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Open Access

Editorial

Looking ahead to 2021



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As we start 2021 and hope that the problems that afflicted all of us in 2020 are now behind us, we welcome you to a new year and a new edition of Bone & Joint Open.

Bone & Joint Open is now well established as a PubMed-indexed gold open access journal within the Bone & Joint publishing family. With the support of our executive and publishing team, we have carefully kept the article processing charge (APC) as low as possible in order to allow access to open publication to as many people as possible. We therefore encourage the direct submission of your work to Bone & Joint Open; we will also direct you and your work to the journal if it is considered methodologically sound and relevant but not suitable for inclusion in The Bone & Joint Journal, which has been overwhelmed with submissions.

We hope that Bone & Joint Open will soon be recognized for the high methodological quality and rigour of the published work, and that the protocols, pilot studies, reviews, and preliminary articles will be seen as the stepping stone to the larger studies that will change trauma and orthopaedic practice worldwide.

In this issue of Bone & Joint Open, we highlight a remarkable set of complications seen in Argentina after anterior cruciate ligament reconstruction.1 This series of 21 cases demonstrates a devastating outcome for a set of patients undergoing what we would normally regard as routine outpatient surgery.

2020 and the COVID-19 pandemic have reminded us not to take anything for granted.2-9 The pathway that our patients go through demands that technology work at every level, that facilities are clean and infection-free, and that we have the resources and capabilities to deliver high-quality outcomes to them. During COVID-19, some unidentified failures in the system, particularly in relation to infection control and prevention, clearly led to awful outcomes for patients, and to a very necessary review of the equipment and procedures undertaken.

We also have a qualitative study of satisfaction after adult brachial plexus surgery.10 The lives of these patients are truly devastated, and understanding that impact and generating relevant research in this group demands a qualitative review of how these patients function.11,12 Likewise, tibial fractures and other major trauma leads to a significant impact on patients’ quality of life and function, and detailing that will generate important inputs for future relevant studies.13-21

We will, of course, also continue to highlight COVID-19-related work as we learn more about the impact of the pandemic, and how we can come out of it with better processes and better function.22-26

We thank you all for your support and your commitment to our journals, and wish you a safe, happy and healthy 2021.


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

References

1. Costa-Paz M , Muscolo DL , Ayerza MA , et al. Mucormycosis osteomyelitis after anterior cruciate ligament reconstruction . Bone Jt Open . 2021 ; 2 ( 1 ): 3 9 . Crossref PubMed Google Scholar

2. Hall AJ , Clement ND , Farrow L , et al. IMPACT-Scot report on COVID-19 and hip fractures . Bone Joint J . 2020 ; 102-B ( 9 ): 1219 1228 . Crossref PubMed Google Scholar

3. Kayani B , Onochie E , Patil V , et al. The effects of COVID-19 on perioperative morbidity and mortality in patients with hip fractures . Bone Joint J . 2020 ; 102-B ( 9 ): 1136 1145 . Crossref PubMed Google Scholar

4. Giorgi PD , Villa F , Gallazzi E , et al. The management of emergency spinal surgery during the COVID-19 pandemic in Italy . Bone Joint J . 2020 ; 102-B ( 6 ): 671 676 . Crossref PubMed Google Scholar

5. Clement ND , Hall AJ , Makaram NS , et al. IMPACT-Restart: the influence of COVID-19 on postoperative mortality and risk factors associated with SARS-CoV-2 infection after orthopaedic and trauma surgery . Bone Joint J . 2020 ; 102-B ( 12 ): 1774 1781 . Crossref PubMed Google Scholar

6. Minhas Z , Ganau M , Thakar C , et al. COVID-19: new challenges, risks, and the future provision of care in spinal services . Bone Joint J . 2020 ; 102-B ( 6 ): 655 657 . Crossref PubMed Google Scholar

7. 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 ; 102-B ( 9 ): 1256 1260 . Crossref PubMed Google Scholar

8. Oussedik S , Zagra L , Shin GY , D’Apolito R , Haddad FS . Reinstating elective orthopaedic surgery in the age of COVID-19 . Bone Joint J . 2020 ; 102-B ( 7 ): 807 810 . Crossref PubMed Google Scholar

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10. Dy CD , Brogan DM , Rolf L , Ray WZ , Wolfe SW , James AS . A qualitative study of life satisfaction surgery for adult traumatic brachial plexus injury . Bone Jt Open. 2021 ; 2 ( 1 ): 10 16 . Google Scholar

