Purpose

To plan for the continuance of elective hip and knee arthroplasty during a resurgence or new wave of COVID-19 infections.

Method

A systematic review was conducted using the terms “COVID-19” or “SARS-Cov-2” and “second wave”. No relevant citations were found to inform on recommendations the plan. Therefore, an expert panel of the European Hip Society and the European Knee Associates was formed to provide the recommendations.

Results

Overall, the recommendations consider three phases; review of the first wave, preparation for the next wave, and during the next wave. International and national policies will drive most of the management. The recommendations focus on the preparation phase and, in particular, the actions that the individual surgeon needs to undertake to continue with, and practice, elective arthroplasty during the next wave, as well as planning their personal and their family’s lives. The recommendations expect rigorous data collection during the next wave, so that a cycle of continuous improvement is created to take account of any future waves.

Conclusions

The recommendations for planning to continue elective hip and knee arthroplasty during a new phase of the SARS-Cov-2 pandemic provide a framework to reduce the risk of a complete shutdown of elective surgery. This involves engaging with hospital managers and other specialities in the planning process. Individuals have responsibilities to themselves, their colleagues, and their families, beyond the actual delivery of elective arthroplasty.

中文翻译：

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为下一波 COVID-19 做好准备：欧洲髋关节协会和欧洲膝关节协会的建议。

目的

为在 COVID-19 感染卷土重来或新一波感染期间继续进行选择性髋关节和膝关节置换术做好计划。

方法

使用术语“COVID-19”或“SARS-Cov-2”和“第二波”进行了系统回顾。没有找到相关引用来告知该计划的建议。因此，欧洲髋关节协会和欧洲膝关节协会成立了一个专家小组来提供建议。

结果

总体而言，建议考虑三个阶段；第一波的回顾、下一波的准备以及下一波期间。国际和国家政策将驱动大部分管理层。这些建议重点关注准备阶段，特别是外科医生在下一波浪潮中继续和实践选择性关节置换术以及规划个人和家庭生活所需采取的行动。这些建议预计在下一波浪潮中进行严格的数据收集，以便创建一个持续改进的循环以考虑未来的任何浪潮。

结论

关于计划在 SARS-Cov-2 大流行的新阶段继续进行选择性髋关节和膝关节置换术的建议提供了一个框架，以降低选择性手术完全停止的风险。这涉及到医院管理人员和其他专业人士参与规划过程。除了实际进行选择性关节置换术之外，个人还对自己、同事和家人负有责任。