Rank	Title	Authors	Total Citations	AAS	Journal	Country of Origin	Affiliations	Summary
1	Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic	Bram, Joshua T. et. al.	111	317	JOURNAL OF PEDIATRIC ORTHOPAEDICS	USA	1 Childrens Hosp Philadelphia, Div Orthopaed, 3401 Civ Ctr Blvd,Second Floor,Wood Bldg, Philadelphia, PA 19104 USA 2 Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA	Given the decrease in pediatric orthopaedic trauma cases and increase in home-related injuries as a result of social distancing during the COVID-19 pandemic, orthopaedic surgeons should reallocate resources to clinical areas with higher patient volume, emphasize basic home safety precautions, and simplify pediatric care with a greater reliance on telemedicine and removable splinting. (Resource utilization)
2	Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China	Guo, Xiaodong et. al.	107	2	JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME	China	1 Huazhong Univ Sci & Technol, Union Hosp, Wuhan, Peoples R China 2 Huazhong Univ Sci & Technol, Union Hosp, Dept Orthoped, Wuhan, Peoples R China 3 Huazhong Univ Sci & Technol, Union Hosp, Ctr Stem Cell Res & Applicat, Inst Hematol, Wuhan, Peoples R China 4 Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Wuhan, Peoples R China 5 Wuhan Cent Hosp, Dept Orthoped, Wuhan, Peoples R China 6 Wuhan Puai Hosp, Dept Orthoped, Wuhan, Peoples R China	Considering the high risk of COVID-19 infection, orthopaedic associations and surgeons should maintain a high level of clinical suspicion for COVID-19; use appropriate PPE including an N95 face mask; stay updated on training regarding infection prevention and resource conservation; consider minimizing, postponing, or cancelling elective procedures; follow U.S. CDC guidelines; avoid contact with family members at home following suspected exposure to infected persons; and minimize fatigue, which could decrease the body's immune response. (Resource utilization)
3	Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective	Egol, Kenneth A. et. al.	96	1	JOURNAL OF ORTHOPAEDIC TRAUMA	Canada, USA	1 NYU Langone Orthoped Hosp, NYU Langone Hlth, Dept Orthoped Surg, Div Orthoped Trauma Surg, New York, NY 10003 USA 2 Jama Hosp Med Ctr, Dept Orthopaed Surg, Richmond Hill, ON, Canada 3 Bellevue Hosp, Dept Orthoped Surg, New York, NY USA	Physicians treating confirmed or suspected COVID+ patients should counsel families of the significantly increased mortality and complications following hip fracture. (Patient-centered care)
4	Impact of COVID-19 on Orthopaedic and Trauma Service An Epidemiological Study	Wong, Janus Siu Him et. al.	89	2	JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME	China	1 Univ Hong Kong, Queen Mary Hosp, Hong Kong, Peoples R China 2 Univ Hong Kong, Li Ka Shing Fac Med, Dept Orthopaed & Traumatol, Hong Kong, Peoples R China	While staffing and allocating resources during the pandemic, healthcare professionals should understand that despite an overall decline in patient volume, there is still a considerably high demand for orthopaedic and trauma services. (Resource utilization)
5	Musculoskeletal symptoms in SARS-CoV-2 (COVID-19) patients	Cipollaro, Lucio et. al.	80	46	JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH	Italy, England	1 Univ Salerno, Fac Med & Surg, Dept Musculoskeletal Disorders, Salerno, Italy 2 Univ Salerno, Dept Med Surg & Dent, Via S Allende, I-84081 Baronissi, SA, Italy 3 Univ Milan, Dept Biomed Sci Hlth, Milan, Italy 4 Queen Mary Univ London, Mile End Hosp, Barts & London Sch Med & Dent, Ctr Sports & Exercise Med, 275 Bancroft Rd, London E1 4DG, England 5 Keele Univ, Sch Med, Inst Sci & Technol Med, Thornburrow Dr, Stoke On Trent, Staffs, England	Musculoskeletal symptoms, such as myalgia, arthralgia, and fatigue, are almost always present in a COVID-19 infection, even during its initial stage. Thus, these MSK symptoms can be used to identify and isolate infected patients earlier and potentially determine the extent of the infection on the whole human body if effectively paired with laboratory findings. However, the mechanism of how COVID-19 affects the MSK system is still unclear. (Infection protocol)
