ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
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).
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 1 of them a synthesis that pooled it.
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47 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Guideline
- National Trends in Total Ankle Replacement in Sweden: Demographic Shifts and Regional Disparities (2008-2023).Foot & ankle orthopaedics · 2026Article
- 10-year trends in benzodiazepine, opioid, and concurrent use in hip and knee arthroplasty: a nationwide cohort study from the Netherlands.Acta orthopaedica · 2025Article
- IMPACT OF COVID-19 ON HAND AND WRIST ORTHOPEDIC SURGERIES IN A PRIVATE SERVICE.Acta ortopedica brasileira · 2025Article
- The Effectiveness of Preoperative Outpatient and Home Rehabilitation and the Impact on the Results of Hip Arthroplasty: Introductory Report.Healthcare (Basel, Switzerland) · 2024Article
- Retrospective Analysis of Nosocomial SARS-CoV-2 Infections in Orthopedic and Traumatological Inpatients.Healthcare (Basel, Switzerland) · 2023Article
- Delay of total joint replacement is associated with a higher 90-day revision rate and increased postoperative complications.Archives of orthopaedic and trauma surgery · 2023Article
- An Increase in Same-day Discharge After Total Joint Arthroplasty During the COVID-19 Pandemic Does Not Influence Patient Outcomes: A Retrospective Cohort Analysis.Arthroplasty today · 2023Article
- An Investigation for Future Practice of Elective Hip and Knee Arthroplasties during COVID-19 in Romania.Medicina (Kaunas, Lithuania) · 2023Article
- Milder impact of the COVID-19 pandemic on the practice of orthopaedic surgery in Greece and Cyprus than other European countries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The impact of restricted provision of publicly funded elective hip and knee joints replacement during the COVID-19 pandemic in England.PloS one · 2023Article
- Consequences of COVID-19 Pandemic on Orthopedic Residents' Clinical and Academic Performance, and the Subsequent Impact on Their Mental Status in Saudi Arabia.Advances in medical education and practice · 2023Article
- No time to waste; the impact of the COVID-19 pandemic on hip, knee, and shoulder arthroplasty surgeries in the Netherlands and Denmark.Bone & joint open · 2022Article
- The Impact of COVID-19 on the Orthopaedic Patient in Slovenia: Hip and Knee Replacement Surgery, 90-Day Mortality, Outpatient Visits and Waiting Times.Zdravstveno varstvo · 2022Article
- Both younger and elderly patients in pain are willing to undergo knee replacement despite the COVID-19 pandemic: a study on surgical waiting lists.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Impact of first UK COVID-19 lockdown on hospital admissions: Interrupted time series study of 32 million people.EClinicalMedicine · 2022Article
- The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future.The Indian journal of surgery · 2022Article
- Effect of Institution and COVID-19 on Access to Adult Arthroplasty Surgery.Arthroplasty today · 2022Article
- An international consensus for mitigation of the detrimental effects of the COVID-19 pandemic on laparoscopic training.PloS one · 2022Article
- Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study.Journal of clinical medicine · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of the present study was to evaluate the impact of the coronavirus (COVID-19) pandemic on joint arthroplasty service in Europe by conducting an online survey of arthroplasty surgeons.
methodsThe survey was conducted in the European Hip Society (EHS) and the European Knee Associates (EKA). The survey consisted of 20 questions (single, multiple choice, ranked). Four topics were addressed: (1) origin and surgical experience of the participant (four questions); (2) potential disruption of arthroplasty surgeries (12 questions); (3) influence of the COVID-19 pandemic on the particular arthroplasty surgeon (four questions); (4) a matrix provided 14 different arthroplasty surgeries and the participant was asked to state whether dedicated surgery was stopped, delayed or cancelled.
resultsTwo-hundred and seventy-two surgeons (217 EHS, 55 EKA) from 40 different countries participated. Of the respondents, 25.7% stated that all surgeries were cancelled in their departments, while 68.4% responded that elective inpatient procedures were no longer being performed. With regard to the specific surgical procedures, nearly all primary TJA were cancelled (92.6%) as well as aseptic revisions (94.7%). In most hospitals, periprosthetic fractures (87.2%), hip arthroplasty for femoral neck fractures and septic revisions for acute infections (75.8%) were still being performed.
conclusionDuring the current 2020 COVID-19 pandemic, we are experiencing a near-total shutdown of TJA. A massive cutback was observed for primary TJA and revision TJA, even in massively failed TJA with collapse, dislocation, component failure or imminent dislocation. Only life-threatening pathologies like periprosthetic fractures and acute septic TJA are currently undergoing surgical treatment. LEVEL OF EVIDENCE: V.
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