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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)
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2020, Number 3

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Ortho-tips 2020; 16 (3)

Regenerative orthopedics during the COVID-19 contingency

Izquierdo MJF, Carrillo GJL
Full text How to cite this article 10.35366/94530

DOI

DOI: 10.35366/94530
URL: https://dx.doi.org/10.35366/94530

Language: Spanish
References: 6
Page: 151-154
PDF size: 104.71 Kb.


Key words:

Regenerative orthopedics, procedures, postpone, no intubation, personal protection equipment use.

ABSTRACT

Orthobiologic treatments can be done in 3 settings: 1) medical office, 2) X-ray department, 3) operating room. In office procedures account for 70% of total, including those done under ultrasound guidance. All procedures should be done in an outpatient setting (less than four hours) if possible, all procedures must be postponed until the COVID-19 restrictions are lifted. Patients that do not respond to conservative treatment or need a regenerative procedure to «buy time» for an elective surgery can be done following all the safety measures included in COVID-19 surgical guidelines. The procedure should be done at a medical office or at an ambulatory surgery center, especially if fluoroscopy is needed. You should only do those procedures that can be done under local/sedation anesthesia. Do not do any patient that can require intubation! We consider that 95% of all orthobiologic procedures can be postponed: follow up should be done every four to eight weeks or by telemedicine.


REFERENCES

  1. Padilla S, Sanchez M, Anitua E. Human-based biological and biomimetic autologous therapies for musculoskeletal tissue regeneration. Trends Biotechnol. 2017; 35:192-202.

  2. Baldock TE, Bolam SM, Gao R, Zhu MF, Rosenfeldt MP, Young SW, et al. Infection prevention measures for orthopaedic departments during the COVID-19 pandemic: a review of current evidence. Bone & Joint Open. 2020. Available in: https://doi.org/10.1302/2046-3758.14.BJO-2020-0018.R1.

  3. AAOS: Navigating the COVID-19 PANDEMIC-May 2020. https://www.aaos.org/globalassets/about/ covid-19/aaos-clinical-considerations-during-covid-19.pdf?

  4. Quintero S, López AL, Pérez GH, Izaguirre HA, Cámara AF, Gutiérrez MI, et al. Declaración de Posición y Recomendaciones FEMECOT Ante la Pandemia COVID-19. FEMECOT YouTube https://youtu.be/ h5IPgOEcfj0.

  5. Chang LZ, Ye CM, Sim MA, Lim J, Castañeda P, Green DW, et al. Surgical considerations in patients with COVID-19. What Orthopaedic Surgeons should know. J Bone Joint Surg Am. 2020; 102: e(50. htti://dx.doi.org/10.2106/.JBJS.20.00513.

  6. COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. American College of Surgeons 2020. https://www.facs.org/-/media/files/covid19/considerations_optimum_surgeon_protection.ashx.




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C?MO CITAR (Vancouver)

Ortho-tips. 2020;16