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2020, Number 3

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Ortho-tips 2020; 16 (3)

The foot and ankle surgeon and his role in the COVID-19 era

Salazar VM, Gutiérrez MI
Full text How to cite this article 10.35366/94524

DOI

DOI: 10.35366/94524
URL: https://dx.doi.org/10.35366/94524

Language: Spanish
References: 9
Page: 121-125
PDF size: 96.04 Kb.


Key words:

COVID-19, surgery, treatment, foot and ankle, traumatology.

ABSTRACT

Since December of 2019 there has been the discovery of a new virus in the province of Wuhan, China: the SARS-CoV2 virus, which is highly contagious and has had a fast expansion all across the globe; due to this there have been presenting new cases of the disease requiring certain recommendations in the medical attention during this time of pandemic. In regard to the outpatient appointments of patients with feet and ankle pathology, there should be a discerning of the appointments that can be postponed and those that are emergencies. In the case that they are not emergencies it is recommended to carry out the appointment from a distance by videoconference. For those patients who had an appointed surgery during this pandemic period, it should be assessed it’s deferral until the end of the health contingency with the exception of an oncologic surgery or a case in which a delay of the surgery would cause health repercussions. For those with acute trauma like exposed fractures, compartment syndrome, patients with infected wounds and complicated diabetic foot disease will have to be attended surgically in spite of the health contingency. A surgical intervention during the health contingency should be considered with a high risk of acquiring the disease by the health personnel during the procedure, the reason for which the diagnosis test for the virus should be performed to the patient before the surgery if their condition allows it or it´s considered operating them and wait for the results afterwards taking the due precautions of protection for the health personnel mentioned in the best guides of clinical practice for orthopedic surgeons based on evidence for the COVID-19.


REFERENCES

  1. Recomendaciones de la Sociedad Española de Cirugía Ortopédica y Traumatología frente al COVID-19. Disponible en: www.secot.es.

  2. Kampf G, Todt D, Pfeander S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biological agents. J Hosp Infect. 2020; 104 (3): 246-251. Available in: https://doi.org/10.1016/j.jhin.2020.01.22.

  3. Giuseppe U, D’Ambrosi R. Being a foot and ankle surgeon in Italy in the era of COVID-19. Knee Surg Sports Traumatol Arthrosc. 2020, 1-4.

  4. COVID19-Evidence-Based Best Practice Guidelines Specific to Orthopaedic Surgeons. Available in: https://rcsi.com.

  5. Montero FA, Maseda E, Adalia BR, Aguilar G, González CR, Gómez-Herreras JI, et al. Recomendaciones prácticas para el manejo perioperatorio del paciente con sospecha o infección grave por Coronavirus SARS-CoV-2. Rev Esp Anestesiol Reanim. 2020; 67 (5): 253-260.

  6. Shaoqing L, Fang J, Wating S, Chang C, Jingli C, Wei M, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. Eclinical Medicine. 2020; 9: 41.

  7. Clinical guide for management of trauma and orthopaedic patients during the coronavirus pandemic. NHS, 2020.

  8. Balibrea JM, Badia JM, Rubio PI, Antona EM, Álvarez PE, García BS, et al. Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación española de cirujanos. Cir Esp. 2020; 98 (5): 251-259. Disponible en https://doi.org/1016/j.ciresp2020.03.001.

  9. COVID-19: Elective Case Triage Guidelines for Surgical Care. American College of Surgeons. Available in: https://wwwfacs.org/covid-19/clinical-guidance/elective-case.




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C?MO CITAR (Vancouver)

Ortho-tips. 2020;16