To assess the impact of the declaration of the state of emergency due to the COVID-19 pandemic on the number of visits to a traumatology emergency department (ED), and on their severity. Retrospective observational study. All visits to a traumatology ED were recorded, except for consultations for genitourinary, ocular and abdominal trauma and other ailments that did not have a musculoskeletal aetiology. Visit data were collected from March 14 to April 13 2020, and were subsequently compared with the visits recorded during the same periods in the previous two years.Aims
Methods
As a whole, these fractures are the third most common ones in our country and we assume that these injuries will increase progressively. So that, orthopedic surgeons may look for a serious treatment algorithm which optimize economical resources and give our patients the best functional results. Our main aims, subsequently, are, firstly, get to know our clinical results in order to change those improvable aspects. Secondly, find out pre or postsurgical characteristics that affect on results. It will allow us to find out which patients/type of fracture will benefit from this locking plate, a reliable but expensive system with some usual complications.
Due to the collaboration of the Research and Innovation Department, statistical studies have been applied and we have concluded some interesting findings.
Also, older patients suffer from more complications such as subacromial impingement, and it has no connection with its surgical reduction. Probably, for the very same reason as the mentioned before, osteoporosis.
there is insufficient statistical evidence on this subject, but this system has shown its efficacy in treating most if the fractures, obtaining good functional results (72.8 mean Constant score). every case must be studied individually, in order to indicate the most adequate treatment for each patient when locking plate system is indicated because of the complexity of fracture (Neer), poor bone quality (middle aged women with risk factors for osteoporosi) or due to other particular circumstances, we should take into account the most frequent complications. Specially when patient is female and/or older than 60 years old: 3a. subacromial impingement – avoidable by rigorous tubercles reduction (greater tuberculum, at least, 5 mm lower than humeral head) 3b. varus displacement of humeral head – search for valgus reduction (>
120°) 3c. intrarticular screw protusion – be careful with screws length 3d. avascular necrosis – uncertain locking plate indication when fractures Neer V
