• ACL reconstruction
• COVID-19
• functional outcomes

• Covid-19
• Discharge destination
• Length of stay
• Outpatient surgery
• Rehabilitation
• Total hip replacement

• faculté de médecine lyon 1

• COVID-19
• clinical trials
• orthopedics
• osteoarthritis

• Humans
• United States/epidemiology
• COVID-19/epidemiology
• Pandemics
• Osteoarthritis/epidemiology
• Osteoarthritis/therapy

• Coronavirus
• Fragility fractures during pandemic
• Orthopaedics during pandemic
• nCOVID-19

• Leadership
• Mentorship
• Orthopaedic societies
• Presidents

• Humans
• Leadership
• Orthopedic Procedures
• Orthopedics
• Societies, Medical

• coronavirus
• covid-19
• fracture
• orthopedic surgery
• orthopedic trauma
• pandemic
• sars-cov-2

• COVID-19
• Child
• Hospitals, University
• Humans
• Orthopedics
• Pandemics
• SARS-CoV-2

• During pandemic
• New normal
• Orthopaedics during coronavirus
• Post-pandemic surgeries
• Protocols

• COVID-19
• Coronavirus
• Hip fractures
• Mortality
• Orthopedic trauma
• Pandemics

An “epidemic” is an event in which a disease, infectious or non-infectious, is actively spreading within a population and designated area. The term “pandemic” is defined as “an epidemic occurring worldwide, or over a very wide area, crossing international boundaries and usually affecting a large number of people”.

The global response to the COVID-19 pandemic has not been seen since the outbreak of Human Immunodeficiency Virus in the early eighties. But there is another unseen pandemic running alongside the current COVID-19 pandemic, which affects a vast number of people, crossing international boundaries and occurring in every single country worldwide. The pandemic of traumatic injuries.

Traumatic injuries account for 11% of the current Global Burden of Disease, resulting in nearly 5 million deaths annually and is the third-leading cause of death worldwide. For every trauma-related death, it is estimated that up to 50 people sustain permanent or temporary disabilities. Furthermore, traumatic injuries occur at disproportionately higher rates in low- and middle-income countries, with approximately 90% of injuries and more than 90% of global deaths from injury occurring these countries.

Injuries are increasing worldwide, crossing international boundaries and affecting a large number of people, in the same manner Human Immunodeficiency Virus did in the 1980's and COVID-19 is today. The tremendous global effort to tackle the COVID-19 and Human Immunodeficiency Virus pandemics has occurred whilst ignoring the comparable pandemic of injury. Without change and future engagement with policy makers and international donors this disparity is likely to continue.

• COVID-19
• Human immunodeficiency virus
• Injuries
• Pandemic
• Trauma

Elective total joint arthroplasty (TJA) procedures have been postponed as part of the coronavirus disease 2019 (COVID-19) response to avert healthcare system collapse. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures comprise the highest volume of elective procedures performed at health care facilities worldwide.

To determine the demand for TJA despite the pandemic and the impact of surgery postponement on physical and mental health.

We conducted a prospective cross-sectional telephonic interview-based study on patients awaiting THA and TKA at an academic institution in South Africa. The questionnaire consisted of four sections. The first section recorded baseline demographic data and medical co-morbidities, the length of time spent awaiting TJA, and the patients’ desire to undergo elective surgery despite the COVID-19 pandemic. Section 2 and Section 3 assessed the patients’ current physical and mental health, respectively, as a consequence of deferred surgical intervention. The last section established the patients’ perception of the healthcare system’s response to the COVID-19 pandemic and necessity to postpone elective surgery. Patients received counseling and education on the current state of surgery during the COVID-19 pandemic and associated risks. Thereafter, patients were once again asked about their desire to undergo TJA during the COVID-19 pandemic.

We included 185 patients (65.95% female; mean age: 50.28 years) awaiting TJA for a mean of 26.42 ± 30.1 mo. Overall, 88.65% of patients wanted TJA despite the COVID-19 pandemic. Patients awaiting TJA for 1-3 years were 3.3-fold more likely to want surgery than those waiting < 1 year (P < 0.000). Patients with comorbidities were 8.4-fold less likely to want TJA than those with no comorbidities (P = 0.013). After receiving education, the patients wanting TJA decreased to 54.05%. Patients who changed their opinion after education had less insight on the increased morbidity (P = 0.046) and mortality (P = 0.001) associated with COVID-19. Despite awaiting TJA for shorter period (24.7 ± 20.38 mo), patients who continued to demand TJA had greater pain (P < 0.000) and decreased function (P = 0.043) since TJA postponement.

There is deterioration in health for patients, who have had elective procedures postponed during the COVID-19 pandemic. Waiting lists should be prioritized for urgency with the re-initiation of elective surgery.

• Total hip arthroplasty
• Total knee arthroplasty
• Elective surgery
• COVID-19
• Waiting lists
• Primary total joint arthroplasty

• COVID-19
• coronavirus
• international
• musculoskeletal
• surgery
• trauma

• COVID-19
• Corona
• Operating room
• Orthopaedics

While telemedicine usage has increased due to the COVID-19 pandemic, there remains little consensus about how spine surgeons perceive virtual care. The purpose of this study was to explore international perspectives of spine providers on the challenges and benefits of telemedicine.

Responses from 485 members of AO Spine were analyzed, covering provider perceptions of the challenges and benefits of telemedicine. All questions were optional, and blank responses were excluded from analysis.

The leading challenges reported by surgeons were decreased ability to perform physical examinations (38.6%), possible increased medicolegal exposure (19.3%), and lack of reimbursement parity compared to traditional visits (15.5%). Fewer than 9.0% of respondents experienced technological issues. On average, respondents agreed that telemedicine increases access to care for rural/long-distance patients, provides societal cost savings, and increases patient convenience. Responses were mixed about whether telemedicine leads to greater patient satisfaction. North Americans experienced the most challenges, but also thought telemedicine carried the most benefits, whereas Africans reported the fewest challenges and benefits. Age did not affect responses.

Spine surgeons are supportive of the benefits of telemedicine, and only a small minority experienced technical issues. The decreased ability to perform the physical examination was the top challenge and remains a major obstacle to virtual care for spine surgeons around the world, although interestingly, 61.4% of providers did not acknowledge this to be a major challenge. Significant groundwork in optimizing remote physical examination maneuvers and achieving legal and reimbursement clarity is necessary for widespread implementation.

• Benefits
• Challenges
• Global
• Spine surgery
• Telemedicine

• Covid-19
• Infodemic
• Orthopaedics
• Peer-review

• COVID-19
• Case series
• Emergency surgery
• Orthopaedic

• corona virus
• covid-19
• covid-19 india
• emergency surgery
• novel coronavirus
• spinal surgery
• spinal tuberculosis
• trauma
• vertebral fracture