TY  - JOUR
TI  - Impact of the COVID-19 pandemic on orthopedic fracture characteristics in three hospitals in Turkey: A multi-center epidemiological study
AB  - Objectives: The aim of this study was to evaluate the impactof novel coronavirus-2019 (COVID-19) on the epidemiologicalcharacteristics of orthopedic fractures.Patients and methods: A total of 2,960 patients (1,755 males,1,205 females; mean age: 39.6 years; range, 1 to 98 years) withorthopedic fractures were included in the study: 552 patientsduring the pandemic period (March 10th and July 1st, 2020)and 1,158 control patients in the same period 2019 and 1,250control patients in 2018. Epidemiological characteristics, injurymechanisms, fracture locations and treatment details of thepatients were analyzed and compared between 2018, 2019 and2020 for adult and pediatric populations.Results: Of a total of 552 patients, 485 were adults and 67 werepediatric patients. In the control groups, of 1,158 patients (2019),770 were adults and 378 were pediatric patients and, of 1,250patients (2018), 857 were adults and 393 were pediatric patients.The proportion of proximal femur and hand fractures significantlyincreased during the pandemic period (p=0.025 and p=0.038,respectively). The most frequent surgical indication in the pandemicperiod was proximal femoral fracture. The proportion of homeaccidents as an injury mechanism significantly increased in thepandemic period compared to 2018 and 2019 (48.5% vs. 18.6%and 20.6%, respectively; p=0.000). The proportion of femalepediatric patients significantly increased during the pandemicperiod compared to 2018 and 2019 (44.8% vs. 25.4% and 27.2%,respectively, p=0.004). The proportion of forearm fractures(p=0.001) also increased, and the proportion of tibia-fibula fractures(p=0.03) decreased. The most frequent surgical indication inpediatric patients was distal humeral fracture in both groups.Conclusion: During the pandemic period, proximal femoralfractures in the elderly remained a concern. In-home preventativestrategies may be beneficial to reduce the incidence of hip fracturesin the elderly.
AU  - Kürk, Muhammed Bilal
AU  - uzun, erdal
AU  - Misir, Abdulhamit
AU  - Özçamdallı, Mustafa
AU  - Eken, Gokay
AU  - Kızkapan, Turan bilge
AU  - oguzkaya, sinan
DO  - 10.52312/jdrs.2021.2
PY  - 2021
JO  - Joint diseases and related surgery
VL  - 32
IS  - 2
SN  - 2687-4784
SP  - 323
EP  - 332
DB  - TRDizin
UR  - http://search/yayin/detay/451164
ER  -