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Open Access

Editorial

A solid and strong beginning



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Cite this article: Bone Jt Open 2020;1-12:749–750.

Since launch, our lives and working practices have been shaken severely by the COVID-19 pandemic. Our working practices have evolved to become more virtual, and our research has also changed. Many of us have had the opportunity to reflect on our previous work and reignite projects that may have stagnated, and to write up and interrogate data sets and materials that we may not have had the time to consider carefully before. On the other hand, we have had to interrupt recruitment into extremely important studies and limit our access to laboratories and radiology, with other clinical evaluation techniques also curtailed by the impact of various lockdowns and restrictions.

Despite all these changes, Bone & Joint Open has had a tremendous start. We have published well over 100 papers so far, have been accepted into PubMed Central, and are indexed in PubMed and the Directory of Open Access Journals. It appears that Bone & Joint Open has gained popularity in terms of submissions and its online following far more quickly than we would have dared predict. It has become an outstanding repository for protocols and pilot studies,1-4 for the rapid open publication of COVID-19-related studies,5-8 and an area where methodologically sound work that does not fit into The Bone & Joint Journal can be redirected.9-11

We are grateful to all our authors and readers for having supported us, and it is heartening to reflect on the excellent quality of some of the material in Bone & Joint Open. We were particularly pleased that we were able to publish a number of protocols, and hope that we will see more randomized controlled studies and meta-analyses in trauma and orthopaedics, and that these will all be appropriately registered and have their protocols published in Bone & Joint Open.

Multiple aspects of infection prevention, orthopaedic, and trauma care and training and research have been considered at various times this year.12-16 Our changing practice in relation to COVID-19 has been chronicled month-by-month, from the shutdown of services17-20 through to the introduction of telemedicine and remote working,21,22 and onto a careful reintroduction of elective surgery and the ongoing impact of COVID-19.23-25

At the same time, a number of innovations and future directions have been profiled during 2020. I would highlight in particular MacDessi et al’s26 paper on the arithmetic hip-knee-ankle angle, and the work of Verstraete et al27 on the application of machine learning to balance total knee arthroplasty.

I have no doubt that Bone & Joint Open will continue to go from strength-to-strength next year. We are also pleased that Alex Liddle has now joined as a Speciality Editor, who will help to streamline and improve our workflows.

We welcome you to submit directly to Bone & Joint Open and will, of course, also invite authors who have submitted methodologically sound work that cannot be fitted into The Bone & Joint Journal. We are particularly keen to see more protocols, pilot studies, and high-quality systematic reviews to enhance our offering to readers.

Thank you for your support during 2020, and we look forward to continued growth and excellence in 2021.


Correspondence should be sent to Fares S Haddad. E-mail:

References

1. Makaram NS , Murray IR , Rodeo SA , et al. The use of biologics in professional and Olympic sport: a scoping review protocol . Bone Jt Open . 2020 ; 1 ( 11 ): 715 719 . Crossref PubMed Google Scholar

2. Achten J , Knight R , Dutton SJ , et al. A multicentre prospective randomized equivalence trial of a soft bandage and immediate discharge versus current treatment with rigid immobilization for torus fractures of the distal radius in children: protocol for the forearm fracture recovery in children evaluation (force) trial . Bone Jt Open . 2020 ; 1 ( 6 ): 214 221 . Crossref PubMed Google Scholar

3. Perry DC , Arch B , Appelbe D , Francis P , Spowart C , Knight M . A protocol for a nationwide multicentre, prospective surveillance cohort and nested-consented cohort to determine the incidence and clinical outcomes of slipped capital femoral epiphysis . Bone Jt Open . 2020 ; 1 ( 3 ): 35 40 . Crossref PubMed Google Scholar

4. Aarvold A , Lohre R , Chhina H , Mulpuri K , Cooper A . Dynamic deformation of the femoral head occurs on weightbearing in Legg-Calves-Perthes disease: a translational pilot study . Bone Jt Open . 2020 ; 1 ( 7 ): 364 369 . Crossref PubMed Google Scholar

5. Dayananda KSS , Mercer ST , Agarwal R , Yasin T , Trickett RW . A comparative review of 1,004 orthopaedic trauma patients before and during the COVID-19 pandemic . Bone Jt Open . 2020 ; 1 ( 8 ): 568 575 . Crossref PubMed Google Scholar

6. Ajayi B , Trompeter A , Arnander M , Sedgwick P , Lui DF . 40 days and 40 nights: clinical characteristics of major trauma and orthopaedic injury comparing the incubation and lockdown phases of COVID-19 infection . Bone Jt Open . 2020 ; 1 ( 7 ): 330 338 . Crossref PubMed Google Scholar

7. Stoneham ACS , Apostolides M , Bennett PM , et al. Early outcomes of patients undergoing total hip arthroplasty for trauma during COVID-19 . Bone Jt Open . 2020 ; 1 ( 7 ): 438 442 . Crossref PubMed Google Scholar

8. Karayiannis PN , Roberts V , Cassidy R , et al. 30-Day mortality following trauma and orthopaedic surgery during the peak of the COVID-19 pandemic: a multicentre regional analysis of 484 patients . Bone Jt Open . 2020 ; 1 ( 7 ): 392 397 . Crossref PubMed Google Scholar

9. Terjesen T , Horn J . Management of late-detected DDH in children under three years of age: 49 children with follow-up to skeletal maturity . Bone Jt Open . 2020 ; 1 ( 4 ): 55 63 . Crossref PubMed Google Scholar

