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COVID-19 & Orthopaedic-Related Topics

As of September 1, 2020, this article/literature list is no longer being actively updated.  If noteworthy studies are released in the future, those may be posted on a case-by-case basis. If you have any questions please contact Kaitlyn Sevarino at sevarino@aaos.org

Under no circumstances should this list be viewed as AAOS concurring with or endorsing of the study findings, nor has AAOS conducted a systematic review of all surgical literature relevant to COVID-19. The study authors, designs, and data have not been assessed for risk of bias, quality, or accuracy, respectively. Healthcare providers should rely on their own clinical judgment in review and use of these materials.

  1. Anoushiravani AA, Barnes CL, Bosco JA, 3rd, et al. Reemergence of Multispecialty Inpatient Elective Orthopaedic Surgery During the COVID-19 Pandemic: Guidelines for a New Normal. J Bone Joint Surg Am. 2020;102(14):e79.
  2. Couto RA, Wiener TC, Adams WP. Evaluating Postoperative Outcomes of Patients Undergoing Elective Procedures in an Ambulatory Surgery Center During the COVID-19 Pandemic. Aesthet Surg J.
  3. Gilbert AW, Billany JCT, Adam R, et al. Rapid implementation of virtual clinics due to COVID-19: report and early evaluation of a quality improvement initiative. BMJ Open Qual. 2020;9(2).
  4. Goyal T, Harna B, Taneja A, Maini L. Arthroscopy and COVID-19: Impact of the pandemic on our surgical practices. Journal of Arthroscopy and Joint Surgery.
  5. Guiroy A, Gagliardi M, Coombes N, et al. COVID-19 Impact Among Spine Surgeons in Latin America. Global Spine Journal.
  6. Khattab MF, Kannan TMA, Morsi A, et al. The short-term impact of COVID-19 pandemic on spine surgeons: a cross-sectional global study. Eur Spine J. 2020:1-7.
  7. Kumar VS, Banjara R, Thapa S, et al. Bone sarcoma surgery in times of COVID-19 pandemic lockdown-early experience from a tertiary centre in India. J Surg Oncol.
  8. Temmesfeld MJ, Jakobsen RB, Grant P. Does a surgical helmet provide protection against aerosol transmitted disease? Acta Orthop. 2020:1-5.
  9. Uchida K, Sekiguchi H, Higashiyama R, et al. Loop-Mediated Isothermal Amplification Screening for COVID-19 in Asymptomatic Preoperative Orthopedic Patients in a General Hospital in Kanagawa, Japan. 2020;12(7):e9331.
  10. Bouche PA, Valteau B, Dumaine V, et al. Were protective procedures against SARS-CoV-2 effective in an orthopaedic and trauma centre during the lockdown period? A retrospective study. Int Orthop. 2020:1-6.
  11. Çakmak G, Ceyhan E, Demirtaş Y, Berk H. The management of orthopedics and traumatology patients during SARS-CoV-2 pandemic. Acta Orthop Traumatol Turc. 2020;54(3):223-227.
  12. Ho SWL, Tan TL, Lee KT. Elective orthopaedic surgery and COVID-19: knowledge and perceptions of patients in a global pandemic. Singapore Med J.
  13. Kader N, Clement ND, Patel VR, Caplan N, Banaszkiewicz P, Kader D. The theoretical mortality risk of an asymptomatic patient with a negative SARS-CoV-2 test developing COVID-19 following elective orthopaedic surgery. Bone Joint J. 2020:1-5.
  14. Ohliger E, Umpierrez E, Buehler L, et al. Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic. Int Orthop. 2020:1-5.
  15. Said M, Ngo V, Hwang J, Hom DB. Navigating telemedicine for facial trauma during the COVID-19 pandemic. Laryngoscope Investig Otolaryngol.
  16. Sobti A, Memon K, Bhaskar RRP, Unnithan A, Khaleel A. Outcome of trauma and orthopaedic surgery at a UK district general hospital during the Covid-19 pandemic. J Clin Orthop Trauma.
