COVID-19 Pandemic Impact on Orthopaedic Trauma Practice: A Global Perspective

Figures & data

Table 1 Data Extracted from the Published Studies

Authors	Age Group (Years)	No of Patients in Pandemic	Prior Pandemic	Males %	Females %	Pediatrics	Emergency Trauma	Drop in Patients %
Wong & Cheung^Citation14	NQ	3992	28,621	NQ	NQ	NQ	380	86
Dhillon et al^Citation15	NQ	263	611	NQ	NQ	NQ	298	56.9
Reddy et al^Citation16	NQ	754	2020	NQ	NQ	155	298	62.6
Yu et al^Citation17	76.7	112	196	52	48	NQ	NQ	42.8
Probert et al^Citation18	46.2	135	159	61	39	NQ	NQ	15
Hamill & Sawyer^Citation19	<14	57	85	NQ	NQ	57	57	32.9
Raitio et al^Citation20	NQ	379	1376	63	37	NQ	379	72.45
Hernigou et al^Citation21	45.5	152	NQ	NQ	NQ	28	140	32
Turgut et al^Citation22	40.3	2290	13,086	631	805	838	NQ	82.5
Maleitzke et al^Citation23	NQ	3743	5864	631	451	NQ	1822	30.1
Luceri et al^Citation24	41.2	670	2558	44.3	55.7	62	NQ	26.2
Staunton et al^Citation25	55	159	291	45	55	NQ	NQ	45.4
Mitkovic et al^Citation26	63.7	86	106	44	56	NQ	NQ	18.9
Zagra et al^Citation27	NQ	664	2172	NQ	NQ	NQ	NQ	69.4
Maniscalco et al^Citation28	81.1	121	169	NQ	NQ	NQ	NQ	32.2
Sadat-Ali et al^Citation29	37.3	71	110	54	8	9	71	35.4
Mackay et al^Citation30	46.3	166	NQ	93	73	NQ	100	NQ
Sugand^Citation31	52.4	1183	1792	43.7	56.3	NQ	100	34
Sugand et al^Citation32	NQ	97	302	53	44	NQ	NQ	67.8
Park et al^Citation33	NQ	87	193	43	44	12	92	54.9
Murphy et al^Citation34	61	603	887			55	396	32
Greenhalgh et al^Citation35	NQ	265	537	NQ	NQ	NQ	NQ	50.7
Lubbe et al^Citation36	45	334	424	265	NQ	NQ	NQ	21.2

Abbreviation: NQ, not quoted.

Figure 1 PRISMA flow chart of the review.

Figure 2 Data from three regions with most reports.

Figure 3 Regions with lowest cited reports.

Wong JSH, Cheung KMC. Impact of COVID-19 on orthopaedic and trauma service: an epidemiological study. J Bone Joint Surg Am. 2020;102:e80. doi:10.2106/JBJS.20.00775

 PubMed Web of Science ®Google Scholar

Dhillon MS, Kumar D, Saini UC, Bhayana H, Gopinathan NR, Aggarwal S. Changing pattern of orthopaedic trauma admissions during COVID‐19 pandemic: experience at a tertiary trauma centre in India Indian. J Orthop. 2020;54(Suppl 2):S374–S379. doi:10.1007/s43465-020-00241-0l

 Web of Science ®Google Scholar

Reddy MV, Mulpur P, Guravareddy AV, Pedamallu SK, Bhasker BV. Impact of COVID‐19 pandemic on orthopaedic trauma volumes: a multi‐centre perspective from the state of Telangana. Indian J Orthop. 2020;54(Suppl 2):S368–S373. doi:10.1007/s43465-020-00226-z

 PubMed Web of Science ®Google Scholar

Yu P, Wu C, Zhuang C, et al. The patterns and management of fracture patients under COVID-19 outbreak in China. Ann Transl Med. 2020;8(15):932. doi:10.21037/atm-20-4174

 PubMed Web of Science ®Google Scholar

Probert AC, Sivakumar BS, An V, et al. Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave. ANZ J Surg. 2021;91:68–72. doi:10.1111/ans.16375

 PubMed Web of Science ®Google Scholar

Hamill JK, Sawyer MC. Reduction of childhood trauma during the COVID-19 level 4 lockdown in New Zealand. ANZ J Surg. 2020;90:1242–1243. doi:10.1111/ans.16108

 PubMed Web of Science ®Google Scholar

Raitio A, Ahonen M, Jaaskela M, et al. Reduced number of pediatric orthopedic trauma requiring operative treatment during COVID-19 restrictions: a nationwide cohort study. Scand J Surg. 2021;110(2):254–257. doi:10.1177/1457496920968014

 PubMed Web of Science ®Google Scholar

Hernigou J, Morel X, Callewier A, Bath O, Hernigou P. Staying home during “COVID-19” decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the “tsunami of recommendations” could not lockdown twelve elective operations. Int Orthop. 2020:1–8. doi:10.1007/s00264-019-04466-z

 PubMed Web of Science ®Google Scholar

Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc. 2020;54(4):355–363. doi:10.5152/j.aott.2020.20209

 PubMed Web of Science ®Google Scholar

Maleitzke T, Pumberger M, Gerlach UA, et al. Impact of the COVID-19 shutdown on orthopedic trauma numbers and patterns in an academic level I trauma center in Berlin, Germany. PLoS One. 2021;16(2):e0246956. doi:10.1371/journal.pone.0246956.

