Changing Trend in COVID 19 Pandemic, Orthopaedic Care, and Arthroplasty - A Prospective Study Conducted in Indira Gandhi Institute of Medical Sciences, an Apex Tertiary Centre of Bihar

Author(s): Janki Sharan Bhadani1, Wasim Ahmed2, Nishant Kashyap3, Indrajeet Kumar4, Santosh Kumar5, Rahul Kumar6, Ashutosh Kumar7

The novel corona virus pandemic has a profound impact on health services
throughout the world, which reflected the changing guidelines of different health
societies in different time zones. We tried first to ensure the safety of our patients
and surgical staff. Patient care priorities based on strict evidence-based
management of a particular case and also COVID-19-adjusted governmentimposed
restriction during the crisis. We aim to study postoperative complication
after arthroplasty and readmission rate and compared the same with the prepandemic
era. We also address our strategies, concerns, and regulatory barriers
due to government-imposed lockdown, during initial surge of pandemic and also
when restrictions were lifted. This study is unique in the way that there is no such
study from Bihar, a state of developing country with scarcity of specialized health
In this prospective study done in Indira Gandhi Institute Of Medical Sciences,
Patna, Bihar between 1st December 2019 to 31st January 2021 (14 months
duration). We have selected a subset of those patient who were admitted for
primary arthroplasty of hip during the pandemic after lock down, and compared
those with patient those underwent similar operative management before the
lockdown period.
There was no significant difference in postoperative complication and readmission
rate when compared with the pre-pandemic era.
There is no significant increase in risks of patient as well as operating surgeon
before the pandemic and during the pandemic when the elective operative
procedure (arthroplasty) was allowed. Communication, precautions, and proper
preoperative planning remain essential part of management at each step of
treatment. By following above mentioned standard operative procedure (SOP)
chances of getting infection of COVID-19 is negligible from operative work.