{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:44Z","timestamp":1787755604965,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2020,2,19]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:p>Musculoskeletal disorders and injuries represent a substantial proportion of the global burden of disease. This burden is particularly prevalent in low and middle-income countries that already have insufficient health-care resources. The purpose of this paper is to highlight the vision, the history, the implementation, and the challenges in establishing an orthopaedic surgical mission in a developing nation to help address the epidemic of musculoskeletal trauma.<\/jats:p>\n                  <jats:p>Scalpel At The Cross (SATC) is a nonprofit Christian orthopaedic surgical mission organization that sends teams of 10 to 20 members to Pucallpa, Peru, a rural town in the Amazon, to evaluate patients with musculoskeletal conditions, many that require surgery. The organization employs 4 full-time staff members and has included over 400 medical volunteers in 32 surgical campaigns since 2005. SATC has provided approximately 8.1 million U.S. dollars in total medical care, while investing approximately 2.2 million U.S. dollars in implementation and overhead.<\/jats:p>\n                  <jats:p>Given the projected increase in trauma in low and middle-income countries, the SATC model may be increasingly relevant as a possible blueprint for other medical professionals to take on similar endeavors. This paper also highlights the importance of continued research into the effectiveness of various organizational models to advance surgical services in these countries.<\/jats:p>","DOI":"10.2106\/jbjs.19.00813","type":"journal-article","created":{"date-parts":[[2019,12,13]],"date-time":"2019-12-13T09:44:21Z","timestamp":1576230261000},"page":"e13","source":"Crossref","is-referenced-by-count":2,"title":["The Development of a Surgical Mission in the Peruvian Amazon"],"prefix":"10.2106","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9802-290X","authenticated-orcid":false,"given":"Bradley A.","family":"Lezak","sequence":"first","affiliation":[{"name":"Miller School of Medicine, University of Miami, Miami, Florida"},{"name":"University of Miami, Coral Gables, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5877-2906","authenticated-orcid":false,"given":"Peter A.","family":"Cole","sequence":"additional","affiliation":[{"name":"University of Miami, Coral Gables, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4013-9969","authenticated-orcid":false,"given":"Lisa K.","family":"Schroder","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"},{"name":"HealthPartners Orthopaedics & Sports Medicine, Bloomington, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6217-5103","authenticated-orcid":false,"given":"Peter A.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"},{"name":"HealthPartners Orthopaedics & Sports Medicine, Bloomington, Minnesota"},{"name":"Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,12,13]]},"reference":[{"issue":"9859","key":"bib1-20230810","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1016\/S0140-6736(12)61689-4","article-title":"Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Murray","year":"2012","journal-title":"Lancet."},{"issue":"8","key":"bib3-20230810","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.2106\/00004623-200408000-00029","article-title":"The burden of orthopaedic disease in developing countries","volume":"86","author":"Beveridge","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"Suppl 7","key":"bib4-20230810","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.1097\/BOT.0000000000001293","article-title":"Orthopaedic trauma in the developing world: where are the gaps in research and what can be done?","volume":"32","author":"Challa","year":"2018","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s10393-004-0069-7","article-title":"Improving health in Ucayali, Peru: a multisector and multilevel analysis","volume":"2","author":"Goy","year":"2005","journal-title":"EcoHealth."},{"issue":"3","key":"bib10-20230810","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/00005373-199909000-00027","article-title":"Financial burden of trauma care on a university hospital in a developing country","volume":"47","author":"Kaya","year":"1999","journal-title":"J Trauma."},{"issue":"7","key":"bib11-20230810","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.2106\/JBJS.17.00439","article-title":"The socioeconomic implications of isolated tibial and femoral fractures from road traffic injuries in Uganda","volume":"100","author":"O\u2019Hara","year":"2018","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib12-20230810","doi-asserted-by":"crossref","first-page":"226","DOI":"10.2106\/JBJS.O.00087","article-title":"A patient follow-up program for short-term surgical mission trips to a developing country","volume":"98","author":"Torchia","year":"2016","journal-title":"J Bone Joint Surg Am."},{"issue":"9390","key":"bib14-20230810","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/S0140-6736(03)14501-1","article-title":"WHO acts on road safety to reverse accident trends. 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