RT Journal
A1 Bernstein, Robert M.
A1 Cozen, Carol B.
A1 Watts, Hugh G.
A1 Hohl, William
T1 Mobile Pediatric Orthopaedic Education (MoPOEd)A Unique Program Teaching Sustainable Pediatric Orthopaedics in the Developing World
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2011
FD November 16
VO 93
IS 22
SP e134 1
OP 5
DO 10.2106/JBJS.J.01978
UL http://dx.doi.org/10.2106/JBJS.J.01978
AB 
Approximately 45% of the population of the developing world is under fifteen years of age1, yet many developing countries have little or no available health care for the treatment of bone, joint, and muscle problems in children. While the World Health Organization and other organizations focus on the eradication of human immunodeficiency virus (HIV), malaria, and other diseases2 through the development of vaccines and medications, little or no effort has been directed to diseases requiring surgical treatment, which according to one estimate account for 11% of the total global disease burden and a loss of 128 million disability-adjusted life years (DALYs)3. Weiser et al. estimated that approximately 234 million major surgical procedures are performed worldwide each year, yet the poorest one-third of the world's population undergoes only 3.5% of those procedures4. Gosselin and Heitto estimated that the cost of the surgical procedures performed at a district trauma hospital in Cambodia was $77.40 per DALY averted5. They noted that this was extremely cost-effective when compared with antiretroviral therapy ($350 to $500 per DALY averted).