Giacomo Trivellin
Pederzoli Hospital, ItalyTitle: The traeatment with hemiarthroplasty by direct anterior approach in COVID-19 patients
Abstract
During the COVID-19 emergency, the incidence of fragility fractures in
elderly patients remained unchanged. The management of these patients requires
a multidisciplinary approach. The study aimed to assess the best surgical
approach to treat COVID-19 patients with femoral neck fracture undergoing
hemiarthroplasty (HA). A single-center, observational retrospective study
including 20 patients affected by COVID-19 infection (7 males, 13 females) who
underwent HA between April 2020 to April 2021 was performed. For each patient,
the data were recorded: age, sex, BMI, comorbidity, oxygen saturation (SpO2),
fraction of the inspired oxygen (FiO2), type of ventilation invasive or
non-invasive, HHb, P/F ratio (PaO2/FiO2), hemoglobin level the day of surgery
and 1 day post operative, surgical time, Nottingham Hip Fractures Score (NHFS)
and American Society of Anesthesiologists Score (ASA). The patients were
observed from one hour before surgery until 48 h post-surgery of follow-up. We
observed a better post-operative P/F ratio and a reduced need for invasive
ventilation in patients treated by this surgical approach. The reduction in the
surgical time emerged in patients treated with DAA was extensively described in
scientific literature. Patients treated
by DAA had a significantly lower blood loss, and supine decubitus seems to
preserved respiratory function in HA surgery. For these reasons the DAA
seems the optimal approach for COVID-19 affette patients.
Biography
Giacomo Trivellin was born in Vicenza, Italy in the 1984. He
was graduated in Medicine and Surgery at Trieste University and specialized in
Orthopedics and Traumatology at Verona University in 2010. His activity is
based most on trauma and hip surgery. He is author of several publication on
international papers and participate like relator in several international
congress.
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