6	Treatment of Proximal Femoral Fragility Fractures in Patients with COVID-19 During the SARS-CoV-2 Outbreak in Northern Italy	Catellani, Francesco et. al.	71	N/A	JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME	Italy, England	1 Humanitas Gavazzeni, Bergamo, Italy 2 Humanitas Gavazzeni, Dept Orthopaed & Traumatol, Bergamo, Italy 3 IRCCS Ist Ortoped Galeazzi, Milan, Italy	Early surgical intervention in COVID+ elderly patients who have sustained proximal femoral fractures may improve their overall stabilization, seated mobilization, physiological ventilation, and general comfort in bed. However, early surgical intervention should not be pursued for COVID+ elderly patients with life-threatening clinical presentations, such as severe dyspnea (pO2 <90%), hyperpyrexia (>38°C), and systemic organ dysfunction. (Patient-centered care)
7	Hip Fracture Outcomes During the COVID-19 Pandemic: Early Results From New York	LeBrun, Drake G. et. al.	66	38	JOURNAL OF ORTHOPAEDIC TRAUMA	USA	1 Hosp Special Surg, Dept Orthopaed Surg, 535 East 70th St, New York, NY 10021 USA 2 Hosp Special Surg, HSS Res Inst, 535 E 70th St, New York, NY 10021 USA 3 Weill Cornell Med Coll, Dept Physiol & Biophys, New York, NY USA 4 Weill Cornell Med Coll, New York, NY USA 5 NewYork Presbyterian Queens, Orthopaed Trauma Serv, Dept Orthopaed Surg, Flushing, NY USA 6 Hosp Special Surg, Dept Orthopaed Surg, Orthopaed Trauma Serv, 535 E 70th St, New York, NY 10021 USA	Inpatient mortality was significantly higher in hip fracture patients who were COVID+ compared to those who tested negative or who were not screened. Further research is required to pinpoint the patient care variables that can be changed to potentially improve outcomes in the high-risk population of elderly hip fracture patients. (Patient-centered care)
8	The effects of a UK lockdown on orthopaedic trauma admissions and surgical cases A MULTICENTRE COMPARATIVE STUDY	Hampton, M. et. al.	64	19	BONE & JOINT OPEN	England	1 Rotherham NHS Fdn Trust, Rotherham Dist Gen Hosp, Rotherham, S Yorkshire, England 2 Rotherham Gen Hosp NHS Trust, Trauma & Orthopaed, Rotherham, S Yorkshire, England 3 Sheffield Childrens Hosp Sheffield Childrens NHS, Trauma & Orthopaed, Sheffield, S Yorkshire, England 4 Sheffield Teaching Hosp NHS Fdn Trust, Sheffield, S Yorkshire, England	Patients with fragility fractures during the COVID-19 pandemic should still be managed as a surgical priority, in line with updated guidelines form the British Orthopaedic Association. (Patient-centered care)
9	Population mobility and adult orthopaedic trauma services during the COVID-19 pandemic: fragility fracture provision remains a priority	Scott, C. E. H. et. al.	53	10	BONE & JOINT OPEN	Scotland	1 Royal Infirm Edinburgh NHS Trust, Edinburgh Orthopaed Trauma, Edinburgh, Midlothian, Scotland	While orthopaedic trauma referrals have significantly decreased secondary to changes in behavior during the early COVID-19 pandemic, the incidence of fragility fractures has remained unchanged, and thus care for these patients should continue. (Resource utilization)
10	Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic	Liebensteiner, M. C. et. al.	52	5	KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY	Austria, Switzerland	1 Med Univ Innsbruck, Dept Orthopaed Surg, Innrain 52, Innrain 6020, Austria 2 Kantonsspital Baselland Bruderholz Liestal Laufen, Dept Orthopaed Surg & Traumatol, Liestal 4101, Switzerland 3 Univ Basel, Basel, Switzerland 4 HealthPi Med Ctr, Schulterzentrum Wien, Wollzeile 1-3, Vienna, Austria	In the early stages of the COVID-19 pandemic, there was an overall decrease in orthopaedic services across Austria, Germany and Switzerland with a reported sharp decline in arthroscopic treatments such cruciate ligament reconstruction and rotator cuff surgery, as well as an almost complete cessation of elective total joint arthroplasty. Although long-term consequences of this decrease in patient volume is unclear, it is necessary to consider this described disturbance in the field as historic. (Resource utilization)
11	How Satisfied Are Patients and Surgeons with Telemedicine in Orthopaedic Care During the COVID-19 Pandemic? A Systematic Review and Meta-analysis	Chaudhry, Harman et. al.	51	23	CLINICAL ORTHOPAEDICS AND RELATED RESEARCH	Canada	1 Univ Toronto, Div Orthopaed Surg, Toronto, ON, Canada 2 Univ Toronto, Div Orthopaed Surg, 43 Wellesley St E,Suite 319, Toronto, ON M4Y 1H1, Canada	Though satisfaction levels are comparable between telemedicine and in-person visits, orthopaedic surgeons should maintain a low threshold for in-person follow-up until more telemedicine research, specifically examining safety endpoints and evidence-based implementation, is conducted. (Telemedicine)
