Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations
Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations
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DOI：
10.1007/s00167-020-06233-9
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发表时间：
2020-08-25
影响因子：
3.8
通讯作者：
Thaler, M.
中科院分区：
文献类型：
--
作者：
Kort, N. P.;Gomez Barrena, E.;Thaler, M.
目的新型冠状病毒肺炎（COVID-19）疫情扰乱了世界各地的医疗体系。择期手术已被推迟和/或取消。因此，需要就择期手术（包括重新开始的髋关节和膝关节置换手术）前需要到位的因素达成共识。需要制定新的途径和协议。方法来自欧洲髋关节协会和欧洲膝关节协会的专家小组就如何安全地重新引入择期关节置换术达成了共识。这些建议是根据现有的最佳证据提出的，并在一项单独的调查中得到验证。结果该指南是基于五个主题：修改和/或重组医院病房。对骨科病房和手术室的限制。对环境进行额外消毒。超净手术室的作用。加强个人防护装备。结论：除了以下国家和地方指南外，还需要在初次关节置换术的患者通道中制定方案，以确保安全返回。
Purpose The Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out. Methods A panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey. Results The guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement. Conclusion Apart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.