Table 2 priority class for elective pediatric orthopedic surgery
Priority | A | B | C | D |
|---|---|---|---|---|
Type of surgery | • Surgery for malignant or aggressive bone and soft tissue tumors. • Biopsies for suspected malignancies. • Septic arthritis requiring arthroscopic lavage/sampling/evacuation. • Slipped capital femoral epiphysis. • Misdiagnosed, neglected fractures or fractures displaced at follow-up. • Hardware-related complications (infection, migration…). • Nerve injuries or compression with recent onset palsy not responding to nonoperative treatments. • Locked knee, bucket handle meniscal tear, loose bodies, OCD fragments. | • Staple or guided growth hardware removal in case of overcorrection. • Ponseti method for CTEV in older newborns (3–6 months). • Closed/open reduction and cast for CDH in older newborns (3–6 months). | • Minimally invasive surgery (percutaneous tenotomies, subtalar arthroereisis). • Arthroscopic procedures. • Procedures that should be done at a definite range of age (for example epiphysiodesis and hemiepiphysiodesis at transitional age, treatments for congenital knee or foot and ankle dislocation, before start walking). | • Surgical treatments in skeletally mature children. • Limb lengthening procedures. • Osteotomies of pelvis and long bones. • Arthrodesis. • Spinal surgery for scoliosis. |