Jeyaraman Madhan, Muthu Sathish, Shyam Ashok
Indian Orthopaedic Research Group (IORG). Thane. Maharashtra. India.
Research Associate, Orthopedic Reseach Group, Coimbatore, Tamil Nadu, India.
J Orthop Case Rep. 2021 Apr;11(4):110-116. doi: 10.13107/jocr.2021.v11.i04.2174.
COVID-19 pandemic caused by the newly emerged strain of coronavirus (SARS-CoV-2) has had phenomenally casted its impact on the health-care systems globally. The rampant spread of contagiosity has challenged the solidarity of the medical fraternity of the developed and developing world. The rising turmoil enforces to trudge with stoicism and expresses the need for planning because of subjugating the prevailing conditions with judicial channelization of available resources. In many developed and developing countries, the resources such as appropriate equipment as well as personnel have been extended to combat the pandemic substantially. At the same time, the populous country such as India has taken a stand to cancel electively planned orthopedic surgeries. However, under the issued guidelines of apex authorities, trauma and emergency services had have been in continuity with a reorganized manner. Hereby, we discuss the present shift in paradigm in the field of orthopedics with an interplay of regenerative orthopedics and telemedicine and its pivotal role against the odds of the COVID-19 pandemic. Besides, we see over the future perspectives and challenges in the purview of resorting to an effective clinical practice in orthopedics specialty. Albeit these guidelines expound strategies to manage trauma and orthopedic cases amidst pandemics but the subsequent post-COVID-19 phase warrants explicable vision and planning. Indeed, resuming elective orthopedics surgical intervention in post-phase of pandemic shall definitively be a task invoking fundamental planning, especially in a resource-limited background. With the rollout of vaccines in the country, the scenario is in favor of returning to normalcy with evaluation for COVID-19 being added to the list of routine medical and surgical screening profiles.
新型冠状病毒(SARS-CoV-2)引发的新冠疫情对全球医疗系统产生了巨大影响。这种传染病的猖獗传播对发达国家和发展中国家的医学界团结构成了挑战。不断加剧的混乱局面迫使人们坚忍不拔地前行,并表明由于需要通过合理调配现有资源来应对当前状况,因此有必要进行规划。在许多发达国家和发展中国家,已经调配了诸如适当设备和人员等资源来大力抗击疫情。与此同时,像印度这样的人口大国已决定取消非必要的计划性骨科手术。然而,根据最高当局发布的指导方针,创伤和急诊服务以重组的方式保持了连续性。在此,我们讨论骨科领域当前的范式转变,再生骨科与远程医疗的相互作用及其在应对新冠疫情不利局面中的关键作用。此外,我们展望了在骨科专业采取有效临床实践方面的未来前景和挑战。尽管这些指导方针阐述了在疫情期间管理创伤和骨科病例的策略,但新冠疫情后的阶段仍需要明确的愿景和规划。事实上,在疫情后阶段恢复选择性骨科手术干预肯定是一项需要进行基础规划的任务,尤其是在资源有限的背景下。随着该国疫苗的推出,情况有利于恢复正常,对新冠病毒的检测被添加到常规医疗和手术筛查项目清单中。