COVID-19 Resource Center

COVID-19 Resource Center

Perspective from R. Alexander Creighton, MD
Disclosures: Verma reports he receives research support from Arthrex Inc, Breg, Ossur, Smith & Nephew and Wright Medical Technology Inc.; publishing royalties, financial or material support from Arthroscopy and Vindico Medical-Orthopedics Hyperguide; has stock or stock options in Cymedica, Minivasive and Omeros; is a paid consultant for Minivasive and Orthospace; is on the editorial or governing board for SLACK Incorporated; and receives IP royalties from Smith & Nephew.
May 18, 2021
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Proper screening procedures led to no reports of COVID-19 after orthopedic surgery

Perspective from R. Alexander Creighton, MD
Disclosures: Verma reports he receives research support from Arthrex Inc, Breg, Ossur, Smith & Nephew and Wright Medical Technology Inc.; publishing royalties, financial or material support from Arthroscopy and Vindico Medical-Orthopedics Hyperguide; has stock or stock options in Cymedica, Minivasive and Omeros; is a paid consultant for Minivasive and Orthospace; is on the editorial or governing board for SLACK Incorporated; and receives IP royalties from Smith & Nephew.
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Published results showed pre-surgical testing and proper screening procedures led to no reports of the development of any symptoms related to COVID-19 or a positive test postoperatively among patients who underwent orthopedic surgery.

Nikhil N. Verma, MD, and colleagues asked 1,119 patients scheduled for elective orthopedic sports medicine procedures at one of two outpatient surgical centers between July 1, 2020, and Dec. 31, 2020, to complete a custom survey that assessed for any COVID-19-related symptoms during a postoperative clinic visit or phone call at a minimum of 2 weeks or complete a routine screening questionnaire and temperature screen at the time of the first postoperative follow-up visit. Both surgery centers instituted standard COVID-19 precautions, that included the need for a negative preoperative COVID-19 polymerase chain reaction test, symptoms screening and temperature check, restricted visitor policy, mask wearing of all staff and patients, strict handwashing and social distancing protocols where possible, according to researchers. Researchers reviewed surgical case logs for any canceled surgeries due to a positive preoperative COVID-19 test.

Results showed 3.5% of patients had their surgery canceled due to diagnosis of COVID-19 during preoperative testing. Researchers found patients with a positive preoperative COVID-19 test were significantly younger compared with patients with a negative test. At a minimum of 2 weeks postoperatively, no patients were diagnosed with COVID-19 or reported symptoms concerning for COVID infection, according to results. Researchers also found no patients underwent additional testing or reported close contact with another individual with a positive test or possessed symptoms concerning for COVID-19.

Nikhil N. Verma
Nikhil N. Verma

“Using a combination of pre-surgical testing, along with proper screening procedures and universal precautions, elective surgery can be safely performed even in times of increasing community prevalence of COVID-19,” Verma told Healio Orthopedics. “This is impactful because delays in elective surgeries have direct physical, emotional, social and economic effects on patients. The ability to perform elective surgeries safely even during pandemic conditions has a direct positive impact on patient care.”