12	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	Hernigou, Jacques et. al.	48	6	INTERNATIONAL ORTHOPAEDICS	France, Belgium	1 EpiCURA Hosp, Orthoped Dept, Baudour, Hornu, Belgium 2 Univ Paris Est, Hosp Henri Mondor, Creteil, France	Time to surgery and ultimately hospital stay should be reduced to be efficient with medical resources when treating patients needing orthopaedic care during COVID-19. (Resource utilization)
13	IMPACT-Restart: the influence of COVID-19 on postoperative mortality and risk factors associated with SARS-CoV-2 infection after orthopaedic and trauma surgery	Clement, N. D. et. al.	46	38	BONE & JOINT JOURNAL	Scotland	1 Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland	Perioperative shielding may be beneficial for patients at risk of contracting COVID-19 postoperatively. (Infection protocol)
14	Universal Testing for COVID-19 in Essential Orthopaedic Surgery Reveals a High Percentage of Asymptomatic Infections	Gruskay, Jordan A. et. al.	46	2	JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME	USA	1 Hosp Special Surg, New York, NY 10021 USA 2 Hosp Special Surg, Dept Orthopaed Surg, 535 E 70th St, New York, NY 10021 USA 3 Hosp Special Surg, HSS Res Inst, New York, NY 10021 USA 4 Weill Cornell Med Coll, Dept Physiol & Biophys, New York, NY USA	Preoperative COVID-19 screening based on symptom presentation is inadequate. More research is required to determine the most effective technique for preoperative COVID-19 screening and to describe the postoperative outlook in asymptomatic COVID-19 patients. Following this study, all surgical patients at this NY hospital will receive preoperative chest radiography, an RT-PCR swab, and serum antibody testing to determine surgical eligibility. (Infection protocol)
15	Changes of clinical activities in an orthopaedic institute in North Italy during the spread of COVID-19 pandemic: a seven-week observational analysis	Zagra, Luigi et. al.	46	N/A	INTERNATIONAL ORTHOPAEDICS	Italy, Poland	1 IRCCS Ist Ortoped Galeazzi, Hip Dept, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 2 IRCCS Ist Ortoped Galeazzi, Lab Expt Biochem, Milan, Italy 3 IRCCS Ist Ortoped Galeazzi, Hlth Management, Milan, Italy 4 Poznan Univ Phys Educ, Dept Athlet Strength & Conditioning, Poznan, Poland 5 IRCCS Ist Ortoped Galeazzi, Milan, Italy 6 IRCCS Ist Ortoped Galeazzi, ER Dept, Milan, Italy 7 IRCCS Ist Ortoped Galeazzi, Dept Anesthesiol, Milan, Italy	During the COVID-19 pandemic, this orthopaedic center in Milan decreased elective surgeries, restricted outpatient admissions, and saw an increase in orthopaedic trauma volume due to its new role as a referral orthopaedic center. (Resource utilization)
16	Disruption of joint arthroplasty services in Europe during the COVID-19 pandemic: an online survey within the European Hip Society (EHS) and the European Knee Associates (EKA)	Thaler, M. et. al.	44	7	KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY	Austria, Switzerland, Netherlands, Italy, France	1 Med Univ Innsbruck, Dept Orthopaed Surg, Innrain 52, Innsbruck 6020, Austria 2 Kantonsspital Baselland Bruderholz Liestal Laufen, Dept Orthopaed Surg & Traumatol, Bruderholz 4101, Switzerland 3 Univ Basel, Basel, Switzerland 4 CortoClinics, Schijndel, Netherlands 5 IRCCS Ist Ortoped Galeazzi, Hip Dept, Milan, Italy 6 Ctr Res & Documentat Arthroplasty, Houdain, France	Europe saw a substantial decrease in arthroplasties, specifically primary TJA and revision TJA, even in massively failed TJA with collapse, dislocation, component failure or imminent dislocation. Regarding trauma, only life-threatening cases such as periprosthetic fractures and acute septic TJA were treated. (Resource utilization)