10. Kalstad AM , Knobloch RG , Finsen V . The treatment of coccydynia in adolescents: a case-control study . Bone Jt Open . 2020 ; 1 ( 5 ): 115 120 . Crossref PubMed Google Scholar

11. Ekeland A , Nerhus TK , Dimmen S , Heir S . Better functional results of opening wedge HTO for varus knees with medial osteoarthritis than opening wedge LFO for valgus knees with lateral osteoarthritis . Bone Jt Open . 2020 ; 1 ( 7 ): 346 354 . Crossref PubMed Google Scholar

12. Ooms AG , Png ME , Cook JA , Dritsaki M , Dakin HA , Costa ML . Statistical and health economic analysis plan for a randomized controlled trial of surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: DRAFFT2 . Bone Jt Open . 2020 ; 1 ( 6 ): 245 252 . Crossref PubMed Google Scholar

13. Marson BA , Craxford S , Deshmukh SR , Grindlay D , Manning J , Ollivere BJ . Outcomes reported in trials of childhood fractures: a systematic review . Bone Jt Open . 2020 ; 1 ( 5 ): 167 174 . Crossref PubMed Google Scholar

14. Gill JR , Vermuyten L , Schenk SA , Ong JCY , Schenk W . Olecranon fixation with two bicortical screws . Bone Jt Open . 2020 ; 1 ( 7 ): 376 382 . Crossref PubMed Google Scholar

15. James HK , Pattison GTR , Griffin J , Fisher JD , Griffin DR . Assessment of technical skill in hip fracture surgery using the postoperative radiograph: pilot development and validation of a final product analysis core outcome set . Bone Jt Open . 2020 ; 1 ( 9 ): 594 604 . Crossref PubMed Google Scholar

16. Garner MR , Warner SJ , Heiner JA , Kim YT , Agel J . Soft tissue management in open tibial shaft fractures: a comparison of institutional preferences and resultant early clinical outcomes . Bone Jt Open . 2020 ; 1 ( 8 ): 481 487 . Crossref PubMed Google Scholar

17. Atia F , Pocnetz S , Selby A , Russell P , Bainbridge C , Johnson N . The effect of the COVID-19 lockdown on hand trauma surgery utilization . Bone Jt Open . 2020 ; 1 ( 10 ): 639 643 . Crossref PubMed Google Scholar

18. Hampton M , Clark M , Baxter I , et al. The effects of a UK lockdown on orthopaedic trauma admissions and surgical cases: a multicentre comparative study . Bone Jt Open . 2020 ; 1 ( 5 ): 137 143 . Crossref PubMed Google Scholar

19. Wallace CN , Kontoghiorghe C , Kayani B , Chang JS , Haddad FS . The impact of COVID-19 on trauma and orthopaedic surgery in the United Kingdom . Bone Jt Open . 2020 ; 1 ( 7 ): 420 423 . Crossref PubMed Google Scholar

20. MacDonald DRW , Neilly DW , Davies PSE , et al. Effects of the COVID-19 lockdown on orthopaedic trauma: a multicentre study across Scotland . Bone Jt Open . 2020 ; 1 ( 9 ): 541 548 . Crossref PubMed Google Scholar

21. SHS L , Tang CQY , King D , Emara AK , MK N . Telemedicine and COVID-19: beyond just virtual consultations - the Singapore experience Transformation from a traditional model to a virtual model of care in orthopaedic surgery: COVID-19 experience and beyond. . Bone Jt Open . 2020 ; 1 ( 6 ): 272 280 . Google Scholar

22. Clement ND , Oussedik S , Raza KI , Patton RFL , Smith K , Deehan DJ . The rate of patient deferral and barriers to going forward with elective orthopaedic surgery during the COVID-19 pandemic . Bone Jt Open . 2020 ; 1 ( 10 ): 663 668 . Crossref PubMed Google Scholar

23. Zahra W , Dixon JW , Mirtorabi N , et al. Safety evaluation of a strategy to restart elective orthopaedic surgery during the de-escalation phase of the COVID-19 pandemic . Bone Jt Open . 2020 ; 1 ( 8 ): 450 456 . Crossref PubMed Google Scholar

24. Clough TM , Shah N , Divecha H , Talwalkar S . COVID-19 consent and return to elective orthopaedic surgery: allowing a true patient choice? Bone Jt Open . 2020 ; 1 ( 9 ): 556 561 . Crossref PubMed Google Scholar

25. Lazizi M , Marusza CJ , Sexton SA , Middleton RG . 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 . Bone Jt Open . 2020 ; 1 ( 6 ): 229 235 . Crossref PubMed Google Scholar

26. MacDessi SJ , Griffiths-Jones W , Harris IA , Bellemans J , Chen DB 2. The arithmetic HKA (aHKA) predicts the constitutional alignment of the arthritic knee compared to the normal contralateral knee: : a matched-pairs radiographic study. Bone Jt Open. 2020;1(7):339345 Google Scholar

27. Verstraete MA , Moore RE , Roche M , Conditt MA . The application of machine learning to balance a total knee arthroplasty . Bone Jt Open . 2020 ; 1 ( 6 ): 236 244 . Crossref PubMed Google Scholar

Funding statement

No benefits have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

ICMJE COI statement

F. S. Haddad reports editorial board membership by The Bone & Joint Journal and the Annals of the Royal College Of Surgeons, consultancy and royalties from Smith & Nephew, Corin, MatOrtho, and Stryker, and payment for lectures from Smith & Nephew and Stryker, all of which are unrelated to this article.

© 2020 Author(s) et al. This is an open-access article distributed under the terms of the Creative Commons Attributions licence (CC-BY-NC-ND), which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.