How Did The Covid-19 Pandemic Affect Surgically Treated Fractures?

Yıl 2022, Cilt: 11 Sayı: 1, 71 - 76, 29.04.2022

Tacettin Ayanoğlu Mahmut Kurtboğan Toygun Kağan Eren Hüseyin Anıl Ünal Caglar Ozdemir Mahmut Timur Turhan

https://doi.org/10.47493/abantmedj.1085359

Öz

Objective: The aim of the study is to investigate the effect of the Coronavirus disease (COVID-19) pandemic on fractures requiring orthopedic surgery by comparing it with the same 6-month period last year.

Materials and Methods: Patients who underwent orthopedic surgery for fractures between April 2020 and October 2020 were retrospectively scanned and 211 patients were included in the study. As the control group, 184 patients who underwent surgery in the same 6-month period of 2019 were included in the study. Demographic data, number of fractures and distribution of the patients were examined.

Results: While 111 of the patients in the control group were male, 73 were female. In the study group, 121 patients were male and 90 patients were female. There was no statistically significant difference in fractures caused by traffic accidents and occupational accidents (p=0,742, p=0,602 respectively). There was a statistically significant difference between the under 20 age group and the over 65 age group (p=0,015, p=0,026 respectively). It was observed that the numbers of patients with multitrauma increased from 16 to 30. In addition, a statistically significant increase was observed in the number of femur subtrochanteric and tibia distal tip fractures (p=0,042, p=0,029 respectively).

Conclusion: Compared to the same period last year, although there was no increase in the number of patients requiring surgical treatment, the number of subtrochanteric femur and distal tibia fractures increased.

Anahtar Kelimeler

Covid-19, Fracture, Surgery, Trauma

Covid-19 Pandemisi Cerrahi Tedavi Uygulanan Kırıkları Nasıl Etkiledi?

Öz

Amaç: Çalışmanın amacı, COVID-19 pandemisinin ortopedik cerrahi gerektiren kırıklar üzerindeki etkisini, geçen yıl aynı 6 aylık dönemle karşılaştırarak araştırmaktır.

Gereç ve Yöntemler: Nisan 2020 ile Ekim 2020 arasında kırık nedeniyle ortopedik cerrahi geçiren hastalar geriye dönük olarak tarandı ve 211 hasta çalışmaya dahil edildi. Kontrol grubu olarak 2019 yılının aynı 6 aylık döneminde ameliyat olmuş 184 hasta çalışmaya dahil edildi. Hastaların demografik verileri, kırık sayısı ve dağılımı incelendi.

Bulgular: Kontrol grubundaki hastaların 111'i erkek, 73'ü kadındı. Çalışma grubunda 121 hasta erkek, 90 hasta kadındı. Trafik kazaları ve iş kazalarından kaynaklanan kırıklarda istatistiksel olarak anlamlı bir fark yoktu (p=0,742, p=0,602 sırasıyla). 20 yaş altı grubu ile 20-65 yaş grubu arasında istatistiksel olarak anlamlı bir fark vardı (p=0,015, p=0,026 sırasıyla). Multitravmalı hastaların sayısı 16'dan 30'a çıktığı görüldü. Ayrıca femur subtrokanterik ve tibia distal uç kırıkları sayısında istatistiksel olarak anlamlı artış gözlendi (p=0,042, p=0,029 sırasıyla).

Sonuç: Geçen yılın aynı dönemine göre cerrahi tedavi gerektiren hasta sayısında artış olmamasına rağmen subtrokanterik femur ve distal tibia kırıkları arttı.

Anahtar Kelimeler

Covid-19, Kırık, Cerrahi, Travma

Kaynakça

• 1. The circular of the Turkish Ministry of Interior regarding curfew in 31 cities in Turkey, numbered 6253 and dated April 03, 2020. www.icisleri.gov.tr.
• 2. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr 2020;33:100213.
• 3. Umeda-Raffa S, Pergolizzi JV Jr, Raffa RB. Bone fractures during the time of coronavirus. J Clin Pharm Ther. 2020;00:1-4
• 4. Loomba RS, Aggarwal G, Aggarwal S, Flores S, Villarreal EG, Farias JS, Lavie CJ. Disparities in case frequency and mortality of coronavirus disease 2019 (COVID-19) among various states in the United States. Ann Med. 2021;53(1):151-9.
• 5. Sato C, Miyakoshi N, Kasukawa Y, Nozaka K, Tsuchie H, Nagahata I, Yuasa Y, Abe K, Saito H, Shoji R, Shimada Y. Teriparatide and exercise improve bone, skeletal muscle, and fat parameters in ovariectomized and tail-suspended rats. J Bone Miner Metab. 2021 Jan 3. doi: 10.1007/s00774-020-01184-0
• 6. Atik OŞ, Sezgin EA, Tepedelenlioğlu HE. The role of biomarkers in osteoarthritis and osteoporosis for early diagnosis and monitoring prognosis. Eklem Hastalik Cerrahisi. 2019;30(2):175-6.
• 7. Lorentzon M, Cummings SR. Osteoporosis: The evolution of a diagnosis. J Intern Med. 2015;277(6):650-61.
• 8. Donovan RL, Tilston T, Frostick R, Chesser T. Outcomes of Orthopaedic Trauma Services at a UK Major Trauma Centre During a National Lockdown and Pandemic: The Need for Continuing the Provision of Services. Cureus. 2020;12(10):e11056.
• 9. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr 2020;33:e100213.
• 10. Riaz M, Abid M, Bano Z. Psychological problems in general population during covid-19 pandemic in Pakistan: role of cognitive emotion regulation. Ann Med. 2021;53(1):189-96.
• 11. Bhat AK, Kamath K S. Comparative study of orthopaedic trauma pattern in covid lockdown versus non-covid period in a tertiary care centre. J Orthop. 2021;23:1-7
• 12. Lim MA, Mulyadi Ridia KG, Pranata R. Epidemiological pattern of orthopaedic fracture during the COVID-19 pandemic: A systematic review and meta-analysis. J Clin Orthop Trauma. 2020; Dec 30. doi: 10.1016/j.jcot.2020.12.028 [Epub ahead of print]