17	How Did the Number and Type of Injuries in Patients Presenting to a Regional Level I Trauma Center Change During the COVID-19 Pandemic with a Stay-at-home Order?	Sherman, William F. et. al.	41	4	CLINICAL ORTHOPAEDICS AND RELATED RESEARCH	USA	1 Tulane Univ, Sch Med, Dept Orthopaed Surg, 1430 Tulane Ave, New Orleans, LA 70112 USA 2 Tulane Univ, Sch Med, 1430 Tulane Ave, New Orleans, LA 70112 USA 3 Univ Texas Hlth, Dept Orthoped Surg, McGovern Med Sch, Houston, TX USA 4 Louisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr, Sch Med, New Orleans, LA USA	Given the decrease in orthopaedic trauma volume and changing mechanisms of injury during the pandemic, staffing and scheduling practices should maximize efficiency and minimize risk of infection. (Resource utilization)
18	The new 'normal': Rapid adoption of telemedicine in orthopaedics during the COVID-19 pandemic	Rizzi, Andrew M. et. al.	40	13	INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED	USA	1 Univ Chicago, Dept Orthopaed Surg & Rehabil Med, Med Ctr, Chicago, IL 60637 USA 2 Univ Chicago, Pritzker Sch Med, 5841 South Maryland Ave, Chicago, IL 60637 USA	The incorporation of telemedicine into orthopaedic outpatient clinics will be beneficial to both providers and patients but should not replace all-in person clinic visits. (Telemedicine)
19	Impact of the COVID-19 Pandemic on Orthopaedic and Trauma Surgery in University Hospitals in Germany Results of a Nationwide Survey	Haffer, Henryk et. al.	39	N/A	JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME	Germany	1 Charite Univ Med Berlin, Ctr Musculoskeletal Surg, Berlin, Germany 2 Univ Hosp Giessen, Dept Orthopaed & Orthopaed Surg, Giessen, Germany 3 Rhein Friedrich Wilhelms Univ Bonn, Dept Orthopaed & Trauma Surg, Bonn, Germany 4 Westfalische Wilhelms Univ, Dept Trauma Hand & Reconstruct Surg, Munster, Germany	Orthopaedic surgeons in Germany followed hospital policy and government mandates to minimize the spread of COVID-19 and maximize resources while suffering significant financial losses. (Resource utilization)
20	Italy and COVID-19: the changing patient flow in an orthopedic trauma center emergency department	Luceri, Francesco et. al.	38	N/A	JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH	Italy, England	1 IIRCCS Ist Ortoped Galeazzi, Milan, Italy 2 Univ Milan, Residency Program Orthopaed & Traumatol, Milan, Italy 3 Univ Milan, Dept Biomed Sci Hlth, Milan, Italy 4 Univ Salerno, Dept Med Surg & Dent, Via S Allende, I-84081 Baronissi, SA, Italy 5 Keele Univ, Sch Med, Sch Pharm & Bioengn, Thornburrow Dr, Stoke On Trent, Staffs, England 6 Queen Mary Univ London, Mile End Hosp, Barts & London Sch Med & Dent, Ctr Sports & Exercise Med, 275 Bancroft Rd, London E1 4DG, England	Social isolation during the pandemic resulted in changes in patient volume and types of injuries, which then had effects on triage, imaging, and discharge modalities. (Resource utilization)
21	Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe	Megaloikonomos, Panayiotis D. et. al.	38	N/A	INTERNATIONAL ORTHOPAEDICS	Greece, Austria, Germany, Italy, Bosnia and Herceg, Portugal, Switzerland	1 Natl & Kapodistrian Univ Athens, ATTIKON Univ Hosp, Sch Med, Dept Orthopaed 1, 1 Rimini St, Athens 12462, Greece 2 Med Univ Innsbruck, Dept Orthopaed Surg, Innsbruck, Austria 3 Spine Ctr Stuttgart, Diakonie Kinikum Stuttgart, Stuttgart, Germany 4 Humanitas Univ, Dept Biomed Sci, Milan, Italy 5 Univ Hosp Mostar, Dept Orthopaed, Mostar, Bosnia & Herceg 6 Ctr Hospitalar Sao Joao, Dept Orthopaed, Porto, Portugal 7 Langenthal Hosp, Dept Orthopaed, Langenthal, Switzerland	Orthopaedic trainees expected that the reduction in workload and educational opportunities as a result of the pandemic would negatively impact their training. (Healthcare workers well-being)
22	The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war	Benazzo, Francesco et. al.	36	3	INTERNATIONAL ORTHOPAEDICS	Italy	1 Fdn Poliambulanza, Sez Chirurg Protes Indirizzo Robot, UO Ortoped & Traumatol, Unita Traumatol Sport, Via Bissolati 57, I-25124 Brescia, Italy 2 Fdn IRCCS Policlin San Matteo, Clin Ortoped & Traumatol, Pavia, Italy 3 Univ Pavia, Pavia, Italy 4 Guglielmo da Saliceto Hosp, Orthopaed & Traumatol Dept, Piacenza, Italy 5 Policlin Univ, Azienda Osped Univ, UOC Ortoped & Traumatol, Bari, Italy 6 Azienda Osped Univ Parma, Clin Ortoped, Parma, Italy 7 Univ Padua, Dept Orthopaed & Orthopaed Oncol, Padua, Italy 8 Univ Torino, Sch Med, Clin Ortoped & Traumatol Citta Salute & Sci CTO, Turin, Italy 9 AORN San Giuseppe Moscati, Avellino, Italy 10 Az Osped San Giovanni Addolorata, UOC Ortoped & Traumatol, Rome, Italy 11 