandemic, emergency orthopedic surgical fixation was not stopped and treated as per the COVID-19 protocol followed in our hospital.
Conclusion: The SARS-CoV-2 (COVID-19) pandemic has a major impact on orthopedic surgical fixation. All the patients admitted should be evaluated for the COVID-19 infection and use of adequate personal protective equipment while treating the patients to deliver safe and effective surgical services during this COVID-19 pandemic.
Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395(10229):1054–1062. DOI: 10.1016/S0140-6736(20)30566-3.
Haleem A, Javaid M, Vaishya R, et al. Effects of COVID-19 pandemic in the field of orthopaedics. J Clin Orthop Trauma 2020;11(3):498–499. DOI: 10.1016/j.jcot.2020.03.015.
WHO Director-General's opening remarks at the media briefing on COVID19-March 2020 [Google Scholar].
Andrews MA, Areekal B, Rajesh KR, et al. First confirmed case of COVID-19 infection in India: a case report. Indian J Med Res 2020;151(5):490–492. DOI: 10.4103/ijmr.IJMR_2131_20.
COVID-19 lockdown in India. Wikipedia (Last accessed on 15th January 2021). https://en.wikipedia.org/wiki/COVID-19_lockdown_in_India.
Askari A, Arasteh P, Jabalameli M, et al. COVID-19 and orthopaedic surgery: experiences from Iran. J Bone Joint Surg Am 2020;102(13):1126–1128. DOI: 10.2106/JBJS. 20.00631.
Jogalekar MP, Veerabathini A, Gangadaran P. Novel 2019 coronavirus: genome structure, clinical trials, and outstanding questions. Exp Biol Med (Maywood) 2020;245(11):964–969. DOI: 10.1177/1535370220920540.
Giuntoli M, Bonicoli E, Bugelli G, et al. Lessons learnt from COVID 19: an Italian multicentric epidemiological study of orthopaedic and trauma services. J Clin Orthop Trauma 2020;11(4):721–727. DOI: 10.1016/j.jcot.2020.05.021.
Dhillon MS, Kumar D, Saini UC, et al. Changing pattern of orthopaedic trauma admissions during COVID-19 pandemic: experience at a tertiary trauma centre in India. Indian J Orthop 2020;54(Suppl 2):1–6. DOI: 10.1007/s43465-020-00241-0.
Battiato C, Berdini M, Luciani P, et al. Impact of coronavirus disease 2019 (COVID-19) on the epidemiology of orthopedics trauma in a region of central Italy. Injury 2020;51(12):2988–2989. DOI: 10.1016/j.injury.2020.09.044.
Bedard NA, Elkins JM, Brown TS. Effect of COVID-19 on hip and knee arthroplasty surgical volume in the United States. J Arthroplast 2020;35(7S):S45–S48. DOI: 10.1016/j.arth.2020.04.060.
Best MJ, Aziz KT, McFarland EG, et al. Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic. Int Orthop 2020;44(11):2221–2228. DOI: 10.1007/s00264-020-04713-8.
Kumar Jain V, Lal H, Kumar Patralekh M, et al. Fracture management during COVID-19 pandemic: a systematic review. J Clin Orthop Trauma 2020;11(Suppl 4):S431–S441. DOI: 10.1016/j.jcot.2020.06.035.
Wallace CN, Kontoghiorghe C, Kayani B, et al. The impact of COVID-19 on trauma and orthopedic surgery in the United Kingdom. Bone Jt Open 2020;1(7):420–423. DOI: 10.1302/2633-1462.17.
Wong JSH, Cheung KMC. Impact of COVID-19 on orthopaedic and trauma service: an epidemiological study. J Bone Joint Surg Am 2020;102(14):e80. DOI: 10.2106/JBJS.20.00775.
Waseem S, Nayar SK, Hull P, et al. The global burden of trauma during the COVID-19 pandemic: a scoping review. J Clin Orthop Trauma 2020;12(1):200–207. DOI: 10.1016/j.jcot.2020.11.005.
Vaishya R, Vaish A, Kumar A. Impact of COVID-19 on the practice of orthopaedics and trauma-an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi. Int Orthop 2021;45(6):1391–1397. DOI: 10.1007/s00264-021-05021-5.
ACS. 2020. Guidelines for Triage and Management of Elective Cancer Surgery Cases during the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic. https://www.facs.org//media/files/covid19/acs_triage_and_management_elective_cancer_surgery_during_acute_and_recovery_phases.ashx accessed 25 April 2020.
Fineberg HV. Ten weeks to crush the curve. N Engl J Med 2020;382(17):e37. DOI: 10.1056/NEJMe2007263.
Doyle DJ, Goyal A, Bansal P, et al. American Society of Anesthesiologists Classification. [Updated 2020 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. p. 2.