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  • Author: Katre Maasalu x
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Theofilos Karachalios Orthopaedic Department, University General Hospital of Larissa, Biopolis, Mezourlo Region, Larissa, Hellenic Republic
School of Health Sciences, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Region, Larissa, Hellenic Republic

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Katre Maasalu Clinic of Traumatology and Orthopedics, Tartu University Hospital, Tartu, Estonia
Department of Traumatology and Orthopedics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia

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Li Felländer-Tsai Division of Orthopaedics and Biotechnology, CLINTEC, Karolinska Institutet, Stockholm, Sweden
Trauma, Emergency Surgery and Orthopaedics, Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden

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  • Orthopaedic and trauma surgeons performing surgery in the COVID-19 pandemic environment faced problems with availability, use, rationing, modification, compliance and recycling of personal protection equipment (PPE).

  • Orthopaedic and trauma surgeons were not well informed concerning the use of PPE for aerosol-generating orthopaedic and trauma procedures.

  • Scientific bodies, health authorities and management have provided insufficient guidelines for the use of PPE in aerosol-generating orthopaedic and trauma procedures.

  • The availability of specific PPE for orthopaedic and trauma operating theatres is low.

  • Hospital management and surgeons failed to address the quality of operating theatre ventilation or to conform to recommendations and guidelines.

  • Operating theatre PPE negatively affected surgical performance by means of impaired vision, impaired communication, discomfort and fatigue.

  • Existing PPE is not adequately designed for orthopaedic and trauma surgery, and therefore, novel or modified and improved devices are needed.

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