The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war

Francesco Benazzo, Stefano Marco Paolo Rossi, Pietro Maniscalco, Biagio Moretti, Enrico Vaienti, Pietro Ruggieri, Alessandro Massè, Antonio Medici, Alessandro Formica, Bruno Di Maggio, Vincenzo Caiaffa, Mario Mosconi, Luigi Murena, Fabio D’Angelo, Alberto Belluati, Emilio Luigi Mazza, Fabrizio Rivera, Alberto Castelli, Matteo Ghiara, Marco RosolaniRaffaele Cioffi, Raffaele Pezzella, Gabriele Scaravilli, Giovanni Bove, Placido Stissi, Michael Mazzacane, Fabrizio Quattrini, Corrado Ciatti, Giulia Trovarelli, Elisa Pala, Andrea Angelini, Francesco Sanna, Daniela Nonne, Andrea Colombelli, Filippo Raggini, Agnese Puzzo, Gianluca Canton, Guido Maritan, Angela Iuliano, Pietro Randelli, Giuseppe Solarino, Lorenzo Moretti, Giovanni Vicenti, Nunzia Garofalo, Vittorio Nappi, Simone Ripanti, Carmela Chinni, Francesco Pogliacomi, Alberto Visigalli, Loris Perticarini

Research output: Contribution to journalArticlepeer-review


Background: From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals’ organisation throughout Italy dramatically changed. Methods: The CIO (Club Italiano dell’Osteosintesi) is an Italian society devoted to the study of traumatology that counts members spread in public and private hospitals throughout the country. Fifteen members of the CIO, Chairmen of 15 Orthopaedic and Trauma Units of level 1 or 2 trauma centres in Italy, have been involved in the study. They were asked to record data about surgical, outpatients clinics and ER activity from the 23rd of February to the 4th of April 2020. The data collected were compared with the data of the same timeframe of the previous year (2019). Results: Comparing with last year, overall outpatient activity reduced up to 75%, overall Emergency Room (ER) trauma consultations up to 71%, elective surgical activity reduced up to 100% within two weeks and trauma surgery excluding femoral neck fractures up to 50%. The surgical treatment of femoral neck fractures showed a stable reduction from 15 to 20% without a significant variation during the timeframe. Conclusions: Covid-19 outbreak showed a tremendous impact on all orthopaedic trauma activities throughout the country except for the surgical treatment of femoral neck fractures, which, although reduced, did not change in percentage within the analysed timeframe.

Original languageEnglish
Pages (from-to)1453
Number of pages1459
JournalInternational Orthopaedics
Publication statusPublished - Aug 1 2020


  • Covid-19
  • Orthopaedics
  • Outbreak
  • Pandemic
  • Traumatology

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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