11. Wilcox M , Brown H , Johnson K , Sinisi M , Quick TJ . An assessment of fatigability following nerve transfer to reinnervate elbow flexor muscles . Bone Joint J . 2019 ; 101-B ( 7 ): 867 871 . Crossref PubMed Google Scholar

12. Alluri RK , Lightdale-Miric N , Meisel E , et al. Functional outcomes of tendon transfer for brachial plexus birth palsy using the Hoffer technique . Bone Joint J . 2020 ; 102-B ( 2 ): 246 253 . Crossref PubMed Google Scholar

13. Sprague S , Heels-Ansdell D , Bzovsky S , et al. Prognostic factors for predicting health related quality of life after intramedullary nailing of tibial fractures . Bone Jt Open. 2021 ; 2 ( 1 ): In press . Google Scholar

14. Ramoutar DN , Lefaivre K , Broekhuyse H , Guy P , O’Brien P . Mapping recovery in simple and complex tibial plateau fracture fixation . Bone Joint J . 2019 ; 101-B ( 8 ): 1009 1014 . Crossref PubMed Google Scholar

15. Catagni MA , Azzam W , Guerreschi F , et al. Trifocal versus bifocal bone transport in treatment of long segmental tibial bone defects . Bone Joint J . 2019 ; 101-B ( 2 ): 162 169 . Crossref PubMed Google Scholar

16. Rohilla R , Sharma PK , Wadhwani J , et al. Prospective randomized comparison of quality of regenerate in distraction osteogenesis of ring versus monolateral fixator in patients with infected nonunion of the tibia using digital radiographs and CT . Bone Joint J . 2019 ; 101-B ( 11 ): 1416 1422 . Crossref PubMed Google Scholar

17. Al-Hourani K , Stoddart M , Khan U , Riddick A , Kelly M . Orthoplastic reconstruction of type IIIB open tibial fractures retaining debrided devitalized cortical segments . Bone Joint J . 2019 ; 101-B ( 8 ): 1002 1008 . Crossref PubMed Google Scholar

18. Trickett RW , Mudge E , Price P , Pallister I . The development of a novel patient-derived recovery scale for open tibial fractures . Bone Joint J . 2020 ; 102-B ( 1 ): 17 25 . Crossref PubMed Google Scholar

19. Parikh S , Singh H , Devendra A , et al. The use of the Ganga Hospital score to predict the treatment and outcome of open fractures of the tibia . Bone Joint J . 2020 ; 102-B ( 1 ): 26 32 . Crossref PubMed Google Scholar

20. Gonzalez LJ , Hildebrandt K , Carlock K , Konda SR , Egol KA . Patient function continues to improve over the first five years following tibial plateau fracture managed by open reduction and internal fixation . Bone Joint J . 2020 ; 102-B ( 5 ): 632 637 . Crossref PubMed Google Scholar

21. Tahir M , Chaudhry EA , Zimri FK , et al. Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma . Bone Joint J . 2020 ; 102-B ( 7 ): 912 917 . Google Scholar

22. Little CP , Birks ME , Horwitz MD , Ng CY , Warwick D . COVID-19: a rethink of corticosteroid injection? Bone Jt Open . 2020 ; 1 ( 6 ): 253 256 . Crossref PubMed Google Scholar

23. Scott CEH , Holland G , Powell-Bowns MFR , et al. Population mobility and adult orthopaedic trauma services during the COVID-19 pandemic: fragility fracture provision remains a priority . Bone & Joint Open . 2020 ; 1 ( 6 ): 182 189 . Crossref PubMed Google Scholar

24. McKean D , Chung SL , Fairhead R , et al. Corticosteroid injections during the COVID-19 pandemic: experience from a UK centre . Bone Jt Open . 2020 ; 1 ( 9 ): 605 611 . Crossref PubMed Google Scholar

25. Fahy S , Moore J , Kelly M , Flannery O , Kenny P . Analysing the variation in volume and nature of trauma presentations during COVID-19 lockdown in Ireland . Bone Jt Open . 2020 ; 1 ( 6 ): 261 266 . Crossref PubMed Google Scholar

26. Chui K , Thakrar A , Shankar S . Evaluating the efficacy of a two-site (‘COVID-19’ and ‘COVID-19-free’) trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK . Bone Jt Open . 2020 ; 1 ( 6 ): 190 197 . Google Scholar

Funding statement

No benefits in any form 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 (including service on speakers’ bureaus) from Smith & Nephew and Stryker, all of which are unrelated to this article.

© 2021 Author(s) et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC-BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.