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Table 2 priority class for elective pediatric orthopedic surgery

From: Recommendations from the Italian Society of Pediatric Orthopaedics and Traumatology for the management of pediatric orthopaedic patients during the COVID19 pandemic and post-pandemic period in Italy

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.