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Orthopaedic and trauma surgery in the time of COVID-19 in France: A nationwide survey - 01/02/23

Doi : 10.1016/j.otsr.2022.103423 
Audrey Angelliaume a, Yohan Legallois b, Edouard Harly c, Julien Dartus d, Pierre Lavignac b, Pierre-Emmanuel Chammas e, Pierre Meynard f,

the French College of young Orthopaedists (CJO)g

the French Society of Orthopaedic and Traumatology Surgery (SOFCOT)g

the French Society of Paediatric Orthopaedics (SOFOP)h

a Centre du Rachis, clinique Saint-Léonard, 18, rue de Bellinière, 49800 Trélazé, France 
b Service de chirurgie orthopédique et traumatologique, CHU de Bordeaux, site Pellegrin, place Amélie Raba-Léon, 33076 Bordeaux, France 
c Service de chirurgie orthopédique et traumatologique, clinique de l’Atlantique, Ramsay santé, CRCO, 26, rue Moulin des Justices, 17138 Cedex Puilboreau, France 
d Service de chirurgie orthopédique et traumatologique, hôpital Roger Salengro, CHRU de Lille, 2, avenue Oscar Lambret, 59000 Lille, France 
e Service de chirurgie de la main, du membre supérieur et des nerfs périphériques, hôpital Lapeyronie, CHU de Montpellier, 371, avenue du doyen Gaston Giraud, 34090 Montpellier, France 
f Service de chirurgie orthopédique et traumatologique, CH de Libourne, 112, rue de la Marne, 33500 Libourne, France 
g 56, rue Boissonade, 75014 Paris, France 
h 285, Corniche Kennedy, 13007 Marseille, France 

Corresponding author.

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Abstract

Introduction

The year 2020 was marked by the COVID-19 pandemic. The entire French health system was mobilized. Surgical services were asked to reschedule all elective procedures. We wondered about the impact of this pandemic on French orthopaedic surgeons. The main objective of this survey was to assess the impact of COVID-19 on emergency and non-emergency orthopaedic surgical activities. The secondary objectives were: to report how orthopaedic surgeons had mobilized and reorganized, and to assess the physical and psychological consequences on their state of health.

Hypothesis

The COVID-19 epidemic has led to the suspension of all elective orthopaedic surgeries and has also led to changes in the management of urgent surgeries and traumatology.

Material and methods

This descriptive epidemiological study was conducted in France. A 40-question survey was sent to all French orthopaedic surgeons (senior surgeons and residents) via the mailing lists of the French Society of Orthopaedic and Traumatological Surgery (SoFCOT), the French Society of Pediatric Orthopaedics (SoFOP) and the College of Young Orthopedists (CJO).

Results

Over a period of one month, 1098 surgeons; 852 senior surgeons and 246 residents, answered the questionnaire. The complete cessation of all elective interventions was effective in 80% of cases. Urgent and semi-urgent interventions were maintained. Three hundred and twenty-six surgeons (30%) modified their trauma management, among them 55% came from the regions most affected by the pandemic. Sixty percent of surgeons did not receive training to take care of COVID+ patients and 40% took care of these patients. Among the orthopaedic surgeons surveyed, 28% were redeployed to medical services. Teleconsultation was used by 41% of surgeons. Twenty-six (2%) surgeons tested positive for COVID-19 and 54% showed at least one sign of psychological suffering.

Conclusion

French orthopaedic surgeons reorganized and changed their practices quickly and efficiently to deal with the pandemic. However, progress remains to be seen with training of orthopaedic surgeons in the care of COVID+patients, as well as to democratize the use of telemedicine.

Level of evidence

IV.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : COVID-19, Orthopaedic surgery, Trauma surgery, National survey


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Vol 109 - N° 1

Articolo 103423- febbraio 2023 Ritorno al numero
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  • The impact of confinement on orthopaedic and trauma surgical activity
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