Piedimonte Matese Hosp, Orthopaed & Traumatol Unit, ASL Caserta, Piedimonte Matese, Italy 12 Di Venere Hosp, Orthoped & Trauma Dept, Bari, Italy 13 Azienda Sanit Univ Giuliano Isontina ASU GI, SC UCO Clin Ortoped & Traumatol, Trieste, Italy 14 Univ Insubria, Div Orthopaed & Traumatol, Dept Biotechnol & Life Sci DBSV, ASST Sette Laghi, Varese, Italy 15 Osped Santa Maria Croci Ravenna, Ortotrauma Dept, Ravenna, Italy 16 CTO ASST Pini CTO, Ctr Specialistico Ortoped & Traumatol Gaetano Pin, Milan, MI, Italy 17 SS Annunziata Hosp, Orthopaed & Trauma Dept, Savigliano, CN, Italy 18 Univ Naples Federico II, Dept Orthopaed Surg, Naples, Italy	The proportion of femoral neck fracture cases stayed constant despite reductions in other orthopaedic trauma injuries during the pandemic. (Resource utilization)
23	What Was the Change in Telehealth Usage and Proportion of No-show Visits for an Orthopaedic Trauma Clinic During the COVID-19 Pandemic?	Siow, Matthew Y. et. al.	32	1	CLINICAL ORTHOPAEDICS AND RELATED RESEARCH	USA	1 Univ Calif San Diego, Dept Orthopaed Surg, 200 West Arbor Dr, San Diego, CA 92103 USA	Orthopaedic surgeons should consider using telemedicine to reduce in-person interactions, thereby protecting both at-risk patients and the healthcare workforce during the pandemic. (Telemedicine)
24	How Are Orthopaedic Surgery Residencies Responding to the COVID-19 Pandemic? An Assessment of Resident Experiences in Cities of Major Virus Outbreak	An, Tonya W. et. al.	30	N/A	JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS	USA	1 Cedars Sinai Med Ctr, Dept Orthopaed Surg, Los Angeles, CA 90048 USA 2 Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA 3 Tulane Univ, Sch Med, Dept Orthopaed Surg, New Orleans, LA 70112 USA 4 Univ Washington, Dept Orthopaed Surg, Seattle, WA 98195 USA 5 Univ Calif Los Angeles, Dept Orthopaed Surg, Los Angeles, CA USA	Resident safety, including access to appropriate PPE, COVID-19 screening, and up-to-date information, should be prioritized during the pandemic. (Healthcare workers well-being)
25	The impact of COVID-19 pandemic on orthopaedic resident education: a nationwide survey study in South Korea	Chang, Dong-Gune et. al.	30	1	INTERNATIONAL ORTHOPAEDICS	South Korea, India, Singapore	1 Inje Univ, Coll Med, Dept Orthopaed Surg, Inje Univ Sanggye Paik Hosp, Seoul, South Korea 2 Catholic Univ Korea, Dept Orthopaed Surg, Uijeongbu St Marys Hosp, Coll Med, 271 Cheonbo Ro, Uijeongbu Si 11765, Gyeonggi Do, South Korea 3 Seoul Natl Univ, Dept Orthopaed Surg, Seoul Natl Univ Hosp, Coll Med, Seoul, South Korea 4 Madras Med Coll & Govt Gen Hosp, Inst Orthoped & Traumatol, Orthoped Spine Surg Unit, Chennai, Tamil Nadu, India 5 Natl Univ Hlth Syst, Univ Spine Ctr, Dept Orthopaed Surg, Natl Univ Hosp, Singapore, Singapore	As orthopaedic surgery training in South Korea was negatively impacted by COVID-19, the non-contact education system must be improved to reclaim lost learning opportunities and increase resident satisfaction while not compromising on safety. (Healthcare workers well-being)
26	Restarting elective orthopaedic services during the COVID-19 pandemic DO PATIENTS WANT TO HAVE SURGERY?	Chang, J. et. al.	30	N/A	BONE & JOINT OPEN	England	1 Univ Coll London Hosp, London, England 2 Univ Coll London Hosp NHS Fdn Trust, Orthopaed, London, England 3 Univ Coll London Hosp NHS Fdn Trust, Trauma & Orthopaed, London, England	Orthopaedic surgeons should continue to prioritize safety and emphasize risk for COVID-19 infection even as routine orthopaedic services resume. (Infection protocol)
27	Critical adjustments in a department of orthopaedics through the COVID-19 pandemic	Luengo-Alonso, Gonzalo et. al.	30	N/A	INTERNATIONAL ORTHOPAEDICS	Spain	1 Univ Autonoma Madrid, Dept Orthoped Surg & Traumatol, Hosp Univ Fdn Jimenez Diaz, IIS Fdn Jimenez Diaz, Avda Reyes Catol 2, Madrid 28040, Spain	Health care delivery modalities within orthopaedic and trauma surgery will evolve following the changes in patient volume and increased utilization of telehealth witnessed during the pandemic. (Telemedicine)
