Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.,Knee Surgery, Sports Traumatology, Arthroscopy

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Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.3 ) Pub Date : 2020-08-25 , DOI: 10.1007/s00167-020-06233-9
N P Kort ₁ , E Gómez Barrena ₂ , M Bédard ₃ , S Donell ₄ , J-A Epinette ₅ , B Gomberg ₆ , M T Hirschmann _{7,

8} , P Indelli _{9,

10} , Ismail Khosravi ₁₁ , T Karachalios ₁₂ , M C Liebensteiner ₁₁ , B Stuyts ₁₃ , R Tandogan ₁₄ , B Violante ₁₅ , L Zagra ₁₆ , M Thaler ₁₁

Affiliation

CortoClinics, Schijndel, The Netherlands.
Department of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain.
Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada.
Norwich Medical School, University of East Anglia, Norwich, UK.
Center for Research and Documentation in Arthroplasty, Lille, France.
OA Centers for Orthopaedics, Portland, ME, USA.
Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.
University of Basel, Basel, Switzerland.
Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.
Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Orthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly, Volos, Greece.
Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.
Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.
Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.
Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Purpose

The Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out.

Methods

A panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey.

Results

The guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement.

Conclusion

Apart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.

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