标准化虚拟骨折门诊管理跟腱断裂是安全且可重现的。
Standardised virtual fracture clinic management of Achilles tendon ruptures is safe and reproducible.
机构信息
Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.
Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.
出版信息
Foot Ankle Surg. 2019 Dec;25(6):782-784. doi: 10.1016/j.fas.2018.10.010. Epub 2018 Nov 10.
BACKGROUND
Traditional fracture clinics are some of the busiest clinics in a hospital, often with significant patient waiting times and delays. The use of virtual fracture clinic (VFC) for the management of certain injuries to reduce the workload on the traditional fracture clinic, in addition to reducing costs is growing in popularity. The tendoachilles is the most frequently ruptured tendon in the body but despite this, management remains a keenly debated topic.
METHODS
All adult patients referred to the VFC with an actual or suspected Achilles tendon rupture were identified between January 2015 to October 2017.
RESULTS
This study found that patient with and acute achilles tendon ruptures managed according to a standardised VFC protocol had a re-rupture rate of 3.82%.
CONCLUSIONS
One of the advantages of a VFC model that is standardised, initiated in the ED, is that it has no variation in outcome seen in our patient group.
背景
传统的骨折门诊是医院最繁忙的科室之一，患者往往需要长时间等待，导致延误治疗。为了减轻传统骨折门诊的工作量并降低成本，越来越多的人开始采用虚拟骨折门诊（VFC）来管理某些类型的骨折。跟腱是人体最常发生断裂的肌腱，但尽管如此，其治疗方法仍然是一个备受争议的话题。
方法
本研究于 2015 年 1 月至 2017 年 10 月期间，对在 VFC 就诊的所有疑似或确诊的急性跟腱断裂患者进行了回顾性分析。
结果
研究发现，根据标准化的 VFC 方案治疗的急性跟腱断裂患者的再断裂率为 3.82%。
结论
在 ED 启动的标准化 VFC 模型的优势之一是，它可以避免我们的患者群体中出现治疗结果的差异。
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