  17. Thomas CN, Schroder LK, Cole PA. Ten days to implementation of 3D-printed masks for a level-I orthopaedic trauma practice during the COVID-19 pandemic. J Bone Joint Surg Am.
  18. Wang Y, Zeng L, Yao S, et al. Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic. Knee Surg Sports Traumatol Arthrosc.
  19. Wang YL, Zhu FZ, Zeng L, et al. Guideline for diagnosis and treatment of spine trauma in the epidemic of COVID-19. Chin J Traumatol.
  20. Abdelnasser MK, Morsy M, Osman AE, et al. COVID-19. An update for orthopedic surgeons. Sicot j. 2020;6:24.
  21. Dittman JM, Tse W, Amendola MF. Optimizing Peripandemic Care for Veteran Major Non-Traumatic Lower Extremity Amputees: A Proposal Informed by a National Retrospective Descriptive Analysis of COVID-19 Risk Factor Prevalence. Mil Med.
  22. Gruskay JA, Dvorzhinskiy A, Konnaris MA, et al. Universal Testing for COVID-19 in Essential Orthopaedic Surgery Reveals a High Percentage of Asymptomatic Infections. J Bone Joint Surg Am.
  23. Keshet D, Bernstein M, Dahan-Oliel N, et al. Management of common elective paediatric orthopaedic conditions during the COVID-19 pandemic: the Montreal experience. J Child Orthop. 2020;14(3):161-166.
  24. MacKechnie MC, Nadeau M, Deering E, Thaller J, MacKechnie MA. Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic. J Orthop. 2020;20:293-296.
  25. Phillips MR, Chang Y, Zura RD, et al. Impact of COVID-19 on orthopaedic care: a call for nonoperative management. Therapeutic Advances in Musculoskeletal Disease. 2020;12.
  26. Puzzitiello RN, Pagani NR, Moverman MA, Moon AS, Menendez ME, Ryan SP. Inflammatory and Coagulative Considerations for the Management of Orthopaedic Trauma Patients with COVID-19: A Review of the Current Evidence and Our Surgical Experience. J Orthop Trauma.
  27. Sciubba DM, Ehresman J, Pennington Z, et al. Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond. World Neurosurg.
  28. Shokri T, Saadi RA, Liaw J, et al. Facial Plastic and Reconstructive Surgery During the COVID-19 Pandemic: Implications in Craniomaxillofacial Trauma and Head and Neck Reconstruction. Ann Plast Surg.
  29. Tan SHS, Hong CC, Saha S, Murphy D, Hui JH. Medications in COVID-19 patients: summarizing the current literature from an orthopaedic perspective. Int Orthop.
  30. Wills TT, Zuelzer WA, Tran BW. Utilization of an Orthopedic Hood as Personal Protective Equipment for Intubation of Coronavirus Patients: a Brief Technical Report. Geriatr Orthop Surg Rehabil. 2020;11:2151459320930554.
  31. Xiong Y, Chen L, Lin Z, Panayi AC, Mi B, Liu G. Orthopaedic Guidelines for the COVID-19 Post-Outbreak Period: Experience from Wuhan, People's Republic of China. J Bone Joint Surg Am.
