Orthopaedic Clinic - University of Florence - Largo Palagi, 1 - 50139 - Florence, Italy.
Orthopaedic and Trauma Clinic - University of Pisa - Via Paradisa 2 - 56124 - Pisa, Italy.
Acta Biomed. 2021 Sep 2;92(4):e2021338. doi: 10.23750/abm.v92i4.10965.
The aim of this study is to evaluate how the spread of Sars-Cov-2 has changed the epidemiology of proximal femur fractures in two major trauma centers in Italy, understanding the workload and the best allocation of the resources for the orthopedics department in such an emergency situation. The rate of patients from January 2019 to April 2020 hospitalized with femoral neck fractures (group A) and trochanteric fractures (group B) were recorded. Demographic data, timing of surgical treatment and the length of stay were recorded. Data show that the number of proximal femur fractures has remained unchanged in the COVID and pre-COVID era (ranging from an average of 91.14/month in the pre-COVID era to 76/month in March and 80/month in April). In our trauma centers, the rate of patients operated on within 48 hours has remained stable (78.19% vs 77.92%), while the length of stay has decreased during the COVID period (8.9 days vs 6.5 days in March and 6.8 days in April). Proximal femur fractures, even during the COVID period, are a constant issue and a new challenge for the healthcare system. The main goals of management are to preserve patients from viral infection, to provide early surgical treatment and fast track protocol for discharge.
本研究旨在评估 SARS-CoV-2 的传播如何改变了意大利两个主要创伤中心的股骨近端骨折的流行病学，了解在这种紧急情况下骨科部门的工作量和资源的最佳分配。记录了 2019 年 1 月至 2020 年 4 月期间因股骨颈骨折（A 组）和转子间骨折（B 组）住院的患者人数。记录了人口统计学数据、手术治疗时机和住院时间。数据显示，在 COVID 和 COVID 前时期，股骨近端骨折的数量保持不变（COVID 前时期平均每月 91.14 例，3 月为 76 例，4 月为 80 例）。在我们的创伤中心，48 小时内手术的患者比例保持稳定（78.19%比 77.92%），而 COVID 期间的住院时间缩短（3 月为 8.9 天，4 月为 6.5 天和 6.8 天）。即使在 COVID 期间，股骨近端骨折也是一个持续存在的问题，也是医疗保健系统的新挑战。管理的主要目标是防止患者感染病毒，提供早期手术治疗和快速通道协议以出院。
