Open Access Review Article

COVID -19 and Orthopedic Surgery: Strategies from Freeze to the Light at the End of the Tunnel

Sunil S Nikose1*, Devashree Nikose2, Shashank Jain3 , Kiran Saoji4, Aditya Kekatpure5 and Sandeep Shrivastava6

1Department of Orthopaedic surgery and Director of Centre of simulation studies, Jawaharlal Nehru Medical College, India

2Medical Doctor, NKP Salve Institute of Medical Sciences, India

3Department of Orthopedic surgery, Jawaharlal Nehru Medical College, India

4Department of Orthopedic surgery , Jawaharlal Nehru Medical College, India

5Department of Orthopedic surgery, Jawaharlal Nehru Medical College, India

66Department of orthopedics, Jawaharlal Nehru Medical College, India.

Corresponding Author

Received Date: August 18, 2020;  Published Date: September 08, 2020

Abstract

The Corona virus SARS-CoV-2 (COVID-19) crisis has rapidly spread worldwide after the emergence of the pandemic in Wuhan in December 2019 it has resulted in health, economic and other non-health impacts with the healthcare systems of developed and developing countries being overwhelmed throughout the globe. It has also impacted the surgical branches and orthopedic surgery worldwide, more so the elective orthopedic surgery causing much apprehension, emotional instability and continued disability in the geriatric population who are waiting for the surgery. While this is true, healthcare professionals from all branches especially the critical care, intensivists, and physicians in high dependency units have been overwhelmed and the resources depleting fast due to stretch by this pandemic. The elective surgeries bear the brunt of the pandemic, with emergency orthopedic surgery and trauma demonstrating an increase after the lockdown has been eased and traffic has resumed on the road. Most orthopedic associations across the globe were quick to issue safety guidelines for healthcare professionals and orthopedic surgeons, including the Indian Orthopedic Association (IOA), the British Orthopedic Association (BOA) and the American Academy of Orthopedic Surgery (AAOS). Teaching and research activities are also being hampered due to these unprecedented times. As we restart elective surgical procedures during and post-COVID-19, it is obligatory to apprehend what techniques and surgical etiquette need modification or enforced to reduce the risk of disease transmission throughout the severe acute respiratory syndrome (SARS)-CoV-2 pandemic. This review focuses on COVID 19 effect on orthopedic surgery before, during and after COVID 19.

Keywords: Corona Virus; COVID-19; SARS-CoV-2; orthopedic surgeons; Pandemic

Abbreviations: COVID-19-Corona Virus Disease 2019; IOA-Indian Orthopaedic Association; BOA-British Orthopaedic Association; AAOS-American Academy of Orthopaedic Surgeons; CDC-Centre for disease control and prevention, USA; IT-Information technology; AI-Artificial intelligence; ACSAmerican College of surgeons; WHO-World Health Organization; SARS-Severe Acute Respiratory Syndrome –related coronavirus; MERS-Middle East Respiratory Syndrome – related coronavirus; HDU-High dependency Unit; OR-Operating room; ICU-Intensive Care Unit; MVA-Motor Vehicular Accident; PPE-Personal Protective Equipment; AIOT-Alliance of International Organizations of Orthopaedics and Traumatology AOA-Australian Orthopedic Association; LOS-Length of stay; PPE-Personal protective equipment; NICE- National Institute for Health and Care Excellence; NHSNational health Scheme (United Kingdom) CT- Computed tomography; ADL- activity of daily living

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