GENESIS OF TRAUMA IN PATIENTS WITH LONG BONE FRACTURES COMPLICATED UNDER COVID-19

Abstract

Traumatology is one of the branches of medicine that cannot suspend its activities, despite the danger of the COVID-19 epidemic. Treatment of skeletal bone fractures in patients with COVID-19, given the novelty of this problem, is one of the most difficult tasks of modern traumatology and orthopaedics. Bone fractures against the background of COVID-19 are characterized not only by high mortality and disability, but also by unpredictable progression. The aim of our study was to study the impact of the mechanism of occurrence and traumatogenesis of long bone fractures in patients with COVID-19. To carry out the research tasks, we formed a retrospective study array, which consisted of 289 cases of skeletal bone fractures, which were treated at the "Kyiv City Clinical Hospital of Emergency Medical Care" from March 2020 to February 2021. The main mechanism of injury in patients with skeletal bone fractures against COVID-19 was a fall from a height, which was observed 1.5 times more often than in the pre-war period. There was a 10% reduction in high-energy injury mechanisms such as falls from height and direct impact during the epidemic period, and an almost 10% increase in low-energy compression injury mechanisms. Among the patients of the main group, the combination of lighter mechanisms of injury such as falling and compression was more often detected, in contrast to the patients of the control group, where more high-energy mechanisms of trauma from a fall and a direct blow prevailed. During the COVID-19 epidemic, domestic injuries as a cause of fractures increased sharply and the specific gravity of road accidents decreased sharply, which is associated with epidemic restrictions. During the period of the COVID-19 epidemic, industrial injuries significantly decreased, while criminal and combined injuries remained at the same level as before the epidemic.