{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:46:39Z","timestamp":1755798399261,"version":"3.44.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>COVID\u201019 affected access to healthcare. Victoria, Australia was heavily affected. Hospitals deferred non\u2010urgent operations and preserved health resources to manage people with COVID\u201019. Elective orthopaedic surgery was directly impacted. This study investigated changes to orthopaedic procedures and the elective surgery waitlist during the COVID\u201019 at a large regional health service in Victoria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were acquired from University Hospital Geelong, a publicly funded regional health service in Victoria, Australia. Orthopaedic surgeries and waitlist numbers were collated for financial years ending (FYE) 2020\u20132023. Procedures were displayed as total, planned and unplanned (i.e., trauma).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From FYE 2020 to 2023 there was 8244 orthopaedic surgery cases with 8850 procedures. Planned joint replacements of knee, hip and shoulder decreased collectively by 19% in FYE 2022 and increased by 66% in FYE 2023. Waiting lists rose from 247 in FYE 2020 and peaked at 786 in FYE 2022, before falling to 390 in FYE 2023. The number of fractured neck of femur procedures were consistent each year (average 152\/year), while ankle and wrist fractures declined by 55% and 43% during FYE 2022 and increased in FYE 2023 by 106% and 159% respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Changes to planned orthopaedic procedures and waitlists in a regional centre were evident throughout the pandemic. These results can help to inform strategies to optimize the provision of orthopaedic surgery during future major disruptive events.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.70007","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T05:20:12Z","timestamp":1738560012000},"page":"544-548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Locked down: Orthopaedic surgery in a regional health service during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7949-2629","authenticated-orcid":false,"given":"Thomas","family":"Page","sequence":"first","affiliation":[{"name":"Orthopaedic Department of University Hospital Geelong Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1233-6754","authenticated-orcid":false,"given":"Margaret","family":"Rogers","sequence":"additional","affiliation":[{"name":"Surgical &amp; Critical Care Directorate Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Eng","sequence":"additional","affiliation":[{"name":"Orthopaedic Department of University Hospital Geelong Barwon Health  Geelong Victoria Australia"},{"name":"Barwon Centre for Orthopaedic Research and Education (BCORE) Deakin University, St John of God Hospital Geelong and Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Porter","sequence":"additional","affiliation":[{"name":"Orthopaedic Department of University Hospital Geelong Barwon Health  Geelong Victoria Australia"},{"name":"Barwon Centre for Orthopaedic Research and Education (BCORE) Deakin University, St John of God Hospital Geelong and Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8722-0572","authenticated-orcid":false,"given":"Stephen D.","family":"Gill","sequence":"additional","affiliation":[{"name":"Orthopaedic Department of University Hospital Geelong Barwon Health  Geelong Victoria Australia"},{"name":"Barwon Centre for Orthopaedic Research and Education (BCORE) Deakin University, St John of God Hospital Geelong and Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard S.","family":"Page","sequence":"additional","affiliation":[{"name":"Orthopaedic Department of University Hospital Geelong Barwon Health  Geelong Victoria Australia"},{"name":"Barwon Centre for Orthopaedic Research and Education (BCORE) Deakin University, St John of God Hospital Geelong and Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1511"},{"key":"e_1_2_8_3_1","unstructured":"AIHW.Osteoarthritis: Austrlian Institute of Health and Welfare;2023. Available from URL:https:\/\/www.aihw.gov.au\/reports\/chronic-musculoskeletal-conditions\/osteoarthritis."},{"key":"e_1_2_8_4_1","unstructured":"AOANJRR.AOANJRR. Hip Knee & Shoulder Arthroplasty: 2020 Annual Report. AOA: Adelaide South Australia;2020."},{"volume-title":"Injury","year":"2018","author":"AIHW","key":"e_1_2_8_5_1"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17343"},{"key":"e_1_2_8_7_1","unstructured":"Geelong Cf.Committee for Geelong Priorities \u2013 2022\u201023. Committee for Geelong;2022. Available from URL:www.committeeforgeelong.com.au"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-054919","article-title":"Impact of COVID\u201019 on acute trauma and orthopaedic referrals and surgery in the UK during the first wave of the pandemic: a multicentre observational study from the COVid emergency\u2010related trauma and orthopaedics (COVERT) collaborative","volume":"12","author":"Kapil S","year":"2022","journal-title":"BMJ Open"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.12386"},{"key":"e_1_2_8_10_1","unstructured":"KnowltonC.A timeline of Covid\u201019 in Australia two years on [WebPage]. TimeOut: TimeOut;2022[Updated 19 Feb. 2023. The first Covid\u201019 case was detected in Australia on January 25 2020. What have we learnt since then?]. Available from URL:https:\/\/www.timeout.com\/melbourne\/things-to-do\/a-timeline-of-covid-19-in-australia-two-years-on."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16207"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18311"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/jhmhp-23-16"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2022.103423"},{"volume-title":"Ankle Fractures","year":"2023","author":"Wire J","key":"e_1_2_8_15_1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06023-3"},{"volume-title":"Femoral Neck Fractures","year":"2023","author":"Kazley J","key":"e_1_2_8_18_1"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226605"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.34972"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_35_18"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.00601"},{"volume-title":"Hip, knee and shoulder arthroplasty: 2023 Annual Report","year":"2023","author":"Page RSCA","key":"e_1_2_8_23_1"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T07:24:38Z","timestamp":1755588278000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/ans.70007"],"URL":"https:\/\/doi.org\/10.1111\/ans.70007","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2025,2,3]]},"assertion":[{"value":"2024-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}