B M Sephton1, P Mahapatra2, M Shenouda3, N Ferran4, K Deierl5, T Sinnett6, N Somashekar3, K Sarraf2, D Nathwani2, R Bhattacharya2. 1. Department of Trauma & Orthopaedics, University Hospital of South Manchester NHS Trust, Wythenshawe Hospital, Manchester, M23 9LT. Electronic address: b.sephton@nhs.net. 2. Department of Trauma & Orthopaedics, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, W6 8RF. 3. Department of Trauma & Orthopaedics, The Hillingdon Hospitals NHS Foundation Trust, Hillingdon Hospital, Uxbridge, UB8 3NN. 4. Department of Trauma & Orthopaedics, London North West Healthcare NHS Trust, Northwick Park Hospital, London, HA1 3UJ. 5. Department of Trauma & Orthopaedics, West Hertfordshire Hospitals NHS Trust, Watford General Hospital, Watford, WD18 0HB. 6. Department of Trauma & Orthopaedics, Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea and Westminster Hospital, London, SW10 9NH.
Abstract
PURPOSE: The aim of this study was to evaluate changes in both mechanism and diagnoses of injuries presenting to the orthopaedic department during this lockdown period, as well as to observe any changes in operative case-mix during this time. METHODS: A study period of twelve weeks following the introduction of the nationwide "lockdown period", March 23rd - June 14th, 2020 was identified and compared to the same time period in 2019 as a "baseline period". A retrospective analysis of all emergency orthopaedic referrals and surgical procedures performed during these time frames was undertaken. All data was collected and screened using the 'eTrauma' management platform (Open Medical, UK). The study included data from a five NHS Foundation Trusts within North West London. A total of 6695 referrals were included for analysis. RESULTS: The total number of referrals received during the lockdown period fell by 35.3% (n=2631) compared to the same period in 2019 (n=4064). Falls remained proportionally the most common mechanism of injury across all age groups in both time periods. The proportion sports related injuries compared to the overall number of injuries fell significantly during the lockdown period (p<0.001), however, the proportion of pushbike related accidents increased significantly (p<0.001). The total number of operations performed during the lockdown period fell by 38.8% (n=1046) during lockdown (n=1732). The proportion of patients undergoing operative intervention for Neck of Femur (NOF) and ankle fractures remained similar during both study periods. A more non-operative approach was seen in the management of wrist fractures, with 41.4% of injuries undergoing an operation during the lockdown period compared to 58.6% at baseline (p<0.001). CONCLUSION: In conclusion, the nationwide lockdown has led to a decrease in emergency orthopaedic referrals and procedure numbers. There has been a change in mechanism of injuries, with fewer sporting injuries, conversely, there has been an increase in the number of pushbike or scooter related injuries during the lockdown period. NOF fractures remained at similar levels to the previous year. There was a change in strategy for managing distal radius fractures with more fractures being treated non-operatively.
PURPOSE: The aim of this study was to evaluate changes in both mechanism and diagnoses of injuries presenting to the orthopaedic department during this lockdown period, as well as to observe any changes in operative case-mix during this time. METHODS: A study period of twelve weeks following the introduction of the nationwide "lockdown period", March 23rd - June 14th, 2020 was identified and compared to the same time period in 2019 as a "baseline period". A retrospective analysis of all emergency orthopaedic referrals and surgical procedures performed during these time frames was undertaken. All data was collected and screened using the 'eTrauma' management platform (Open Medical, UK). The study included data from a five NHS Foundation Trusts within North West London. A total of 6695 referrals were included for analysis. RESULTS: The total number of referrals received during the lockdown period fell by 35.3% (n=2631) compared to the same period in 2019 (n=4064). Falls remained proportionally the most common mechanism of injury across all age groups in both time periods. The proportion sports related injuries compared to the overall number of injuries fell significantly during the lockdown period (p<0.001), however, the proportion of pushbike related accidents increased significantly (p<0.001). The total number of operations performed during the lockdown period fell by 38.8% (n=1046) during lockdown (n=1732). The proportion of patients undergoing operative intervention for Neck of Femur (NOF) and ankle fractures remained similar during both study periods. A more non-operative approach was seen in the management of wrist fractures, with 41.4% of injuries undergoing an operation during the lockdown period compared to 58.6% at baseline (p<0.001). CONCLUSION: In conclusion, the nationwide lockdown has led to a decrease in emergency orthopaedic referrals and procedure numbers. There has been a change in mechanism of injuries, with fewer sporting injuries, conversely, there has been an increase in the number of pushbike or scooter related injuries during the lockdown period. NOF fractures remained at similar levels to the previous year. There was a change in strategy for managing distal radius fractures with more fractures being treated non-operatively.
Authors: Ante Šokota; Laura Prtorić; Iva Hojsak; Ivana Trivić; Filip Jurić; Kristina Lah Tomulić; Jelena Roganović; Harry Nikolić; Ana Bosak Veršić; Joško Markić; Marijan Batinić; Goran Tešović Journal: Croat Med J Date: 2021-12-31 Impact factor: 1.351
Authors: Ghazal Hodhody; Joann W Y Lum; Sadia Afzal; Sophie Rogers; Leanne Dupley; Saleem Mastan; Krishna Sagar Karanam; William Fletcher; Nicholas Ward; Neelam Patel; Fayez Almari; Kenneth Koo; Isabel Hughes; Thomas Collins; Christopher Jump; Matthew Bradley; Michael S Greenhalgh; Samuel Newman; Muhammad Yasir Tarar; Jack Gleave; Jack Buchanan; Emma V Mulgrew Journal: JSES Int Date: 2022-02-01