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



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


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


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