Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS-CoV-2 pandemic: the European
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Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS‑CoV‑2 pandemic: the European Hip Society and European Knee Associates Survey of Members N. P. Kort1 · E. Gómez Barrena2 · M. Bédard3 · S. Donell4 · J.‑A. Epinette5 · B. Gomberg6 · M. T. Hirschmann7,8 · P. Indelli9,10 · Ismail Khosravi11 · T. Karachalios12 · M. C. Liebensteiner11 · B. Stuyts13 · R. Tandogan14 · B. Violante15 · L. Zagra16 · M. Thaler11 Received: 11 July 2020 / Accepted: 6 August 2020 © The Author(s) 2020
Abstract Purpose The COVID-19 pandemic has disrupted the health care system around the entire globe. A consensus is needed about resuming total hip and knee procedures. The European Hip Society (EHS) and the European Knee Association (EKA) formed a panel of experts that have produced a consensus statement on how the safe re-introduction of elective hip and knee arthroplasty should be undertaken. Methods A prospective online survey was done among members of EHS and EKA. The survey consisted of 27 questions. It includes basic information on demographics and details the participant’s agreement with each recommendation. The participant could choose among three options (agree, disagree, abstain). Recommendations focussed on pre-operative, perioperative, and post-operative handling of patients and precautions. Results A total of 681 arthroplasty surgeons participated in the survey, with 479 fully completing the survey. The participants were from 44 countries and 6 continents. Apart from adhering to National and Local Guidelines, the recommendations concerned how to make elective arthroplasty safe for patients and staff. Conclusion The survey has shown good-to-excellent agreement of the participants with regards to the statements made in the recommendations for the safe return to elective arthroplasty following the first wave of the COVID-19 pandemic. Keywords COVID-19 · Primary arthroplasty · Hip · Knee · Recommendations · Survey
* S. Donell [email protected] 1
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Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA
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International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA
CortoClinics, Schijndel, The Netherlands
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Dept of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain
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Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada
Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
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Norwich Medical School, University of East Anglia, Norwich, UK
Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia, Greece
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Center for Research and Documentation in Arthroplasty, Lille, France
Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium
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OA Centers for Orthopaedics, Portland, ME, USA
Ortoklinik and Cankaya Orthopedics, Ankara
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