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. 2020 Nov 2;1(7):438-442.
doi: 10.1302/2633-1462.17.BJO-2020-0087.R1. eCollection 2020 Jul.

Early outcomes of patients undergoing total hip arthroplasty for trauma during COVID-19

Adam C S Stoneham  1 , Michael Apostolides  1 , Philippa M Bennett  2 , Ryan Hillier-Smith  3 , Alex J Witek  1 , Henry Goodier  4 , Rebecka Asp  4
Affiliations

Early outcomes of patients undergoing total hip arthroplasty for trauma during COVID-19

Adam C S Stoneham et al. Bone Jt Open. .

Abstract

Aims: This study aimed to identify patients receiving total hip arthroplasty (THA) for trauma during the peak of the COVID-19 pandemic in the UK and quantify the risks of contracting SARS-CoV-2 virus, the proportion of patients requiring treatment in an intensive care unit (ICU), and rate of complications including mortality.

Methods: All patients receiving a primary THA for trauma in four regional hospitals were identified for analysis during the period 1 March to 1 June 2020, which covered the current peak of the COVID-19 pandemic in the UK.

Results: Overall, one of 48 patients (2%) contracted COVID-19 during their admission. Although they required a protracted stay in hospital, they did not require ICU treatment. Two patients did require ICU support for medical problems but not relating to COVID-19. Complications were no greater than expected given the short follow-up. There were no mortalities.

Conclusion: There is a paucity of evidence to guide restarting elective joint arthroplasties following the COVID-19 pandemic. Although THAs for trauma are by no means a perfect surrogate, the results of this study show a low incidence of contracting COVID-19 virus during admission and no significant sequalae during this period.Cite this article: Bone Joint Open 2020;1-7:438-442.

Keywords: COVID-19; Fractured neck of femur; Total hip arthroplasty.

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Conflict of interest statement

ICMJE COI statement: The authors have no financial or competing interests to disclose.

Figures

Fig. 1
Fig. 1
Confirmed SARS-CoV-2 cases and COVID-19-associated deaths. 1 March to 1 June 2020 indicated.
Fig. 2
Fig. 2
Total hip arthroplasty prostheses used in this cohort.
Fig. 3
Fig. 3
COVID-19 status, intensive care unit requirements, and death.
See this image and copyright information in PMC

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