Delaying and Resuming Hip and Knee Arthroplasty Surgery during Covid-19 Outbreak:
A Systematic Review for Solving this Challenge
Abolfazl Bagherifard, Abolfazl Bagherifard, Mehdi Mohammadpour, Mohamadreza Heidarikhoo, Milad Bahari, Sajad Fakoor and Masoud Hasanikhah*
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Science, Tehran, Iran
*Corresponding Author: Masoud Hasanikhah, Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of medical science, Tehran, Iran.
Received: May 11, 2021; Published: May 20, 2021
Purpose: Given that major orthopedic surgeries can be associated with worsening outcomes, it is not yet clear whether such surgeries should be a priority or postponed as much as possible in Covid-19 outbreak. The present review study tries to provide a reliable and acceptable answer to this question by comprehensively evaluating the available evidence, and finally, to provide a good summary of the results of the studies with the approach to hip and knee arthroplasty surgery.
Methods: Five databases including PubMed, Web of knowledge, Google scholar, EMBASE and SCOPUS were searched using the relevant keywords by two blinded researchers. The risk bias in eligible studies was assessed by two authors based on the nine-star Newcastle-Ottawa Scale scoring system.
Results: Fourteen articles were eligible for the final analysis that published between August and October 2020. With respect to early or delayed hip and knee arthroplasty surgery, we are faced with the triangle of delaying the procedure, the early or delayed patients’ discharge after surgery and rescheduling the procedure as soon as possible that patient safety, patient prioritization, patient perspective and financial challenges are in the center of gravity of this triangle.
Conclusion: In fact, the decision to perform surgery or delay it should be made with non- individualized and multidimensional viewpoint.
Level of Evidence: Level III.
Keywords: Hip; Knee; Arthroplasty; Covid-19; Resuming
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