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World J Orthop. Jun 18, 2022; 13(6): 544-554
Published online Jun 18, 2022. doi: 10.5312/wjo.v13.i6.544
Management of hip fracture in COVID-19 infected patients
Hao-Cheng Qin, Zhong He, Zhi-Wen Luo, Yu-Lian Zhu
Hao-Cheng Qin, Zhong He, Yu-Lian Zhu, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
Zhi-Wen Luo, Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
Author contributions: Qin HC and He Z conducted the original search and wrote the first draft of the paper; Qin HC and Luo ZW screened the selected articles and contributed to subsequent drafts of the manuscript; Zhu YL generated the original idea of this study and provided suggestions; Qin HC and He Z made equal contributions to the work.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Lian Zhu, MD, PhD, Professor, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, No. 12 Urumqi Middle Road, Jing’an District, Shanghai 200040, China. zyljully@163.com
Received: December 20, 2021
Peer-review started: December 20, 2021
First decision: January 25, 2022
Revised: February 7, 2022
Accepted: April 25, 2022
Article in press: April 25, 2022
Published online: June 18, 2022
Abstract

Given that the global population of elderly individuals is expanding and the difficulty of recovery, hip fractures will be a huge challenge and a critical health issue for all of humanity. Although people have spent more time at home during the coronavirus disease 2019 (COVID-19) pandemic, hip fractures show no sign of abating. Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition. At present, no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution. This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions. We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes. Indirectly, COVID-19 prevents hip fracture patients from receiving regular medical treatment. With regard to the problems we encounter, we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive. Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.

Keywords: Hip fracture, COVID-19, Management, Adverse impact, Comorbidity, Treatment

Core Tip: Hip fractures are common in the elderly, and in patients with hip fracture and coronavirus disease 2019 (COVID-19), multisystem clinical outcomes can be challenging for clinicians. Comprehensive identification of the COVID-19-caused impact is clinically useful in early preparation and the following intervention. Additionally, the detailed treatment options for hip fracture patients who are COVID-19 positive can provide clinicians with a credible guide for effective management.