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10.1007/s00264-020-04606-w

http://scihub22266oqcxt.onion/10.1007/s00264-020-04606-w
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suck abstract from ncbi


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pmid32409911      Int+Orthop 2020 ; 44 (8): 1531-1538
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  • Time-sensitive ambulatory orthopaedic soft-tissue surgery paradigms during the COVID-19 pandemic #MMPMID32409911
  • Ding BTK; Decruz J; Kunnasegaran R
  • Int Orthop 2020[Aug]; 44 (8): 1531-1538 PMID32409911show ga
  • PURPOSE: Timing of surgery for orthopaedic injuries continues to evolve, as an improved understanding of biology, healing, and technological advances continues to challenge historical norms. With the growing COVID-19 pandemic stretching limited healthcare resources, postponing surgery becomes an inevitable and unenviable task for most orthopaedic surgeons, and a shift in outpatient paradigms is required to mitigate poor outcomes in patients. METHODS: A scoping review of five databases on surgical timing and orthopaedic soft-tissue injuries was performed. All randomized controlled trials, longitudinal cohort studies, retrospective case series, systematic reviews, meta-analyses, and expert opinions were included for review, with 65 studies meeting the inclusion criteria. RESULTS: Better outcomes appear to be associated with early surgery for subluxations (< 1 week), recurrent dislocations (> 2 episodes), ligamentous and tendinous injuries (< 2 weeks), and bony avulsion injuries (< 3 weeks). Spinal conditions with neurological compromise should be operated on within 24 hours and spinal instability within 72 hours to reduce the risk of complications and poor outcomes. CONCLUSION: Most soft-tissue orthopaedic injuries can be managed with outpatient ambulatory surgery in a semi-elective setting. As the paradigm for outpatient surgery shifts due to technological advances and the COVID-19 pandemic, it is critical for surgeons to time their surgery appropriately to maintain the high standards of orthopaedic practice.
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |COVID-19[MESH]
  • |Elective Surgical Procedures[MESH]
  • |Humans[MESH]
  • |Orthopedic Procedures/*standards[MESH]
  • |Randomized Controlled Trials as Topic[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Soft Tissue Injuries/*surgery[MESH]


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