Resuming hip and knee arthroplasty after COVID-19: ethical implications for wellbeing, safety and the economy

Author:

Kort Nanne P1,Zagra Luigi2,Barrena Enrique Gomez3ORCID,Tandogan Reha N4,Thaler Martin5,Berstock James R6,Karachalios Theofilos7

Affiliation:

1. CortoClinics, Schijndel, The Netherlands

2. IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

3. Department of Orthopaedic Surgery and Traumatology, Hospital La Paz, Autonomous University of Madrid, Madrid, Spain

4. Ortoklinik and Cankaya Orthopaedics, Ankara, Turkey

5. Department of Orthopaedic Surgery, Medical University of Innsbruck, Innsbruck, Austria

6. Department of Orthopaedics, Royal United Hospital Bath, Bath, UK

7. Orthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessalia, Thessalia, Greece

Abstract

Reinstating elective hip and knee arthroplasty services presents significant challenges. We need to be honest about the scale of the obstacles ahead and realise that the health challenges and economic consequences of the COVID-19 pandemic are potentially devastating.We must also prepare to make difficult ethical decisions about restarting elective hip and knee arthroplasty. These decisions should be based on the existing evidence-base, reliable data, the recommendations of experts, and regional circumstances.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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