The Epidemiology of Knee Arthroscopy during Coronavirus Disease 2019 Pandemic
DOI:
https://doi.org/10.3889/oamjms.2021.6428Keywords:
Knee arthroscopy, Surgical, Orthopaedic, Coronavirus disease 2019, PandemicAbstract
Introduction: Coronavirus disease (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus (SARS Cov-2) has made a huge impact on global health service including in orthopaedic surgical service. Knee surgery (including arthroscopy) is one of the emerging surgical services in Indonesia. As the pandemic goes on, some of the patients prefer to postpone or cancel the surgery planning. We tried to evaluate the epidemiology of knee arthroscopy procedure during Covid-19 pandemic at our institution.
Material and methods: Retrospective data collection was performed on all patients who received knee arthroscopy procedure at Prof dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia during the year 2020. The study evaluated the demographic data, the indication of surgery, and trends of the number of surgeries according to period time. This study also compared the data of knee arthroscopy procedures performed during the corresponding period before the pandemic in Indonesia (January to December 2019).
Results: There was a total of 88 knee arthroscopy surgery performed during the period January to December 2020. There was a decrease in the number of knee arthroscopy during April and May 2020. The decreasing number of surgeries also occurred in November 2020 which was later followed by the increasing number of surgeries in December 2020. Among all patient received knee arthroscopy during 2020, none have post-operative complication or infection due to SARS Cov-2.
Conclusion: There was some difference in the epidemiology of knee arthroscopy during the COVID-19 pandemic compared to the non-pandemic era. Comprehensive preoperative screening is needed before resume elective surgical service.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Budhiparama NC, Rhatomy S, Santoso A. The inaugural issue of the hip and knee journal. Hip Knee J. 2020;1(1):1-3. https://doi.org/10.46355/hipknee.v1i1.29
Haleem A, Javaid M, Vaishya R, Vaish A. Effects of COVID-19 pandemic in the field of orthopaedics. J Clin Orthop Trauma. 2020;11(3):498-9. https://doi.org/10.1016/j.jcot.2020.03.015 PMid:32405218
Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020;25(3):278-80. https://doi.org/10.1111/tmi.13383 PMid:32052514
Faria G, Onubogu IK, Tadros BJ, Relwani J. Change in practice due to COVID-19 early experiences of a United Kingdom district general hospital in trauma and orthopaedics. J Orthop 2020;22:288-90. https://doi.org/10.1016/j.jor.2020.06.004 PMid:32565644
Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C, et al. Impact of the coronavirus (COVID-19) pandemic on surgical practice Part 2 (surgical prioritisation). Int J Surg. 2020;79(1):233-48. https://doi.org/10.1016/j.ijsu.2020.05.002 PMid:32413502
Iyengar KP, Jain VK, Vaish A, Vaishya R, Maini L, Lal H. Post COVID-19: Planning strategies to resume orthopaedic surgery -challenges and considerations. J Clin Orthop Trauma. 2020;11(Suppl 3):S291-5. https://doi.org/10.1016/j.jcot.2020.04.028
Santoso A, Persada G, Anwar IB, Sibarani TS, Mariyanto I, Utomo P. Effect of coronavirus disease-19 pandemic to the volume of total hip and knee arthroplasty surgical service: Experience from a single tertiary orthopedic hospital in Indonesia. Open Access Maced J Med Sci. 2020;8:642-5. https://doi.org/10.3889/oamjms.2020.5652
Liebensteiner MC, Khosravi I, Hirschmann MT, Heuberer PR, Board of the AGA-Society of Arthroscopy and Joint-Surgery; M Thaler 1. Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1705-11. https://doi.org/10.1007/s00167-020-06032-2 PMid:32356047
Djaja YP, Prasetia R, Santoso A, Rahyussalim AJ, Mustamsir E, Dilogo IH. A decade of evolution in Indonesian orthopedic publication: A bibliographic report. J Clin Orthop Trauma. 2020;15:110-6. https://doi.org/10.1016/j.jcot.2020.10.016 PMid:33717924
Setiawaty V, Kosasih H, Mardian Y, Ajis E, Prasetyowati EB, Siswanto, et al. Sars-CoV-reference laboratory ministry of health Indonesia. The identification of first COVID-19 cluster in Indonesia. Am J Trop Med Hyg. 2020;103(6):2339-42. https://doi.org/10.4269/ajtmh.20-0554 PMid:33069265
Rhatomy S, Phatama KY, Rasyid FA, Mustamsir E. Changes in orthopedic services in two Indonesian tertiary-referral hospitals during the coronavirus-19 pandemic. Open Access Maced J Med Sci. 2020;8(T1):538-41. https://doi.org/10.3889/oamjms.2020.5491
Phatama KY, Rhatomy S, Santoso A. Budhiparama NC. The pandemic hits us hard, but we don’t lose hope. Hip Knee J. 2021;2(1):1-4. https://doi.org/10.46355/hipknee.v2i1.72
Goyal T, Harna B, Taneja A, Maini L. Arthroscopy and COVID-19: Impact of the pandemic on our surgical practices. J Arthrosc Joint Surg. 2020;7(2):47-53. https://doi.org/10.1016/j.jajs.2020.06.008
Kazubski K, Tomczyk Ł, Morasiewicz P. Effects of the COVID-19 Pandemic on the Epidemiology of Knee and Shoulder Arthroscopy Procedures in a University Hospital Department in Poland. Research Square; 2021. https://doi.org/10.21203/rs.3.rs-146656/v1
Guy DK, Bosco JA 3rd. SIF AAOS Guidelines for Elective Surgery During the COVID-19 Pandemic; March 31. https://www.aaos.org/globalassets/about/covid-19/aaos-guidelines-on-elective-surgery.pdf [Last accessed on 2020 Apr 19].
Ambrosio L, Vadalà G, Russo F, Papalia R, Denaro V. The role of the orthopaedic surgeon in the COVID-19 era: Cautions and perspectives. J Exp Orthop. 2020;7(1):35. https://doi.org/10.1186/s40634-020-00255-5 PMid:32458150
Diaz A, Sarac BA, Schoenbrunner AR, Janis JE, Pawlik TM. Elective surgery in the time of COVID-19. Am J Surg. 2020;219(6):900-2. https://doi.org/10.1016/j.amjsurg.2020.04.014 PMid:32312477
Massey PA, McClary K, Zhang AS, Savoie FH, Barton RS. Orthopaedic surgical selection and inpatient paradigms during the coronavirus (COVID-19) pandemic. J Am Acad Orthop Surg. 2020;28(11):436-50. https://doi.org/10.5435/jaaos-d-20-00360 PMid:32304401
Downloads
Published
How to Cite
License
Copyright (c) 2020 Asep Santoso, Iwan Budiwan Anwar, Tangkas SMHS Sibarani, Pamudji Utomo, Zarkasyi Arimukti, Ibnu Yudistiro, Muhammad Abdul Hamid (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)