28	COVID-19: not a contraindication for surgery in patients with proximal femur fragility fractures	Morelli, Ilaria et. al.	26	N/A	JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH	Italy, England	1 Univ Milan, Residency Program Orthopaed & Traumatol, Via Festa Perdono 7, I-20122 Milan, Italy 2 IRCCS Ist Ortoped Galeazzi, Equipe Regenerat & Reconstruct Orthopaed EUORR, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 3 IRCCS Ist Ortoped Galeazzi, Trauma Unit, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 4 IRCCS Ist Ortoped Galeazzi, Emergency Dept, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 5 IRCCS Ist Ortoped Galeazzi, Anesthesiol Serv, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 6 IRCCS Ist Ortoped Galeazzi, Intens Care Unit, Via Riccardo Galeazzi 4, I-20161 Milan, Italy 7 Univ Milan, Dept Biomed Sci Hlth, Via Mangiagalli 31, I-20133 Milan, Italy 8 Univ Salerno, Dept Med Surg & Dent, Via S Allende, I-84081 Baronissi, SA, Italy 9 Queen Mary Univ London, Mile End Hosp, Ctr Sports & Exercise Med, Barts & London Sch Med & Dent, 275 Bancroft Rd, London E1 4DG, England 10 Keele Univ, Sch Med, Sch Pharm & Bioengn, Thornburrow Dr, Stoke On Trent ST4 7QB, Staffs, England	Early surgical intervention for elderly patients with proximal femoral fractures is also beneficial for those with COVID-19, but this should be verified by higher quality research. (Patient-centered care)
29	The management of emergency spinal surgery during the COVID-19 pandemic in Italy A PRELIMINARY REPORT	Giorgi, P. D. et. al.	25	16	BONE & JOINT JOURNAL	Italy	1 ASST Grande Osped Metropolitcrno Niguarda, Milan, Italy	The updated protocol for emergency spine surgery at this Italian hospital optimizes resources, reduces hospital stay, and can be used as a scientific foundation for countries that have yet to face a large COVID-19 surge. (Infection protocol)
30	Thirty-Day Mortality Rate of Patients With Hip Fractures During the COVID-19 Pandemic: A Single Centre Prospective Study in the United Kingdom	Thakrar, Amit et. al.	25	1	JOURNAL OF ORTHOPAEDIC TRAUMA	England	1 Barking Havering & Redbridge Univ Hosp NHS Trust, Trauma & Orthoped Dept, Queens Hosp, Romford, Essex, England	Patients presenting with hip fractures should still be prioritized for surgery as COVID-19 infection was a strong predictor of 30-day mortality during the first 30 days of the pandemic in the UK . (Patient-centered care)
31	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	Lubbe, Ryan J. et. al.	23	N/A	JOURNAL OF ORTHOPAEDIC TRAUMA	USA	1 Univ Nevada, Sch Med, Dept Orthopaed Surg, 1701 W Charleston Blvd,Suite 440, Las Vegas, NV 89102 USA 2 OptumCare, OptumCare Orthopaed & Spine, Las Vegas, NV USA	Orthopaedic trauma care remains essential during the pandemic even with adjusted patient volume and distributions in mechanisms of injury. (Resource utilization)
32	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	Greenhalgh, Michael et. al.	22	N/A	INTERNATIONAL JOURNAL OF CLINICAL PRACTICE	England	1 Royal Preston Hosp, Preston, Lancs, England	While a large proportion of staff and resources were reallocated during the pandemic, surgical intervention for certain orthopaedic trauma cases, such as proximal femur fractures, was still required and may even increase as social restrictions are removed. (Resource utilization)
33	30-day mortality for fractured neck of femur patients with concurrent COVID-19 infection	Dupley, Leanne et. al.	21	0	EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY	England	1 Hlth Educ North West, Trauma & Orthopaed, Manchester M1 3BN, Lancs, England 2 Royal Preston Hosp, Lancashire Teaching Hosp, Sharoe Green Lane, Preston PR2 9HT, Lancs,	The substantial increase in mean 30-day mortality rate of femoral neck fractures seen in patients with concurrent COVID-19 infection highlights need for counselling patients in the associated increased risks. (Patient-centered care)
34	Effects of the COVID-19 lockdown on orthopaedic trauma: a multicentre study across Scotland	MacDonald, D. R. W. et. al.	21	6	BONE & JOINT OPEN	Scotland	1 Aberdeen Royal Infirm, Dept Trauma & Orthopaed, Aberdeen, Scotland 2 Ninewells Hosp, Dept Trauma & Orthopaed, Dundee, Scotland 3 Queen Elizabeth Univ Hosp, Dept Trauma & Orthopaed, Glasgow, Lanark, Scotland 4 Glasgow Royal Infirm, Glasgow, Lanark, Scotland 5 Raigmore Hosp, Inverness, Scotland 6 Univ Aberdeen, Div Appl Med, Aberdeen, Scotland	The UK COVID-19 lockdown has resulted in a marked reduction in orthopaedic trauma surgeries in Scotland with changes in types and mechanisms of injury and concerning increase in mortality for these patients. (Resource utilization)
