Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2020

01-07-2020 | Coronavirus | SPORTS TRAUMATOLOGY

Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic

Authors: Yulong Wang, Lian Zeng, Sheng Yao, Fengzhao Zhu, Chaozong Liu, Anna Di Laura, Johann Henckel, Zengwu Shao, Michael T. Hirschmann, Alister Hart, Xiaodong Guo

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2020

Login to get access

Abstract

Purpose

It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center in Wuhan, China during the pandemic.

Methods

A systematic search of the PubMed, Cochrane, Web of Science, Google Scholar was performed for studies about COVID-19, fracture, trauma, orthopedic, healthcare workers, protection, telemedicine. The appropriate protective measures for orthopedic surgeons and patients were reviewed (on-site first aid, emergency room, operating room, isolation wards, general ward, etc.) during the entire diagnosis and treatment process of traumatic patients.

Results

Eighteen studies were included, and most studies (13/18) emphasized that orthopedic surgeons should pay attention to prevent cross-infection. Only four studies have reported in detail how orthopedic surgeons should be protected during surgery in the operating room. No detailed studies on multidisciplinary cooperation, strict protection, protection training, indications of emergency surgery, first aid on-site and protection in orthopedic wards were found.

Conclusion

Strict protection at every step in the patient pathway is important to reduce the risk of cross-infection. Lessons learnt from our experience provide some recommendations of protective measures during the entire diagnosis and treatment process of traumatic patients and help others to manage orthopedic patients with COVID-19, to reduce the risk of cross-infection between patients and to protect healthcare workers during work.

Level of evidence

IV.
Literature
45.
go back to reference World Health Organization. Infection prevention and control during health care when COVID-19 is suspected. Interim Guidance. 2020. https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125. World Health Organization. Infection prevention and control during health care when COVID-19 is suspected. Interim Guidance. 2020. https://​www.​who.​int/​publications-detail/​infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125.
Metadata
Title
Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic
Authors
Yulong Wang
Lian Zeng
Sheng Yao
Fengzhao Zhu
Chaozong Liu
Anna Di Laura
Johann Henckel
Zengwu Shao
Michael T. Hirschmann
Alister Hart
Xiaodong Guo
Publication date
01-07-2020
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-020-06092-4

Other articles of this Issue 7/2020

Knee Surgery, Sports Traumatology, Arthroscopy 7/2020 Go to the issue