Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Institutional COVID-19 Screening
2.3. Austrian COVID-19 Data
2.4. Statistical Analyses
3. Results
3.1. COVID-19 Demographics
3.2. Institutional Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Parameter | 2019 | 2020 | p-Value |
---|---|---|---|
Total TJAs | n = 2866 | n = 2402 | |
Primary TJAs total | 2457 (85.7%) | 2069 (86.1%) | 0.672 |
Gender female | 1552 (63.2%) | 1330 (64.3%) | 0.309 |
male | 905 (36.8%) | 739 (35.7%) | |
Age | 68.1 (±11.4) | 68.2 (±11.3) | 0.360 |
ASA-level | 1.97 (±0.46) | 1.96 (±0.47) | 0.420 |
Revision TJAs total | 409 (14.3%) | 333 (13.9%) | 0.672 |
Gender female | 247 (60.4%) | 191 (57.4%) | 0.923 |
male | 162 (39.6%) | 142 (42.6%) | |
Age | 69.3 (±11.7) | 68.5 (±12.7) | 0.485 |
ASA-level | 2.21 (±0.53) | 2.02 (±0.46) | <0.001 ** |
Total TKAs | n = 1477 | n = 1147 | |
Primary TKAs | 1272 (86.1%) | 956 (83.3%) | 0.049 * |
Gender female | 827 (65.0%) | 620 (64.9%) | 0.937 |
male | 445 (35.0%) | 336 (35.1%) | |
Age (years) | 69.6 (±9.5) | 69.6 (±9.7) | 0.751 |
ASA-level | 2.02 (±0.42) | 2.01 (±0.41) | 0.642 |
Revision TKAs | 205 (13.9%) | 191 (16.7%) | 0.049 * |
Gender female | 123 (60.0%) | 114 (59.7%) | 0.915 |
male | 82 (40.0%) | 77 (40.3%) | |
Age (years) | 71.2 (±9.5) | 69.9 (±10.7) | 0.320 |
ASA-level | 2.18 (±0.44) | 2.07 (±0.41) | 0.048 * |
Cause of Revision TKAs | |||
Septic | 95 (46.3%) | 88 (46.1%) | 0.519 |
Instability | 35 (17.1%) | 33 (17.3%) | 0.957 |
Pain | 16 (7.8%) | 24 (13.0%) | 0.748 |
Aseptic loosening | 28 (13.7%) | 21 (11.0%) | 0.276 |
Fracture | 6 (2.9%) | 8 (4.2%) | 0.252 |
Other aseptic | 14 (6.8%) | 8 (4.2%) | 0.687 |
Wear | 7 (3.4%) | 5 (2.6%) | 0.852 |
Implant Failure | 4 (2.0%) | 4 (2.1%) | 0.919 |
Total THA | n = 1389 | n = 1255 | |
Primary THAs | 1185 (85.3%) | 1113 (88.7%) | 0.010 ** |
Gender female | 725 (61.2%) | 710 (63.8%) | 0.197 |
male | 460 (38.8%) | 403 (36.2%) | |
Age (years) | 66.4 (±12.9) | 66.8 (±12.4) | 0.582 |
ASA-level | 1.92 (±0.50) | 1.91 (±0.51) | 0.715 |
Revision THAs | 204 (14.7%) | 142 (11.3%) | 0.010 ** |
Gender female | 124 (60.8%) | 90 (63.4%) | 0.625 |
male | 80 (39.2%) | 52 (36.6%) | |
Age (years) | 67.4 (±13.3) | 66.6 (±14.9) | 0.320 |
ASA-level | 2.23 (±0.60) | 1.97 (±0.51) | 0.001 ** |
Cause of Revision THAs | |||
Septic | 95 (46.6%) | 43 (30.3%) | 0.002 ** |
Aseptic loosening | 50 (24.5%) | 52 (36.6%) | 0.015 * |
Dislocation | 26 (12.7%) | 24 (16.9%) | 0.279 |
Fracture | 14 (6.8%) | 16 (11.3%) | 0.152 |
Other aseptic | 4 (2.9%) | 2 (1.4%) | 0.699 |
Wear | 2 (1.0%) | 2 (1.4%) | 0.714 |
Pain | 2 (1.0%) | 1 (0.7%) | 0.146 |
Implant Failure | 4 (2.0%) | 1 (0.7%) | 0.221 |
LLD | 2 (1.0%) | 1 (0.7%) | 0.785 |
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Simon, S.; Frank, B.J.H.; Aichmair, A.; Manolopoulos, P.P.; Dominkus, M.; Schernhammer, E.S.; Hofstaetter, J.G. Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study. J. Clin. Med. 2021, 10, 1260. https://doi.org/10.3390/jcm10061260
Simon S, Frank BJH, Aichmair A, Manolopoulos PP, Dominkus M, Schernhammer ES, Hofstaetter JG. Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study. Journal of Clinical Medicine. 2021; 10(6):1260. https://doi.org/10.3390/jcm10061260
Chicago/Turabian StyleSimon, Sebastian, Bernhard J.H. Frank, Alexander Aichmair, Philip P. Manolopoulos, Martin Dominkus, Eva S. Schernhammer, and Jochen G. Hofstaetter. 2021. "Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study" Journal of Clinical Medicine 10, no. 6: 1260. https://doi.org/10.3390/jcm10061260
APA StyleSimon, S., Frank, B. J. H., Aichmair, A., Manolopoulos, P. P., Dominkus, M., Schernhammer, E. S., & Hofstaetter, J. G. (2021). Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study. Journal of Clinical Medicine, 10(6), 1260. https://doi.org/10.3390/jcm10061260