<abstract xmlns="http://www.w3.org/1999/xhtml">

The novel coronavirus SARS-CoV-2 (COVID-19) generated a 2020 global pandemic that has provoked drastic effects across world economies and healthcare systems. This article aimed to describe the impact of the COVID-19 pandemic on elective arthroplasty procedures and bone bank activity in the university hospital. We have performed a retrospective cohort study involving 600 adult orthopedic inpatients from March 15th to December 31st, 2019 and 2020, respectively. The number of primary total hip and knee arthroplasty procedures showed a highly significant decrease from 315 and 165 in the same period of 2019 to 106 and 14 in 2020 (p &lt; 0.001). There was a highly significant decrease in the overall number of procurement procedures during the pandemic compared to the same period in 2019 (p &lt; 0.001). The overall discard rate of bone allografts during the COVID-19 pandemic significantly increased from 31.57%. to 80.76% (p &lt; 0.03). The leading cause of allograft rejection during 2019 and 2020 was the inability to perform serological tests due to lack of institutional support or the refusal of donors to perform a six-month retest. The COVID-19 pandemic had an extremely detrimental effect on elective orthopedic surgery and the normal functioning of the institutional bone bank.
</abstract>

The novel coronavirus SARS-CoV-2 (COVID-19) generated a 2020 global pandemic that has provoked drastic effects across world economies and healthcare systems. This article aimed to describe the impact of the COVID-19 pandemic on elective arthroplasty procedures and bone bank activity in the university hospital. We have performed a retrospective cohort study involving 600 adult orthopedic inpatients from March 15th to December 31st, 2019 and 2020, respectively. The number of primary total hip and knee arthroplasty procedures showed a highly significant decrease from 315 and 165 in the same period of 2019 to 106 and 14 in 2020 (p < 0.001). There was a highly significant decrease in the overall number of procurement procedures during the pandemic compared to the same period in 2019 (p < 0.001). The overall discard rate of bone allografts during the COVID-19 pandemic significantly increased from 31.57%. to 80.76% (p < 0.03). The leading cause of allograft rejection during 2019 and 2020 was the inability to perform serological tests due to lack of institutional support or the refusal of donors to perform a six-month retest. The COVID-19 pandemic had an extremely detrimental effect on elective orthopedic surgery and the normal functioning of the institutional bone bank.

Detrimental Effects of the COVID-19 Pandemic on Elective Orthopedic Surgery and Institutional Bone Bank Activity

Faculty of Medical Sciences, University in Kragujevac

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The novel coronavirus SARS-CoV-2 (COVID-19) generated a 2020 global pandemic that has provoked drastic effects across world economies and healthcare systems....

Detrimental Effects of the COVID-19 Pandemic on Elective Orthopedic Surgery and Institutional Bone Bank Activity

Published Online: Nov 27, 2023

Page range: -

Received: Dec 12, 2021

Accepted: Nov 19, 2021

DOI: https://doi.org/10.2478/sjecr-2021-0060

Keywords
COVID-19 pandemic, bone bank, total hip arthroplasty, total knee arthroplasty, bone procurement, femoral head allograft

© 2023 Stepanovic L Zeljko et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Detrimental Effects of the COVID-19 Pandemic on Elective Orthopedic Surgery and Institutional Bone Bank Activity

Published Online: Nov 27, 2023

Page range: -

Received: Dec 12, 2021

Accepted: Nov 19, 2021

DOI: https://doi.org/10.2478/sjecr-2021-0060

KeywordsCOVID-19 pandemic, bone bank, total hip arthroplasty, total knee arthroplasty, bone procurement, femoral head allograft

© 2023 Stepanovic L Zeljko et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
COVID-19 pandemic, bone bank, total hip arthroplasty, total knee arthroplasty, bone procurement, femoral head allograft