13
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      COVID-19 and orthopaedic surgeons: the Indian scenario

      research-article
      1 , 2
      Tropical Doctor
      SAGE Publications
      COVID-19, coronavirus disease, orthopaedics, trauma, surgery

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The emergence of COVID-19 has impacted orthopaedic surgery worldwide. India, with its large population and limited health resources, will be overwrought over the coming days due to the number of cases of critically ill patients with COVID-19. It is important to understand the challenges for orthopaedic (and other) surgeons in India when dealing with patients during the COVID-19 pandemic. This article highlights the challenges in the triaging of patients, care in dealing with a patient with COVID-19 in orthopaedic surgery, and the effects on academics and research activities; it also suggests immediate measures and recommendations that also apply to other specialties.

          Related collections

          Most cited references5

          • Record: found
          • Abstract: not found
          • Article: not found

          Novel Coronavirus and Orthopaedic Surgery: Early Experiences from Singapore.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Transmission and prevention of occupational infections in orthopaedic surgeons.

            Microorganisms are transmitted in hospitals mainly by contact, droplet, and airborne routes. Orthopaedic surgeons have a substantial occupational risk of contracting a blood-borne infection because of frequent handling of sharp instruments and objects during operative procedures. Aerosolization means the formation of aerosols and droplets when blood or other body fluids are mechanically disturbed. Smaller particles (<5 microm) will remain suspended in air. Pathogens that can survive in these small airborne particles may cause infection if they are inhaled. Aerosol-generating procedures in patients with tuberculosis or severe acute respiratory syndrome (SARS) may facilitate airborne transmission. The Hospital Infection Control Practices Advisory Committee and the Centers for Disease Control and Prevention have established guidelines for isolation precautions in hospitals.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Treatment of neglected femoral neck fracture

              Intra-capsular femoral neck fractures are seen commonly in elderly people following a low energy trauma. Femoral neck fracture has a devastating effect on the blood supply of the femoral head, which is directly proportional to the severity of trauma and displacement of the fracture. Various authors have described a wide array of options for treatment of neglected/nonunion (NU) femoral neck fracture. There is lack of consensus in general, regarding the best option. This Instructional course article is an analysis of available treatment options used for neglected femoral neck fracture in the literature and attempt to suggest treatment guides for neglected femoral neck fracture. We conducted the “Pubmed” search with the keywords “NU femoral neck fracture and/or neglected femoral neck fracture, muscle-pedicle bone graft in femoral neck fracture, fibular graft in femoral neck fracture and valgus osteotomy in femoral neck fracture.” A total of 203 print articles were obtained as the search result. Thirty three articles were included in the analysis and were categorized into four subgroups based on treatment options. (a) treated by muscle-pedicle bone grafting (MPBG), (b) closed/open reduction internal fixation and fibular grafting (c) open reduction and internal fixation with valgus osteotomy, (d) miscellaneous procedures. The data was pooled from all groups for mean neglect, the type of study (prospective or retrospective), classification used, procedure performed, mean followup available, outcome, complications, and reoperation if any. The outcome of neglected femoral neck fracture depends on the duration of neglect, as the changes occurring in the fracture area and fracture fragments decides the need and type of biological stimulus required for fracture union. In stage I and stage II (Sandhu's staging) neglected femoral neck fracture osteosynthesis with open reduction and bone grafting with MPBG or Valgus Osteotomy achieves fracture union in almost 90% cases. However, in stage III with or without AVN, the results of osteosynthesis are poor and the choice of treatment is replacement arthroplasty (hemi or total).
                Bookmark

                Author and article information

                Journal
                Trop Doct
                Trop Doct
                TDO
                sptdo
                Tropical Doctor
                SAGE Publications (Sage UK: London, England )
                0049-4755
                1758-1133
                21 April 2020
                April 2020
                : 50
                : 2
                : 108-110
                Affiliations
                [1 ]Associate Professor, Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, New Delhi, India
                [2 ]Senior Consultant, Department of Orthopaedic, Joint Replacement and Arthroscopic Surgery, Indraprastha Apollo Hospitals, New Delhi, India
                Author notes
                [*]Vijay K Jain, Associate Professor, Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, New Delhi 110001, India. Email: drvijayortho@ 123456gmail.com
                Article
                10.1177_0049475520921616
                10.1177/0049475520921616
                7238503
                32316857
                436ebeaa-57a8-4092-91e3-9ecd8d63bdcc
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Articles
                Custom metadata
                ts2

                Medicine
                covid-19,coronavirus disease,orthopaedics,trauma,surgery
                Medicine
                covid-19, coronavirus disease, orthopaedics, trauma, surgery

                Comments

                Comment on this article