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2020 ; 7
(2
): 47-53
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Arthroscopy and COVID-19: Impact of the pandemic on our surgical practices
#MMPMID34307060
Goyal T
; Harna B
; Taneja A
; Maini L
J Arthrosc Jt Surg
2020[Apr]; 7
(2
): 47-53
PMID34307060
show ga
The aim of this article is to study systematically current evidence on status of
arthroscopic surgeries during the COVID-19 pandemic. We aim to study (1) changes
in global arthroscopic practices, (2) recommendations on reducing risk to
patients and health care workers (HCW), (3) changes in follow-up protocols of
these patients. Systematic search was carried out by two different reviewers
using three different online databases for all studies published in the English
language before April 2020. The total number of abstracts screened initially was
314. After screening of these abstracts, a total of 13 studies were included for
the systematic review. Numbers of orthopaedic injuries have seen a sharp fall
during this time. Most elective surgical facilities were also closed at this
time. Most studies have recommended telemedicine as an essential medium of
providing continued care to patients during COVID-19. Studies have recommended
that a conservative approach should be preferred for most patients with ligament
injuries, and alternative procedures that have less requirement for an operating
room should be explored. Common recommendation in all studies is that procedures
of more elective nature should be postponed to a safer time frame when the
transmission of COVID-19 virus in the population has declined. When surgeries are
resumed, there is a need for triage of arthroscopy procedures from more important
or urgent to less important ones. Elective surgical procedures should preferably
be started with patients with no co-morbidities and lesser risk of peri-operative
complications. All patients undergoing surgery and health care personnels should
have some screening for disease. Attempts should be made to have shortest
hospital stay. Choice of anaesthetic procedure should emphasize on minimal
aerosolization of the virus. Regional anaesthesia is the preferred choice as far
as possible. Most guidelines have recommended that patient follow up should be
made telephonically or on video-conferencing.