Kenanidis Eustathios, Anagnostis Panagiotis, Arvaniti Kostoula, Potoupnis Michael E, Tsiridis Eleftherios
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, GRC.
Center of Orthopaedic and Regenerative Medicine - Center of Interdisciplinary Research and Innovation, Aristotle University Medical School, Thessaloniki, GRC.
Cureus. 2020 Jun 17;12(6):e8676. doi: 10.7759/cureus.8676.
The new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerging in Wuhan city of China, was the cause of a rare type of pneumonia evolving rapidly in pandemic early at the beginning of 2020. The rapid human-to-human transmission of SARS-CoV-2 increases the risk of in-hospital transmission, requiring re-definement of musculoskeletal trauma management and postoperative care. Following the review of the existing literature on COVID-19 and similar infectious diseases, National and Hospital Board instructions for Infectious Diseases, as well as the consensus for surgical care by the consortium of the Orthopaedic Department Directors, we present the outline of the implemented principles in the orthopaedic departments of a tertiary academic hospital in Greece to operate during COVID-19 pandemic. Our overall objectives were to decrease the admission load and mitigate the risk of in-hospital transmission of SARS-CoV-2. The principles involve the management of the Orthopaedic medical and nursing personnel, alterations of the workflow in the wards, operating rooms and outpatient clinics from the admission to the discharge of an orthopaedic patient. In addition, we present the recommended principles of management of traumatic orthopaedic injuries highlighting those deserving admission and in-hospital care and those that can be treated in the outpatient setting or day surgery clinics.
新型严重急性呼吸综合征冠状病毒2（SARS-CoV-2）在中国武汉市出现，是2020年初大流行初期一种迅速演变的罕见类型肺炎的病因。SARS-CoV-2在人与人之间的快速传播增加了医院内传播的风险，这就需要重新确定肌肉骨骼创伤的管理和术后护理方法。在回顾了关于新型冠状病毒肺炎（COVID-19）和类似传染病的现有文献、国家和医院委员会关于传染病的指示以及骨科主任联盟关于手术护理的共识之后，我们介绍了希腊一家三级学术医院骨科在COVID-19大流行期间实施的原则大纲。我们的总体目标是减轻入院负担，降低SARS-CoV-2在医院内传播的风险。这些原则涉及骨科医护人员的管理、病房、手术室和门诊从骨科患者入院到出院的工作流程变化。此外，我们还介绍了创伤性骨科损伤的推荐管理原则，重点强调了那些需要入院和住院治疗的损伤，以及那些可以在门诊或日间手术诊所治疗的损伤。
