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Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment.

ABSTRACT: PURPOSE:After the appearance of first COVID-19 cases in Serbia, state of emergency was declared on 15 March 2020 and lasted for 54 days. The aim of this report is to compare orthopaedic fracture frequencies in this period, when the walk was limited at the home mostly, with those during the same part in the previous year with regular state, thus to examine staying at home as a factor influencing the frequency of different fracture types. METHODS:There were 86 patients during the state of emergency in year 2020 and 106 patients during the same part of year 2019 with a regular state, having orthopaedic trauma surgery. Number of fractures, gender distribution, and age of patients have been compared between these periods. RESULTS:Total number of fractures decreased for about 19% during the state of emergency. There was nonsignificant difference in fracture frequency for all skeletal areas (p?>?0.05), except for distal femoral fractures which occurred more often during the state of emergency (p?

SUBMITTER: Mitkovic MM

PROVIDER: S-EPMC7389160 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment.

Mitkovic Milan M MM Bumbasirevic Marko M Milenkovic Sasa S Gajdobranski Djordje D Bumbasirevic Vojislav V Mitkovic Milorad B MB

International orthopaedics 20200729 4

<h4>Purpose</h4>After the appearance of first COVID-19 cases in Serbia, state of emergency was declared on 15 March 2020 and lasted for 54 days. The aim of this report is to compare orthopaedic fracture frequencies in this period, when the walk was limited at the home mostly, with those during the same part in the previous year with regular state, thus to examine staying at home as a factor influencing the frequency of different fracture types.<h4>Methods</h4>There were 86 patients during the st ...[more]

PMID: 32728928

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Project description:PurposeTo compare the surgical case volume for orthopaedic sports medicine fellows in the most recent classes with one another and in years preceding the pandemic.MethodsThe Accreditation Council for Graduate Medical Education case log reports of key procedures for orthopaedic sports medicine fellows during academic years 2018-2019, 2019-2020, and 2020-2021 were extracted. Comparisons between these years in adult, pediatric, and total case volumes were performed using a 2-sample t-test to detect significant changes in the average number of key procedures completed between consecutive years.ResultsThere was a significant decrease in the total number of cases completed by fellows during the 2020 academic year (P = .043) compared with 2019, immediately followed by a significant increase in case volume in 2021 (P < .001) (2019, 339 ± 123; 2020, 316.2 ± 108; 2021, 356.5 ± 117). There was a significant increase in adult case volume from 2020 to 2021 (2020, 295.7 ± 106; 2021, 332.9 ± 117; P < .001), whereas no trends were noted in pediatric case volume. Between the prepandemic year of 2019 and the first year of the pandemic, significant decreases were noted in case volume for several procedures, including multiligamentous knee injuries, knee instability and pediatric hip arthroscopy. From the first to the second years of the pandemic (2019-2020 to 2020-2021), significant increases were observed in case volume for rotator cuff, acromioclavicular instability, elbow instability, knee cartilage, and meniscal surgeries.ConclusionsOrthopaedic sports medicine fellows experienced significant decreases in volume for several key case categories between the year preceding the coronavirus disease 2019 pandemic and the first academic year during the pandemic. There were subsequent increases in cases between the first year of the pandemic and the second year, which may be associated with resuming elective surgical cases.Level of evidenceIV, retrospective database analysis.

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Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment.

Publications

Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment.

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