Research Article
Volume 12 Issue 11 - 2021
Risk of Occupational Infections in Orthopedic Surgeons in the Age of COVID-19: Preliminary Study
Loubet Unyendje*, John Mupepa and Jean-Marie Kapoli
Department of Orthopedic Surgery, University of Kindu, Maniema, DRC Medical School, HJ Hospitals, Democratic Republic of the Congo
*Corresponding Author: Loubet Unyendje, Department of Orthopedic Surgery, University of Kindu, Maniema, DRC Medical School, HJ Hospitals, Democratic Republic of the Congo.
Received: September 13, 2021; Published: October 28, 2021


As covid-19 disease is a new threat to humanity, it is a global public health problem. It is transmitted mainly by contact with infected patients, by droplets and airways. In addition to this mode of universal transmission, orthopedic surgeons also run a high significant professional risk of contracting a Covid-19 infection during surgery, through blood, aerosol formation, electro cauterization. Mask ventilation, endotracheal intubation and the use of electrosurgical tools such as power tools for osteotomies, joint replacement surgery, reaming of bones, sawing and drilling, irrigation with saline solutions, are procedures that generate aerosols that can contaminate orthopedic surgeons after surgery.

Consequently, the orthopedic surgeon needs the basic safeguards of universal transmission as well as special methods to mitigate against the virus during surgery. Data is not sufficient to determine which mechanisms have been the sources of transmission so all are suspects requiring considerations.

The purpose of this article is to analyze the peculiarities of COVID-19 contamination on orthopedic practice in the DRC.

Keywords: Covid-19; Orthopedic Surgeon; Contamination


  1. WHO Director-General's opening remarks at the media briefing on COVID-19 (2020).
  2. Anfinrud P., et al. “Visualisation des gouttelettes de fluide oral générées par la parole avec diffusion de la lumière laser”. The New England Journal of Medicine (2020).
  3. Van Doremalen N., et al. “Aérosol et stabilité de surface du SARS-CoV-2 par rapport au SARS-CoV-1”. The New England Journal of Medicine d (2020).
  4. Guan Wj., et al. “Caractéristiques cliniques de la maladie à coronavirus 2019 en Chine”. The New England Journal of Medicine (2020).
  5. Ufficio Stampa Fnomceo (2020).
  6. Lee SA., et al. “Particle size-selective assessment of protection of European Standard FFP respirators and surgical masks against particles-tested with human subjects”. Journal of Healthcare Engineering (2016).
  7. Bai Y., et al. “Presumed asymptomatic carrier transmission of COVID-19”. JAMA: The Journal of the American Medical Association (2020).
  8. Lauer SA., et al. “The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application”. Annals of Internal Medicine (2020).
  9. Maharaj S and Kleczkowski A. “Controlling epidemic spread by social distancing: do it well or not at all”. BMC Public Health 12 (2012): 679.
  10. Roelfs DJ., et al. “Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality”. Social Science and Medicine6 (2011): 840-854.
  11. Q and A on coronaviruses (COVID-19) (2020).
  12. Viswanath A and Monga P. “Working through the COVID-19 outbreak: rapid review and recommendations for MSK and allied heath personnel”. Journal of Clinical Orthopaedics and Trauma (2020).
  13. Van Doremalen N., et al. “Aérosol et stabilité de surface du SARS-CoV-2 par rapport au SARS-CoV-1”. The New England Journal of Medicine (2020).
  14. Wu Y Guo., et al. “Présence prolongée d'ARN viral du SRAS-CoV-2 dans les échantillons fécaux”. The Lancet Gastroenterology and Hepatology (2020).
  15. Kogan M., et al. “Orthopaedic education during the COVID-19 pandemic”. Journal of the American Academy of Orthopaedic Surgeons (2020).
  16. Chang Liang Z., et al. “Novel coronavirus and Orthopaedic surgery: early experiences from Singapore”. The Journal of Bone and Joint Surgery American (2020).
  17. Poon LL., et al. “Detection of SARS coronavirus in patients with severe acute respiratory syndrome by conventional and real-time quantitative reverse transcription-PCR assays”. Clinical Chemistry1 (2004): 67-72.
  18. Nogler M., et al. “Aerosols produced by high-speed cutters in cervical spine surgery: extent of environmental contamination”. European Spine Journal4 (2001): 274-277.
  19. Nogler M., et al. “Contamination during removal of cement in revision hip arthroplasty. A cadaver study using ultrasound and highspeed cutters”. The Journal of Bone and Joint Surgery, British3 (2003): 436-439.
  20. Yeh HC., et al. “Characterization of aerosols produced during surgical procedures in hospitals”. Aerosol Science and Technology 22 (1995): 151-161.
  21. Jewett DL., et al. “Blood-containing aerosols generated by surgical techniques: a possible infectious hazard”. American Industrial Hygiene Association Journal4 (1992): 228-231.
  22. AAPM and R. “COVID-19 statement from the American Academy of Physical Medicine and Rehabilitation Board of Governors (2020).
  23. Caputo KM., et al. “Intubation des patients atteints du SRAS: infection et perspectives des travailleurs de la santé”. The Canadian Journal of Anesthesia 53 (2006): 122-129.
  24. Vannabouathong C., et al. “Nouveau coronavirus COVID-19: preuves actuelles et stratégies en évolution”. The Journal of Bone and Joint Surgery American (2020).
  25. Prada C., et al. “Results of a new telemedicine strategy in traumatology and orthopedics”. Telemed J E Health (2019).
  26. Rodrigues-Pinto R., et al. “Se préparer à effectuer un traumatisme et une chirurgie orthopédique sur des patients atteints de COVID-19”. The Journal of Bone and Joint Surgery American (2020).
  27. Ng K., et al. “COVID-19 et le risque pour les agents de santé: un rapport de cas”. Annals of Internal Medicine (2020).
  28. Zheng MH., et al. “Chirurgie mini-invasive et nouvelle épidémie de coronavirus: leçons apprises en Chine et en Italie”. Annals of Surgery (2020).
  29. Stinner DJ., et al. “Le service de traumatologie orthopédique et COVID-19 - considérations pratiques pour optimiser les résultats et limiter l'exposition”. Journal of Orthopaedic Trauma (2020).
Citation: Loubet Unyendje., et al. “Risk of Occupational Infections in Orthopedic Surgeons in the Age of COVID-19: Preliminary Study”. EC Orthopaedics 12.11 (2021): 23-28.

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