Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, 00185 Rome, Italy.
Istituto Chirurgico Ortopedico traumatologico (ICOT), 04100 Latina, Italy.
Medicina (Kaunas). 2023 Aug 16;59(8):1464. doi: 10.3390/medicina59081464.
On March 2020, our country became a protected area due to the COVID-19 pandemic. The consequences of COVID-19 on trauma surgery were great. We aimed to evaluate the activity of the Trauma Centre of a highly populated suburban area over 30 days starting from the first day of restrictions, to compare it with the same period of 2019 and 2022 and to evaluate whether a progressive return to normality has taken place. : All patients older than 18 years managed in our Trauma Unit between 8 March 2020 and 8 April 2020 (the first COVID-19 period) were compared to the same period of 2019 (a COVID-19 free period) and 2022 (the second COVID-19 period). Clinical records were examined. Five categories of diagnoses and six mechanisms of injury were distinguished. : There were 1351 patients [M:719-F:632; mean age (SD):49.9 (18.7)], 451 [M:228-F:223; mean age (SD):55.9 (18.4)] and 894 [M:423-F:471;mean age (SD):54.1 (16.7)] in the COVID-19 free and in the first and second COVID-19 periods, respectively ( < 0.05). In 2020, the most significant decrease was registered for sprains/subluxations (80%); contusions decrease by 77% while fractures decrease only by 37%. The lowest reduction was found for dislocations (26%). In 2022, dislocations decreased by only 16% and both fractures and sprains decreased by about 30% with respect to the pre-pandemic period. Patients with minor trauma (contusions) were half compared to 2019. Accidental falls remain the most frequent mechanism of injury. The incidence of proximal femur, proximal humerus and distal radius fractures remained almost unchanged during both pre-pandemic and pandemic periods. : COVID-19 has markedly altered orthopaedic trauma. Injuries related to sports and high energy trauma/traffic accidents drastically reduced in 2020; however, we are slowly going back to normality: the same injuries increased in 2022 due to the progressive easing of restrictions. Elderly fractures related to accidental falls remained unchanged.
2020 年 3 月，我国因 COVID-19 疫情成为保护区。COVID-19 对创伤外科的影响很大。我们旨在评估从限制开始的第 1 天开始的 30 天内人口稠密郊区的创伤中心的活动，将其与 2019 年和 2022 年同期进行比较，并评估是否已恢复正常。：在 2020 年 3 月 8 日至 2020 年 4 月 8 日（第一波 COVID-19 期间）期间，我们在创伤科管理的所有年龄大于 18 岁的患者[男性：719 人，女性：632 人；平均年龄（标准差）：49.9（18.7）]与 2019 年同期（无 COVID-19 年）和 2022 年同期（第二波 COVID-19 年）进行了比较。检查了临床记录。区分了五类诊断和六种损伤机制。：无 COVID-19 年、第一波 COVID-19 年和第二波 COVID-19 年期间分别有 1351 例患者[男性：719 例，女性：632 例；平均年龄（标准差）：49.9（18.7）]、451 例[男性：228 例，女性：223 例；平均年龄（标准差）：55.9（18.4）]和 894 例[男性：423 例，女性：471 例；平均年龄（标准差）：54.1（16.7）]（<0.05）。2020 年，扭伤/半脱位的降幅最大（80％）；挫伤减少了 77％，而骨折仅减少了 37％。脱位的降幅最小（26％）。2022 年，脱位仅减少了 16％，骨折和扭伤与大流行前时期相比均减少了约 30％。轻度创伤（挫伤）患者与 2019 年相比减少了一半。意外跌倒仍然是最常见的损伤机制。股骨近端、肱骨近端和桡骨远端骨折在大流行前和大流行期间的发生率几乎保持不变。：COVID-19 极大地改变了骨科创伤。与运动和高能创伤/交通事故相关的损伤在 2020 年急剧减少；但是，我们正在慢慢恢复正常：由于限制的逐步放宽，2022 年同一损伤增加。与意外跌倒相关的老年骨折保持不变。
