Virtual Conference

Ridha A. Dalimunthe

Universitas Prima Indonesia, Indonesia

Title: Examining the COVID of 2019 Novel Coronavirus Disease (COVID-19) Pandemic on Traumatic Hip and Lower Extremity Orthopedic Case: A Systematic Review and Meta-analysis


Background: The 2019 novel coronavirus disease (COVID-19) pandemic made a significant impact on daily traumatic orthopedic practice. Recent studies reported significant reduction in traumatic hip and lower extremity orthopedic case admission. This study aimed to examine the impact of COVID-19 pandemic to the traumatic hip and lower extremity orthopedic case and surgical compared to pre-pandemic periods. Methods: A systematic literature search was conducted using PubMed, ScienceDirect, and Cochrane Library, published up to January 2022 following the PRISMA guideline. We screened studies with our eligibility criteria and assessed the quality using Newcastle-Ottawa scale (NOS). The primary outcome analyzed in this study was traumatic hip and lower extremity admission case number and surgical case number both measured as risk ratio (RR) with 95% confidence intervals (CIs). Heterogeneity was assessed using the I2 test and publication bias was assessed using Egger’s test. The analysis was performed using Review Manager 5.4 and STATA 17.
Results: A total of 17 studies met the inclusion criteria for the systematic review and meta-analysis. Overall analysis reported an estimated 52.7% reduction in traumatic hip and lower extremity admission during COVID-19 pandemics, which indicated by our pooled analysis (RR 0,89, 95% CI 0.82, 0.96, p=0.002). Meanwhile, there is no significant difference for the surgical cases (RR 1.01, 95% CI 0.94, 1.08, p=0.80). Egger’s test result showed no evidence of small-study effects (p=0.22).
Conclusion: This study showed that traumatic hip and lower extremity admission was significantly decreased during pandemic period. Meanwhile, the surgical case was not significantly affected.


Keywords: COVID-19; hip and lower extremity; trauma; surgery.