35	Telemedicine Use in Orthopaedic Surgery Varies by Race, Ethnicity, Primary Language, and Insurance Status	Xiong, Grace et. al.	20	96	CLINICAL ORTHOPAEDICS AND RELATED RESEARCH	USA	1 Harvard Med Sch, Harvard Combined Orthopaed Residency Program, Boston, MA 02115 USA 2 Harvard Med Sch, Brigham & Womens Hosp, Dept Orthopaed Surg, 75 Francis St, Boston, MA 02115 USA	Hispanic, Asian, underinsured, and non-English speakers established orthopaedic care via telemedicine during the COVID-19 pandemic less when compared with a similar patient group one year prior. (Telemedicine)
36	Paediatric orthopaedics in lockdown A STUDY ON THE EFFECT OF THE SARS-COV-2 PANDEMIC ON ACUTE PAEDIATRIC ORTHOPAEDICS AND TRAUMA	Baxter, I et. al.	20	5	BONE & JOINT OPEN	England	1 Sheffield Childrens NHS Fdn Trust, Sheffield, S Yorkshire, England 2 Sheffield Childrens Hosp, Dept Trauma & Orthopaed, Sheffield, S Yorkshire, England 3 Rotherham Dist Gen Hosp, Trauma & Orthopaed, Rotherham, S Yorkshire, England	Pediatric orthopaedic trauma cases saw changes in mechanism of injury and decreased in number, age of presentation, K-wire procedures, and manipulation under anesthetic procedures. (Resource utilization)
37	30-day mortality following trauma and orthopaedic surgery during the peak of the COVID-19 pandemic A MULTICENTRE REGIONAL ANALYSIS OF 484 PATIENTS	Karayiannis, P. N. et. al.	19	N/A	BONE & JOINT OPEN	North Ireland, Scotland	1 Craigavon Area Hosp, Trauma & Orthopaed, Craigavon, North Ireland 2 Craigavon Area Hosp, Craigavon, North Ireland 3 Musgrave Pk Hosp, Outcomes Unit, Belfast, Antrim, North Ireland 4 Ninewells Hosp, Dundee, Scotland 5 Ulster Hosp Dundonald, Belfast, Antrim, North Ireland 6 Royal Victoria Hosp, Belfast, Antrim, North Ireland 7 Altnagelvin Hosp, Derry, Londonderry, North Ireland	Reintroduction of elective surgery should consider patient risk profile and ASA grade even with low 30-day postoperative mortality (Resource utilization)
38	A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures	Meng, Yutong et. al.	18	N/A	INTERNATIONAL ORTHOPAEDICS	China	1 Capital Med Univ, Beijing Chaoyang Hosp, Dept Orthopaed, Beijing, Peoples R China	Surgical delay due to COVID-19 screening can be minimized such that reasonable and acceptable clinical outcomes are achieved. (Infection protocol)
39	Evaluating the efficacy of a two-site ('COVID-19' and 'COVID-19-free') trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK	Chui, K. et. al.	18	4	BONE & JOINT OPEN	England	1 Barking Havering & Redbridge Univ Hosp NHS Trust, Romford, Essex, England	A two-site ‘COVID’ and ‘COVID-free’ trauma service is safe and effective in managing hip fractures during the COVID-19 pandemic. (Resource utilization)
40	Modification of a Validated Risk Stratification Tool to Characterize Geriatric Hip Fracture Outcomes and Optimize Care in a Post-COVID-19 World	Konda, Sanjit R. et. al.	17	1	JOURNAL OF ORTHOPAEDIC TRAUMA	USA	1 NYU Langone Orthopaed Hosp, NYU Langone Hlth, Dept Orthopaed Surg, Div Orthopaed Trauma Surg, New York, NY USA 2 Jama Hosp, Med Ctr, Dept Orthopaed Surg, Queens, NY USA 3 Bellevue Hosp, Dept Orthopaed Surg, New York, NY USA 4 NYU Winthrop Hosp, Dept Orthopaed Surg, Mineola, NY USA 5 NYU Langone Hosp Brooklyn, Dept Orthopaed Surg, Brooklyn, NY USA	A modified Score for Trauma Triage in the Geriatric and Middle-Aged tool can be modified with a COVID-19 input and used to predict patient outcomes. (Infection protocol)
41	Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment	Mitkovic, Milan M. et. al.	17	N/A	INTERNATIONAL ORTHOPAEDICS	Serbia	1 Clin Ctr Nis, Clin Orthopaed & Traumatol, Nish, Serbia 2 Univ Nis, Fac Med, Nish, Serbia 3 Clin Ctr Serbia, Clin Orthopaed & Traumatol, Belgrade, Serbia 4 Univ Belgrade, Fac Med, Belgrade, Serbia 5 Inst Hlth Care Children & Youth Vojvodina, Novi Sad, Serbia 6 Clin Ctr Serbia, Belgrade, Serbia	Increased time in the home during the COVID-19 pandemic influenced a decrease in fracture incidence and changed the gender distribution of femoral neck fractures. (Resource utilization)