  32. Guidance Summary: Use of Corticosteroids for Musculoskeletal Pain during the COVID-19 Pandemic
  33. Cheung, Z. B., Forsh, D. A. Early outcomes after hip fracture surgery in COVID-19 patients in New York City. J Orthop 2020; 0: 291-296
  34. Doglietto, F., Vezzoli, M., Gheza, F., Lussardi, G. L., Domenicucci, M., Vecchiarelli, L., Zanin, L., Saraceno, G., Signorini, L., Panciani, P. P., Castelli, F., Maroldi, R., Rasulo, F. A., Benvenuti, M. R., Portolani, N., Bonardelli, S., Milano, G., Casiraghi, A., Calza, S., Fontanella, M. M. Factors Associated With Surgical Mortality and Complications Among Patients With and Without Coronavirus Disease 2019 (COVID-19) in Italy. JAMA Surg 2020; 0:
  35. Egol, K. A., Konda, S. R., Bird, M. L., Dedhia, N., Landes, E. K., Ranson, R. A., Solasz, S. J., Aggarwal, V. K., Bosco, J. A., 3rd, Furgiuele, D. L., Ganta, A., Gould, J., Lyon, T. R., McLaurin, T. M., Tejwani, N. C., Zuckerman, J. D., Leucht, P. Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective. J Orthop Trauma 2020; 0:
  36. Garcia-Portabella, M., Nuñez, J. H., Batalla, L., Plomer, M., Lakhani, K., Massons, J. Patient outcomes after humeral fracture surgery during the COVID-19 outbreak in Spain. J Shoulder Elbow Surg 2020; 0:
  37. LeBrun, D. G., Konnaris, M. A., Ghahramani, G. C., Premkumar, A., DeFrancesco, C. J., Gruskay, J. A., Dvorzhinskiy, A., Sandhu, M. S., Goldwyn, E. M., Mendias, C. L., Ricci, W. M. Hip Fracture Outcomes During the COVID-19 Pandemic: Early Results from New York. J Orthop Trauma 2020; 0:
  38. Schneider, K. N., Correa-Marti­nez, C. L., Gosheger, G., Rickert, C., Schorn, D., Mellmann, A., Schwierzeck, V., Kampmeier, S. Assessing the spreading potential of an undetected case of COVID-19 in orthopaedic surgery. Arch Orthop Trauma Surg 2020; 0: 1-7
  39. Upadhyaya, G. K., Iyengar, K., Jain, V. K., Vaishya, R. Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic. J Orthop 2020; 0: 287-290
  41. Bram, J. T., Johnson, M. A., Magee, L. C., Mehta, N. N., Fazal, F. Z., Baldwin, K. D., Riley, J., Shah, A. S. Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic. J Pediatr Orthop 2020; 0:
  42. Hernigou, J., Cornil, F., Poignard, A., El Bouchaibi, S., Mani, J., Naouri, J. F., Younes, P., Hernigou, P. Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department. Int Orthop 2020; 0:
  43. Luengo-Alonso, G., Pérez-Tabernero, F. G., Tovar-Bazaga, M., Arguello-Cuenca, J. M., Calvo, E. Critical adjustments in a department of orthopaedics through the COVID-19 pandemic. Int Orthop 2020; 0: 1-8
  44. Meng, Y., Leng, K., Shan, L., Guo, M., Zhou, J., Tian, Q., Hai, Y. A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures. Int Orthop 2020; 0: 1-7
  45. Parisien, R. L., Shin, M., Constant, M., Saltzman, B. M., Li, X., Levine, W. N., Trofa, D. P. Telehealth Utilization in Response to the Novel Coronavirus (COVID-19) Pandemic in Orthopaedic Surgery. J Am Acad Orthop Surg 2020; 11: e487-e492
  46. Tan, S. H. S., Hong, C. C., Saha, S., Murphy, D., Hui, J. H. Medications in COVID-19 patients: summarizing the current literature from an orthopaedic perspective. Int Orthop 2020; 0:
  47. Practitioners specialized in oral health and coronavirus disease 2019: Professional guidelines from the French society of stomatology, maxillofacial surgery and oral surgery, to form a common front against the infectious risk. J Stomatol Oral Maxillofac Surg 2020; 2: 155-158
