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

N. P. Kort, E. Gómez Barrena, M. Bédard, S. Donell, J. A. Epinette, B. Gomberg, M. T. Hirschmann, P. Indelli, Ismail Khosravi, T. Karachalios, M. C. Liebensteiner, B. Stuyts, R. Tandogan, B. Violante, L. Zagra, M. Thaler

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)2730-2746
Number of pages17
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume28
Issue number9
DOIs
Publication statusPublished - Sep 1 2020

Keywords

  • COVID-19
  • Hip
  • Knee
  • Primary joint arthroplasty
  • Recommendations
  • Safety

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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