Bone in the Time of Corona: Suggestions for Managing Pediatric Orthopaedics Conditions in a Resourcelimited Environment during the COVID-19 Pandemic

Document Type : CURRENT CONCEPTS REVIEW

Authors

1 1 Joint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran 2 Children’s Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA

2 Joint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran

Abstract

The outbreak of a novel coronavirus, referred to as coronavirus disease-19 (COVID-19), with its sentinel case in Wuhan,
China, in December 2019, has spread rapidly around the globe. On March 11, 2020, the World Health Organization
(WHO) declared COVID-19 a worldwide pandemic, which led to most countries implementing social distancing
protocols. Most non-essential medical practices have been halted to direct resources to the facilities caring for patients
with COVID infection. The pediatric orthopaedic practice is in a unique position, with the treatment of many conditions
being treated by pediatric orthopedists being non-emergent, but time-sensitive. We hereby review the current literature
and guidelines surrounding the practice change around the world and give recommendations regarding the practice of
pediatric orthopaedics during the COVID pandemic.
Level of evidence: V

Keywords

References

1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A
novel coronavirus from patients with pneumonia in
China, 2019. N Engl J Med. 2020; 382(8):727-33.
2. Chang D, Lin M, Wei L, Xie L, Zhu G, Dela Cruz CS, et
al. Epidemiologic and clinical characteristics of novel
coronavirus infections involving 13 patients outside
Wuhan, China. JAMA. 2020; In Press.
3. COVID‑19 coronavirus outbreak. Worldometer.
Available at: URL: https://www.worldometers.info/
coronavirus/; 2020.
4. Centers for Disease Control. Interim clinical guidance
for management of patients with confirmed
coronavirus disease 2019 (COVID-19). Washington,
D.C: U.S. Department of Health & Human Services;
2020.
5. Carlos WG, Dela Cruz CS, Cao B, Pasnick S, Jamil S.
Novel wuhan (2019-nCoV) coronavirus. Am J Respir
Crit Care Med. 2020; 201(4):P7-8.
6. Desai AN, Patel P. Stopping the spread of COVID-19.
JAMA. 2020; In Press.
7. Cai J, Sun W, Huang J, Gamber M, Wu J, He G. Indirect
virus transmission in cluster of COVID-19 cases,
Wenzhou, China, 2020. Emerg Infect Dis. 2020;
26(6):412.
8. Leung CC, Lam TH, Cheng KK. Mass masking in the
COVID-19 epidemic: people need guidance. Lancet.
2020; 395(10228):945.
9. Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ.
Rational use of face masks in the COVID-19 pandemic.
Lancet Respir Med. 2020; In Press.
10. Larsen D. Homemade cloth face masks to fight the
COVID19 pandemic; a call for mass public masking
with homemade cloth masks. Virginia: Center for
Open Science; 2020.
11. Hollander JE, Carr BG. Virtually perfect? telemedicine
for Covid-19. N Engl J Med. 2020; In Press.
12. Aslani N, Garavand A. The role of telemedicine to
control CoVID-19. Arch Clin Infect Dis. 2020; In Press.
13. Karol LA, Virostek D, Felton K, Wheeler L. Effect of
compliance counseling on brace use and success in
patients with adolescent idiopathic scoliosis. J Bone
Joint Surg Am. 2016; 98(1):9-14.
14. Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G.
Characteristics and early prognosis of COVID-19
infection in fracture patients. J Bone Joint Surg Am.
2020; In Press.
15. Suggestions for managing DDH in a resource-limited
environment during the COVID-19 pandemic:
international hip dysplasia institute. International
Hip Dysplasia Institute. Available at: URL: https://
hipdysplasia.org/news/latest-news/suggestions-formanaging-
ddh-in-a-resource-limited-environmentduring-
the-covid-19-pandemic/; 2020.
The Archives of Bone and Joint Surgery
Volume 8, Supplement 1
April 2020
Pages 231-234

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History

  • Receive Date: 09 April 2020
  • Revise Date: 12 April 2020
  • Accept Date: 12 April 2020
  • First Publish Date: 12 April 2020

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