  48. Catellani, F., Coscione, A., D'Ambrosi, R., Usai, L., Roscitano, C., Fiorentino, G. Treatment of Proximal Femoral Fragility Fractures in Patients with COVID-19 During the SARS-CoV-2 Outbreak in Northern Italy. J Bone Joint Surg Am 2020; 0:
  49. D'Apolito, R., Faraldi, M., Ottaiano, I., Zagra, L. Disruption of Arthroplasty Practice in an Orthopedic Center in Northern Italy During the Coronavirus Disease 2019 Pandemic. J Arthroplasty 2020; 0:
  50. DeSerres, J. J., Al-Shaqsi, S. Z., Antonyshyn, O. M., Fialkov, J. A. Best Practice Guidelines for the Management of Acute Craniomaxillofacial Trauma During the COVID-19 Pandemic. J Craniofac Surg 2020; 0:
  51. Ding, B. T. K., Decruz, J., Kunnasegaran, R. Time-sensitive ambulatory orthopaedic soft-tissue surgery paradigms during the COVID-19 pandemic. Int Orthop 2020; 0: 1-8
  52. Ducournau, F., Arianni, M., Awwad, S., Baur, E. M., Beaulieu, J. Y., Bouloudhnine, M., Caloia, M., Chagar, K., Chen, Z., Chin, A. Y., Chow, E. C., Cobb, T., David, Y., Delgado, P. J., Woon Man Fok, M., French, R., Golubev, I., Haugstvedt, J. R., Ichihara, E., Jorquera, R. A., Koo, Scjj, Lee, J. Y., Lee, Y. K., Lee, Y. J., Liu, B., Kaleli, T., Mantovani, G. R., Mathoulin, C., Messina, J. C., Muccioli, C., Nazerani, S., Ng, C. Y., Obdeijn, M. C., Van Overstraeten, L., Prasetyono, T. O. H., Ross, M COVID-19: Initial experience of an international group of hand surgeons. Hand Surg Rehabil 2020; 0:
  53. Erickson, M. M., Richardson, E. S., Hernandez, N. M., Bobbert, D. W., 2nd, Gall, K., Fearis, P. Helmet Modification to PPE With 3D Printing During the COVID-19 Pandemic at Duke University Medical Center: A Novel Technique. J Arthroplasty 2020; 0:
  54. Gilat, Ron, Haunschild, Eric D., Tauro, Tracy, Cole, Brian J. Recommendation to Optimize Safety of Elective Surgical Care While Limiting the Spread of COVID-19: Primum Non Nocere. 2020; 0:
  55. Guo, X., Wang, J., Hu, D., Wu, L., Gu, L., Wang, Y., Zhao, J., Zeng, L., Zhang, J., Wu, Y. Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China. J Bone Joint Surg Am 2020; 0:
  56. 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.
  57. Hirschmann, Michael T., Hart, Alister, Henckel, Johann, Sadoghi, Patrick, Seil, Romain, Mouton, Caroline COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surgery, Sports Traumatology, Arthroscopy 2020; 0:
  58. Jain, A., Jain, P., Aggarwal, S. SARS-CoV-2 Impact on Elective Orthopaedic Surgery: Implications for Post-Pandemic Recovery. J Bone Joint Surg Am 2020; 0:
  59. Jella, T. K., Acuña, A. J., Samuel, L. T., Jella, T. K., Mroz, T. E., Kamath, A. F. Geospatial Mapping of Orthopaedic Surgeons Age 60 and Over and Confirmed Cases of COVID-19. J Bone Joint Surg Am 2020; 0:
  60. Keny, D. S., Bagaria, D. V., Chaudhary, D. K., Dhawale, D. A. Emergency and Urgent Orthopaedic Surgeries in non covid patients during the COVID 19 pandemic: Perspective from India. J Orthop 2020; 0:
  61. Liebensteiner, M. C., Khosravi, I., Hirschmann, M. T., Heuberer, P. R., Thaler, M. Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic. Knee Surg Sports Traumatol Arthrosc 2020; 0: 1-7
  62. 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(2):89-96.
