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Published in: International Orthopaedics 4/2021

01-04-2021 | Femoral Fracture | Original Paper

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

Authors: Milan M. Mitkovic, Marko Bumbasirevic, Sasa Milenkovic, Djordje Gajdobranski, Vojislav Bumbasirevic, Milorad B. Mitkovic

Published in: International Orthopaedics | Issue 4/2021

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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 < 0.05). Female ratio was higher during state of emergency than in regular state for femoral neck fractures.

Conclusion

Restricted going outside the home for 54 days has the influence in total number of fractures and gender distribution in femoral neck fractures. The method of external fixation used could be assumed as a reducing factor of intraoperative virus pandemic propagation among medical staff.
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Metadata
Title
Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment
Authors
Milan M. Mitkovic
Marko Bumbasirevic
Sasa Milenkovic
Djordje Gajdobranski
Vojislav Bumbasirevic
Milorad B. Mitkovic
Publication date
01-04-2021
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04750-3

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