 PubMed Web of Science ®Google Scholar

Luceri F, Morelli I, Accetta R, Mangiavini L, Maffulli N, Peretti GM. Italy and COVID-19: the changing patient flow in an orthopedic trauma center emergency department. J Orthop Surg Res. 2020;15:323. doi:10.1186/s13018-020-01816-1

 PubMed Web of Science ®Google Scholar

Staunton P, Gibbons JP, Keogh P, Curtin P, Cashman JP, O’Byrne JM. Regional trauma patterns during the COVID-19 pandemic. The Surgeon. 2021;49–52. doi:10.1016/j.surge.2020.08.003

 PubMed Web of Science ®Google Scholar

Mitkovic MM, Bumbasirevic M, Milenkovic S, Gajdobranski D, Bumbasirevic V, Mitkovic MB. Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment. Int Orthop. 2020;29:1–6.

 Google Scholar

Zagra L, Faraldi M, Pregliasco F, et al. Changes of clinical activities in an orthopaedic institute in North Italy during the spread of COVID-19 pandemic: a seven-week observational analysis. Int Orthop. 2020;24:1–8. doi:10.1007/s00264-020-04590-1

 Web of Science ®Google Scholar

Maniscalco P, Poggiali E, Quattrini F, et al. Proximal femur fractures in COVID-19 emergency: the experience of two orthopedics and traumatology departments in the first eight weeks of the Italian epidemic. Acta Biomed. 2020;91:89–96. doi:10.23750/abm.v91i2.9636

 PubMedGoogle Scholar

Sadat-Ali M, AlDakheel DA, AlOmran AS, et al. Pattern of orthopaedic trauma during Covid-19 crisis in Saudi Arabia: report from level I trauma and Covid-19 center. J Musculoskelet Surg Res. 2021;5:1–4.

 Google Scholar

Mackay ND, Wilding CP, Langley CR, Young J. The impact of COVID-19 on trauma and orthopaedic patients requiring surgery during the peak of the pandemic. Bone Joint Open. 2020;1(9):520–529. doi:10.1302/2633-1462.19.BJO-2020-0108.R1

 PubMedGoogle Scholar

Sugand K; C. O. V. E. R. T. Collaborative. The impact of COVID-19 on acute trauma and orthopaedic referrals and surgery in the UK: the ‘golden peak weeks’ of the first national multi-centre observational study. The COVid-Emergency Related Trauma and orthopaedics (COVERT) collaborative. medRxiv. 2020. doi:10.1101/2020.08.22.20179770

 Google Scholar

Sugand K, Park C, Morgan C, et al. Impact of the COVID-19 pandemic on paediatric orthopaedic trauma workload in central London: a multi-centre longitudinal observational study over the “golden weeks”. Acta Orthopaedica. 2020;91(6):633–638. doi:10.1080/17453674.2020.1807092

 PubMed Web of Science ®Google Scholar

Park C, Sugand K, Nathwani D, Bhattacharya R, Sarraf KM. Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the “golden month” the covid emergency related trauma and orthopaedics (COVERT) collaborative. Acta Orthopaedica. 2020;91(5):556–561. doi:10.1080/17453674.2020.1783621

 PubMed Web of Science ®Google Scholar

Murphy T, Akehurst H, Mutimer J. Impact of the 2020 COVID-19 pandemic on the workload of the orthopaedic service in a busy UK district general hospital. Injury. 2020;51:2142–2147. doi:10.1016/j.injury.2020.07.001

 PubMed Web of Science ®Google Scholar

Greenhalgh M, Dupley L, Unsworth R, Boden R. Where did all the trauma go? A rapid review of the demands on orthopaedic services at a UK major trauma centre during the COVID-19 pandemic. Int J Clin Pract. 2021;75(3):e13690. PMID: 32852851; PMCID: PMC7460967. doi:10.1111/ijcp.13690

 PubMed Web of Science ®Google Scholar

Lubbe RJ, Miller J, Roehr CA, et al. Effect of statewide social distancing and stay-at-home directives on orthopaedic trauma at a southwestern level 1 trauma center during the COVID-19 pandemic. J Orthop Trauma. 2020;34:343–348. doi:10.1097/BOT.0000000000001890

 PubMed Web of Science ®Google Scholar