  63. Meyer, M., Prost, S., Farah, K., Denis, J. B., Dufour, H., Blondel, B., Fuentes, S. Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement. Asian Spine J 2020; 0:
  64. Mi, B., Chen, L., Xiong, Y., Xue, H., Zhou, W., Liu, G. Characteristics and Early Prognosis of COVID-19 Infection in Fracture Patients. J Bone Joint Surg Am 2020; 0:
  65. Munoz Vives, J. M., Jornet-Gibert, M., Cámara-Cabrera, J., Esteban, P. L., Brunet, L., Delgado-Flores, L., Camacho-Carrasco, P., Torner, P., Marcano-Fernández, F. Mortality Rates of Patients with Proximal Femoral Fracture in a Worldwide Pandemic: Preliminary Results of the Spanish HIP-COVID Observational Study. J Bone Joint Surg Am 2020; 0:
  66. Parvizi, J., Gehrke, T., Krueger, C. A., Chisari, E., Citak, M., Van Onsem, S., Walter, W. L., Abdelaziz, H., Abolghasemian, M. N., Aboltins, C., Al Maskari, S. M., Baldini, A., Barnes, C. L., Basso, T., Belden, K., Benazzo, F., Bhandari, M., Bolognesi, M. P., Bosco, J. A., 3rd, Bozkurt, N. M., Brown, T. S., Buttaro, M., Carli, A. V., Catani, F., Chen, J., Cao, L., Choe, H., Clohisy, J. C., de Beaubien, B., Della Valle, C. J., Diaz-Ledezma, C., Dietz, M. J., Drago, L., Ehrlich, G. D., Fleischman Resuming Elective Orthopaedic Surgery During the COVID-19 Pandemic: Guidelines Developed by the International Consensus Group (ICM). J Bone Joint Surg Am 2020; 0:
  67. Samsami, M., Zebarjadi Bagherpour, J., Nematihonar, B., Tahmasbi, H. COVID-19 Pneumonia in Asymptomatic Trauma Patients; Report of 8 Cases. 2020; 1: e46
  68. Sarac, N. J., Sarac, B. A., Schoenbrunner, A. R., Janis, J. E., Harrison, R. K., Phieffer, L. S., Quatman, C. E., Ly, T. V. A Review of State Guidelines for Elective Orthopaedic Procedures During the COVID-19 Outbreak. J Bone Joint Surg Am 2020; 0:
  69. Service, B. C., Collins, A. P., Crespo, A., Couto, P., Gupta, S., Avilucea, F., Kupiszewski, S., Langford, J., Lewellyn, B., Petrie, J., Zumsteg, J. W., Zeini, I. M., Osbahr, D. C., Haidukewych, G. J., Romeo, A. A. Medically Necessary Orthopaedic Surgery During the COVID-19 Pandemic: Safe Surgical Practices and a Classification to Guide Treatment. J Bone Joint Surg Am 2020; 0:
  70. Thaler, M., Khosravi, I., Hirschmann, M. T., Kort, N. P., Zagra, L., Epinette, J. A., Liebensteiner, M. C. 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). Knee Surg Sports Traumatol Arthrosc 2020; 0:
  71. Wilson, J. M., Schwartz, A. M., Farley, K. X., Devito, D. P., Fletcher, N. D. Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures. J Bone Joint Surg Am 2020; 0:
  72. Winck, J. C., Ambrosino, N., Dowdell, James E., Louie, Philip K., Virk, Sohrab, McCarthy, Michael H., Sandhu, Harvinder S., Qureshi, Sheeraz A., Albert, Todd J., Kim, Han Jo COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David. An evidence based evaluation of problems Spine Fellowship Training Reorganizing during a Pandemic: Perspectives from a Tertiary Orthopaedic Specialty Center in the Epicenter of Outbreak. Pulmonology (Barc., Print) 2020; 0:
  73. Wu, C., Zhang, Z., Mo, Y., Wang, D., Ning, B., Xu, P., Song, J., Pei, X., Ni, X., Zheng, Y., Xia, T., Jing, Y., Sun, W., Meng, J., Qian, C. Recommendations for control and prevention of infections for pediatric orthopedics during the epidemic period of COVID-19. World Journal of Pediatric Surgery 2020; 1:
  74. Yung, C. S., Fok, K. C. H., Leung, C. N., Wong, Y. W. What every orthopaedic surgeon should know about COVID-19: A review of the current literature. J Orthop Surg (Hong Kong) 2020; 2: 2309499020923499
  75. Zhu, Y., Chen, W., Xin, X., Yin, Y., Hu, J., Lv, H., Li, W., Deng, X., Zhu, C., Zhu, J., Zhang, J., Ye, F., Chen, A., Wu, Z., Ma, Z., Zhang, X., Gao, F., Li, J., Wang, C., Zhang, Y., Hou, Z. Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China. Int Orthop 2020; 0: