The New Challenge in the Management of Proximal Femur Fractures during SARS Cov-2 outbreak

Fabrizio Matassi; Nicola Piolanti; Gabriele Filoni; Niccolò Giabbani; Gianluca Nulvesu; Carlo Rostagno; Roberto Civinini; Michelangelo Scaglione

doi:10.23750/abm.v92i4.10965

The New Challenge in the Management of Proximal Femur Fractures during SARS Cov-2 outbreak

Authors

Fabrizio Matassi Orthopaedic Clinic - University of Florence - Largo Palagi, 1 - 50139 - Florence, Italy
Nicola Piolanti Orthopaedic and Trauma Clinic - University of Pisa - Via Paradisa 2 - 56124 - Pisa, Italy
Gabriele Filoni Orthopaedic and Trauma Clinic - University of Pisa - Via Paradisa 2 - 56124 - Pisa, Italy https://orcid.org/0000-0002-5060-4908
Niccolò Giabbani Orthopaedic Clinic - University of Florence - Largo Palagi, 1 - 50139 - Florence, Italy
Gianluca Nulvesu Orthopaedic and Trauma Clinic - University of Pisa - Via Paradisa 2 - 56124 - Pisa, Italy
Carlo Rostagno Department of experimental clinical medicine - University of Florence - Largo Palagi, 1 - 50139 - Florence, Italy
Roberto Civinini Orthopaedic Clinic - University of Florence - Largo Palagi, 1 - 50139 - Florence, Italy
Michelangelo Scaglione Orthopaedic and Trauma Clinic - University of Pisa - Via Paradisa 2 - 56124 - Pisa, Italy

DOI: https://doi.org/10.23750/abm.v92i4.10965

Keywords:

Covid-19, Hip Fractures, Proximal Femur, Neck Fractures, Pertrochanteric Fractures

Abstract

The aim of this study is to evaluate how the spread of Sars-Cov-2 has changed the epidemiology of proximal femur fractures in two major trauma centers in Italy, understanding the workload and the best allocation of the resources for the orthopedics department in such an emergency situation.

The rate of patients from January 2019 to April 2020 hospitalized with femoral neck fractures (group A) and trochanteric fractures (group B) were recorded. Demographic data, timing of surgical treatment and the length of stay were recorded.

Data show that the number of proximal femur fractures has remained unchanged in the COVID and pre-COVID era (ranging from an average of 91.14/month in the pre-COVID era to 76/month in March and 80/month in April). In our trauma centers, the rate of patients operated on within 48 hours has remained stable (78.19% vs 77.92%), while the length of stay has decreased during the COVID period (8.9 days vs 6.5 days in March and 6.8 days in April).

Proximal femur fractures, even during the COVID period, are a constant issue and a new challenge for the healthcare system. The main goals of management are to preserve patients from viral infection, to provide early surgical treatment and fast track protocol for discharge.

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