Surgical volumes
Since the breakout of SARS-Cov-2 in Lombardy, in the time frame between February 21 and April 9, 2020, we carried on our activity in trauma surgery, performing 191 procedures. We treated patients according to our usual surgical indications, related to fracture pattern, general, and local conditions. Timing, pharmacological, and support therapies were considered, according to the clinical course, following the above-mentioned protocols for COVID-19 patients. In particular, we operated on 62 fractures of the femur, 18 fractures of the humerus, 14 fractures of the acetabulum and pelvic ring, three periprosthetic fractures (2 hips, 1 knee), ten ankle fractures, 13 fractures of the radius, four fractures of the clavicle, two fractures of the scapula, four patella fractures, eight tibia diaphyseal fractures, two calcaneal fractures, 13 fractures of metacarpals and phalanges, one hip hemiarthroplasty revision for instability, 15 open tendinous lesions of the hand, and seven soft tissue procedures, including traumatic wound repair, surgical wound revision, and drainage of haematoma. Overall, 53 procedures were performed in the “COVID-19-free” surgical unit, while 138 operations were performed in the specific surgical unit for SARS-Cov-2 infected or suspected patients.