42	The COVID-19 outbreak limits physical activities and increases sedentary behavior: A possible secondary public health crisis for the elderly	Yamada, Keiko et. al.	16	N/A	JOURNAL OF ORTHOPAEDIC SCIENCE	Japan	1 Univ Tokyo Hosp, Dept Planning Informat & Management, Tokyo, Japan 2 Locomo Challenge Council, Tokyo, Japan 3 Chiba Univ, Collage Liberal Arts & Sci, Chiba, Japan 4 Sato Orthopaed Clin, Tokyo, Japan 5 Northern Osaka Housenka Hosp, Dept Orhtopaed Surg, Osaka, Japan 6 NTT Med Ctr, Dept Orhtopaed Surg, Tokyo, Japan	The COVID-19 pandemic was found to limit physical activity which may lead to a public health crisis for certain sections of the population. (Patient-centered care)
43	Regional trauma patterns during the COVID-19 pandemic	Staunton, Peter et. al.	15	7	SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND	Irelands	1 Natl Orthopaed Hosp, Dept Orthopaed Surg, Cappagh Rd, Dublin 11, Ireland	In Dublin, orthopaedic trauma volume significantly decreased in during COVID-19 although home-related injuries increased. (Resource utilization)
44	Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave	Probert, Annabel C. et. al.	15	1	ANZ JOURNAL OF SURGERY	Australia	1 Royal North Shore Hosp, Dept Orthopaed & Trauma Surg, 7C Clin Adm,Level 7,Acute Serv Bldg, Sydney, NSW 2065, Australia 2 Royal Prince Alfred Hosp, Dept Orthopaed & Trauma, Sydney, NSW, Australia	COVID-19 and related social distancing has decreased surgical volume and influenced the frequency of the mechanism of action of different injuries in Australia. (Resource utilization)
45	Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy	Andreata, Mauro et. al.	15	N/A	INTERNATIONAL ORTHOPAEDICS	Italy, Poland	1 IRCCS Ist Ortoped Galeazzi, Hip Dept, Milan, Italy 2 IRCCS Ist Ortoped Galeazzi, Lab Expt Biochem & Mol Biol, Milan, Italy 3 IRCCS Ist Ortoped Galeazzi, Milan, Italy 4 Poznan Univ Phys Educ, Dept Athlet Strength & Conditioning, Poznan, Poland	COVID-19 was found to significantly decrease the efficiency of OR facilities. (Resource utilization)
46	The impact of COVID-19 on trauma and orthopaedic patients requiring surgery during the peak of the pandemic A RETROSPECTIVE COHORT STUDY	Mackay, N. D. et. al.	14	11	BONE & JOINT OPEN	England	1 Univ Hosp Coventry & Warwickshire, Dept Trauma & Orthopaed, Coventry, W Midlands, England	Patients undergoing procedures with a local or regional anesthetic have low risk of being infected with COVID-19 during the procedure. (Infection protocol)
47	Safety evaluation of a strategy to restart elective orthopaedic surgery during the de-escalation phase of the COVID-19 pandemic	Zahra, W. et. al.	14	11	BONE & JOINT OPEN	England	1 Royal Berkshire NHS Fdn Trust, Royal Berkshire Hosp, Reading, Berks, England 2 Royal Berkshire NHS Fdn Trust, Reading, Berks, England 3 Circle Reading Hosp, Reading, Berks, England	Elective orthopaedic surgery is safe during the pandemic in environments with appropriate precautions and patient screening. (Infection protocol)
48	Orthopaedic surgery in a time of COVID-19 USING A LOW PREVALENCE COVID-19 TRAUMA SURGERY MODEL TO GUIDE A SAFE RETURN TO ELECTIVE SURGERY	Lazizi, M. et. al.	14	1	BONE & JOINT OPEN	England	1 Royal Cornwall Hosp NHS Trust, Trauma & Orthopaed Surg, Truro, England	Elective operating can resume with careful patient screening in communities with low prevalence of SARS-COV2. (Infection protocol)
49	The impact of COVID-19 on the management and outcomes of patients with proximal femoral fractures: a multi-centre study of 580 patients	Wignall, Alice et. al.	13	1	JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH	England	1 Leeds Teaching Hosp NHS Trust, Leeds, W Yorkshire, England 2 Huddersfield Royal Infirm, Huddersfield, W Yorkshire, England 3 Sandwell & West Birmingham Hosp NHS Trust, Lyndon, England	Hip fracture patient with COVID-19 were found to have seven times higher rate of mortality compared to their counterparts. (Patient-centered care)
50	Nosocomial infection with SARS-CoV-2 and main outcomes after surgery within an orthopaedic surgery department in a tertiary trauma centre in Spain	Lakhani, Kushal et. al.	13	7	INTERNATIONAL ORTHOPAEDICS	Spain	1 Univ Hosp Vall dHebron, Dept Traumatol & Orthoped Surg, Passeig Vall dHebron 119-129, Barcelona 08035, Spain 2 Univ Autonoma Barcelona, Passeig Vall dHebron 119-129, Barcelona 08035, Spain	The nosocomial infection rate of SARS-CoV-2 was 6.48% and is reduced with proper protocol and patient screening. (Infection protocol)