INTRODUCTION AND

AIM: The Coronavirus pandemic represents one of the most massive health emergencies in the last century . Aim of the study is to evaluate the trend of E.R . accesses and orthopaedic events during the pandemic of Covid-19 . MATERIALS AND

METHODS: we retrospectively analysed all data related to patients admitted to the E.R . Department of the Hospital of Piacenza from August 26th 2019 to August 23rd 2020, splitting this period on February 23rd 2020 .

RESULTS: Our analysis shows a reduction of -18.0% in E.R . accesses . We calculated a growth of deaths in the E.R . equal to +220% . Our orthopaedic pathway recorded a drop of -26.8% . Traumas occurred at home increased (+19.1 %). We note an actual drop only on proximal femur fractures (weighted average of -17.7 %), while all the others underwent an increase .

DISCUSSION: The amount of E.R . accesses registered a drop -18.0%, while the pathway dedicated to emergency cases underwent an increase . The major complexity of clinical conditions influenced the number of hospitalizations and the fear of the infection increased hospitalization refusals . There has been a zeroing of school traumas, a reduction in sport, transfer home-work/work-home, work, roadside, injuries . Total amount of fractures strongly increase after the end of the lockdown .

CONCLUSION: our data confirmed the decrease of retirement houses, sports, works and roadsides traumas and a zeroing of schools ones, while those occurred inside domestic environment underwent a consistent raise . We noticed a reduction in femur fractures and significant spread of all fractures after the end of the lockdown.