Abstract
Unstable peri-trochanteric fracture presents management challenges, more so during the Covid-19 pandemic. Aim of the study was to evaluateperi-operative parameters during proximal femoral anti-rotation (PFNA) nailing in the early lockdown period of Covid-19 pandemic (Post-C group) and compare them to a cohort of demographically matched unstable peri-trochanteric fracture group from the pre-lockdown period (Pre-C group) to ascertain any significant change in clinical, radiological and functional outcomes. We retrospectively analysed matched groups with respect to median age, ASA grading and comorbidities. Intraoperative parameters assessed were duration of operation theatre and surgical time for PFNA. In Post-C group, personal protection equipment (PPE) use by Health Care Worker (HCW)was evaluated.
Highlights
Introduction pandemicAim of the study was to evaluateperi-operative parameters during proximal femoral anti-rotation (PFNA)The Covid-19 pandemic is an unprecedented crisis [1]
Orthopaedics during an evolving contagious pandemic faces new challenges for trauma nailing in the early lockdown period of Covid-19 pandemic management [2,3,4,5]
Guidelines for hip fracture (Post-C group) and compare them to a cohort of demographically matched unstable peri-trochanteric fracture group from thepre-lockdown period (Pre-C group) to ascertain management were ill-defined during initial phase of lockdown and subsequently guidelines were issued by any significant change in clinical, radiological and functional national associations for safe surgical practices during outcomes
Summary
Correspondence Author σ: M.S, Senior Orthopaedic Consultant, Max Super Speciality Hospital, Patparganj, Delhi, India. The TAD was determined by measuring the (Post-C group) They were compared with a group of distance from the tip of the helical blade to the apex of demographically matched patients operated prior to the femoral head on both anteroposterior (AP) and lockdown with a standard operating protocol Patients operated for unstable peri-trochanteric is protective of the helical blade cutting out of the femur fractures (AO 31.A2 and 31.A3) were included in femoral head and considered adequately optimal[15]. Those with stable 31.A1 type The tip apex distance was measured using the Picture fractures, immobile or bed-ridden prior to injury, triaged Archiving and Communication System (PACS) tool on for conservative management and those who were the immediate postoperative radiographs. A centre-centre or centre-inferior placement of the helical blade was considered optimal
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