ArticleJournal of clinical orthopaedics and trauma2020
Fracture management during COVID-19 pandemic: A systematic review.
Article in Journal of clinical orthopaedics and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Postoperative mortality in the COVID-positive hip fracture patient, a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Diagnosis and Management of Osteoporosis During COVID-19: Systematic Review and Practical Guidance.Calcified tissue international · 2021Pooled it
- The impact of COVID-19 on the epidemiologic characteristics of traumatic fractures: A systematic review of recent literature.Acta orthopaedica et traumatologica turcica · 2021Pooled it
- Mortality analyses of elderly patients with proximal femoral fracture during the pandemic: vaccination affects or not.International orthopaedics · 2024Article
- Surgical management for hip fracture in a COVID-19 patient: A case report and literature review.Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association · 2023Review
- Impact of COVID-19 on Fracture Incidence in Germany: A Comparative Age and Gender Analysis of Pre- and Post-Outbreak Periods.Healthcare (Basel, Switzerland) · 2023Article
- Application of Virtual Reality Systems in Bone Trauma Procedures.Medicina (Kaunas, Lithuania) · 2023Review
- Mortality and outcome in fragility hip fracture care during COVID-19 pandemic in Police General Hospital, Thailand.Osteoporosis and sarcopenia · 2023Article
- History of COVID-19 infection is not associated with increased D-dimer levels and risk of deep-vein thrombosis in total joint arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Impact of COVID-19 Pandemic on Treatment and Outcome of Fragility Hip Fractures In Non-COVID Patients: Comparison Between the Lockdown Period, a Historical Series and the "Pandemic Normality" in a Single Institution.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic.Archives of osteoporosis · 2022Article
- Frailty, Comorbidity, and Associations With In-Hospital Mortality in Older COVID-19 Patients: Exploratory Study of Administrative Data.Interactive journal of medical research · 2022Article
- Article
- Proximal Femoral Fractures in the Elderly: A Few Things to Know, and Some to Forget.Medicina (Kaunas, Lithuania) · 2022Review
- Management of hip fracture in COVID-19 infected patients.World journal of orthopedics · 2022Review
- Single vs Dual-site service reconfiguration during Covid-19 pandemic - A tertiary care centre experience in hip fractures and a Scoping review.Journal of clinical orthopaedics and trauma · 2022Article
- Hip fracture care during the COVID-19 pandemic: retrospective cohort and literature review.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Expanding Indications of Primary Arthrodesis in Selected Individuals for Managing Complex Hindfoot Trauma During COVID-19 Pandemic.Indian journal of orthopaedics · 2022Article
- Short-Term Hip Fracture Outcomes during the COVID-19 Pandemic.Surgery journal (New York, N.Y.) · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe COVID-19 pandemic has affected orthopedic practices worldwide. Few studies focusing on epidemiology and management of fractures in COVID-19 patients have been published. We conducted a systematic review to evaluate the fracture types, presentation, treatment, complications, and early outcomes of fractures occurring amidst COVID-19 pandemic.
methodsA systematic review of the all published papers was conducted with a comprehensive search of PubMed, Google Scholar, Scopus, and Cochrane Library database using keywords 'COVID-19', 'Coronavirus', 'trauma∗'and 'fracture' from January-April 2020.
resultsThe searches yielded a total of ten studies with 112 Patients who were positive for COVID-19 associated with fractures was performed for six studies, reporting data separately for 44 patients with COVID 19 and an associated fracture. A diagnosis of COVID 19 was made on the basis of positive Computed Tomography scan in 39 patients and 30 patients had a positive Reverse Transcription-Polymerase Chain Reaction test. Overall, there were 29 proximal femoral fractures, 8 spine fractures, 7 fractures of the other bones. The fractures were treated surgically in 30 cases (68.18%) and the remaining 14 cases (31.82%) were managed conservatively. There were 16 patients (36.36%) who died, mostly due to respiratory failure with a median age of 82 years.
conclusionCOVID-19 has led to a significant reduction in a load of fracture patients globally, though the incidence of fragility fractures continues to be unaffected. There is a significantly higher risk of mortality in elderly patients with fractures and hence they should only be operated in a facility with a robust intensive care. Conservative treatment should be adopted as far as possible in non-obligatory fractures and in lesser equipped centers. Surgery in patients with proximal femur fragility fractures when judiciously selected did result in improvement in respiratory status. Reorganizing medical services is vital to deliver effective fracture care and also mitigate disease transmission.
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