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Review
. 2022 Jun 18;13(6):544-554.
doi: 10.5312/wjo.v13.i6.544.

Management of hip fracture in COVID-19 infected patients

Hao-Cheng Qin  1 , Zhong He  1 , Zhi-Wen Luo  2 , Yu-Lian Zhu  3
Affiliations
Review

Management of hip fracture in COVID-19 infected patients

Hao-Cheng Qin et al. World J Orthop. .

Abstract

Given that the global population of elderly individuals is expanding and the difficulty of recovery, hip fractures will be a huge challenge and a critical health issue for all of humanity. Although people have spent more time at home during the coronavirus disease 2019 (COVID-19) pandemic, hip fractures show no sign of abating. Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition. At present, no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution. This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions. We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes. Indirectly, COVID-19 prevents hip fracture patients from receiving regular medical treatment. With regard to the problems we encounter, we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive. Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.

Keywords: Adverse impact; COVID-19; Comorbidity; Hip fracture; Management; Treatment.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Summary of the impact of coronavirus disease 2019 on patients with hip fractures. ICU: Intensive care unit.
Figure 2
Figure 2
Clinical flowchart of the treatment of patients with hip fractures who are coronavirus disease 2019 positive. COVID-19: Coronavirus disease.
See this image and copyright information in PMC

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