Orthopaedic and trauma management in covid-19 era: common problems and their probable solution in literature, a narrative review
Journal of Clinical Orthopaedics | Vol 5 | Issue 2 | July-Dec 2020 | page:13-19 | Siddharth Dubey, Sidharath Mohindru, Md. Quamar Azam, Bhaskar Sarkar
Author: Siddharth Dubey [1], Sidharath Mohindru [1], Md. Quamar Azam [1], Bhaskar Sarkar [1]
[1] Department of Trauma Surgery AIIMS Rishikesh
Address of Correspondence
Dr. Sidharath Mohindru,
Department of Trauma Surgery AIIMS Rishikesh
E-mail: sidharathmohindru10@gmail.com
Abstract
Purpose: COVID-19 has affected more than 200 countries and has warranted change in the hospital policies and patient management worldwide. It has brought forward many challenges which were and still are being faced by the health care setup in various nations. There still are many unanswered questions and doubts arising in the minds of orthopaedic trauma surgeons all over regarding this pandemic. This article is an attempt to summarise the current knowledge about COVID-19 in relation to orthopaedic trauma.
Methods: This is a review article presenting concise, collected ideas from exhaustive literature taken from PubMed, Google Scholar and Cochrane reviews. Key words such as “COVID-19”, “Management”, “Orthopaedics” and “Trauma” were used and information from various articles has been presented in a concise manner, including the authors’ own personal experience.
Results: There has been a reduction in major trauma cases presenting to the emergency and a dramatic reduction in trauma admissions during the COVID-19 pandemic. Orthopaedic surgeons need to work alongside other frontline health care workers to tackle this calamity. Hospital resources need to be appropriately used in order to provide optimal patient care alongside minimising the risk of spread of infection to other patients and hospital personnel. The decision to operate needs to be a fine balance between suspected orthopaedics and trauma related complications and worsening of respiratory function in patients who are COVID-19 positive.
Conclusion: As orthopaedic surgeons, it is our moral responsibility to try to reduce the impact of the pandemic in which ever manner possible. There is still a lot to discover and guidelines are constantly changing, so it is also important that surgeons stay up to date on the latest protocols.
Key words: COVID-19. Management. Orthopaedic. Trauma.
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How to Cite this article: Dubey S, Mohindru S, Azam Md. Q, Sarkar B. Orthopaedic and trauma management in covid-19 era: common problems and their probable solution in literature, a narrative review. Journal of Clinical Orthopaedics July-Dec 2020;5(2):13-19. |
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