scholarly journals COVID-19 in Elderly Patients Surgically Treated for Lower Limbs Fracture

2021 ◽  
Vol 11 (1) ◽  
pp. 168
Author(s):  
Alessandra Colombini ◽  
Michele Davide Maria Lombardo ◽  
Laura de Girolamo ◽  
Elena De Vecchi ◽  
Riccardo Giorgino ◽  
...  

Background: The coronavirus disease 2019 (COVID-19) pandemic outbreak has posed new problems in the context of patients suffering from other diseases. In particular, musculoskeletal sequelae related to the state of debilitation associated with COVID-19 are important to consider in elderly patients undergoing surgery after lower limbs fracture, especially in the post-operative period. The objective of this study was to evaluate whether COVID-19 influenced biochemical parameter, recovery and mortality of surgically treated patients suffering from lower extremity fractures. Methods: Laboratory and clinical data of 30 patients were extrapolated and analyzed in the pre-operative and post-operative periods. Among these patients, 13 had COVID-19 infection (COVID-19 +), whereas 17 had no signs of COVID-19 infections (COVID-19 −). Long-term clinical and functional outcomes were also analyzed. Results: Lower calcium, slightly higher values of CRP and much higher values of CPK and AST were observed pre-operatively in COVID-19 + patients, who also showed higher prevalence of long-term sequelae than COVID-19 − patients. Conclusions: COVID-19 affects long-term outcome of elderly patients with lower limb fractures in a multifactorial way. First, the virus directly damages the muscle tissue. Secondly, the lung function impairment worsens the overall performance, making rehabilitation more challenging.

2019 ◽  
Vol 35 (4) ◽  
pp. 487-501 ◽  
Author(s):  
Francesco Formica ◽  
Serena Mariani ◽  
Stefano D’Alessandro ◽  
Gurmeet Singh ◽  
Michele Di Mauro ◽  
...  

2014 ◽  
Vol 16 (3) ◽  
pp. 198-202 ◽  
Author(s):  
A. Germain ◽  
C. Perrenot ◽  
M.-L. Scherrer ◽  
C. Ayav ◽  
L. Brunaud ◽  
...  

2020 ◽  
Vol 52 (4) ◽  
pp. 721-729
Author(s):  
Martin Planchais ◽  
Benoit Brilland ◽  
Julien Demiselle ◽  
Virginie Besson ◽  
Agnès Duveau ◽  
...  

2012 ◽  
Vol 103 (11) ◽  
pp. 1974-1978 ◽  
Author(s):  
Takaaki Ono ◽  
Akihiro Takeshita ◽  
Yuji Kishimoto ◽  
Hitoshi Kiyoi ◽  
Masaya Okada ◽  
...  

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