Table II.
Suggested targets for orthopaedic procedures in the Federation of Surgical Specialty Associations clinical guide to surgical prioritization during the coronavirus pandemic.18
| Priority | Procedures | |||||
|---|---|---|---|---|---|---|
| Priority 2 (surgery within 1 month) |
Spinal surgery for degenerative conditions with progressive neurology or neurological deficit |
Knee extensor disruption | Locked joints | Peripheral nerve decompression: with pain/weakness/ muscle wasting, not responding to conservative treatment |
Arthroplasty where delay will prejudice outcome | |
| Priority 3 (surgery within 3 months) |
Hip avascular necrosis with night pain/collapse of the joint/loss of mobility Recurrent prosthetic joint instability |
Frozen shoulder: severe and not responding to conservative treatment |
Tendon reconstruction or repair | Revision surgery Implant loosening without impending fracture |
Locked knee Anterior cruciate ligament and other tendon reconstructions |
Spinal surgery, injection or decompressive surgery for intractable radiculopathy |
| Priority 4 (surgery to wait more than 3 months) |
Arthroplasty/arthrodesis, where delay will not prejudice outcome) |
Hand and upper limb surgery, where not otherwise specified |
Metalwork removal | Degenerative spinal disease withoutneurological compromise or refractory pain | ||