COVID-19: Current Knowledge and Best Practices for Orthopaedic Surgeons.

Area of Science:

• Orthopaedic Surgery
• Infectious Diseases
• Public Health

Background:

• The COVID-19 pandemic, caused by SARS-CoV-2, emerged in late 2019 and rapidly escalated into a global health crisis.
• The pandemic significantly impacted healthcare systems worldwide, including orthopaedic services.

Purpose of the Study:

• To provide orthopaedic surgeons with an understanding of COVID-19 pathophysiology, clinical presentation, diagnosis, and management.
• To highlight current knowledge and best practices for orthopaedic surgeons during the pandemic, acknowledging that these will evolve.

Main Methods:

• Review of existing literature and guidelines related to COVID-19 and orthopaedic practice.
• Synthesis of information on infection prevention, patient screening, treatment modifications, and surgical considerations.

Main Results:

• Orthopaedic surgeons are at high risk of infection; stringent infection control measures are crucial.
• Prioritize conservative management and telemedicine; defer elective surgeries. Screen all patients, visitors, and staff.
• Special anesthetic techniques (regional) and dedicated operating rooms are recommended for COVID-19 positive patients.

Conclusions:

• The COVID-19 pandemic presents challenges but also opportunities for orthopaedic surgeons to adapt and refine their practices.
• Embracing change and continuous learning is essential for navigating the pandemic and advancing the field.