Seewoonarain Sheena, Babu Satish, Sangoi Dhrumin, Avasthi Adhish, Ricketts David
East Kent University NHS Foundation Trust.
Frimley Health NHS Foundation Trust.
Pediatr Qual Saf. 2019 Nov 25;4(6):e202. doi: 10.1097/pq9.0000000000000202. eCollection 2019 Nov-Dec.
Torus fractures of the distal radius are both a common pediatric forearm fracture and a common source of referral to orthopedic departments. Management of these injuries has moved away from traditional casting methods to using splints and softcasts.
With the recent introduction of a virtual fracture clinic (VFC), we sought to improve our compliance with guidelines while ensuring all patients undergo review in the clinic.
We audited the management of patients before and after the introduction of the VFC with new management protocols for torus fracture patients.
There was a 51% decrease in patients managed using plaster of Paris with 5% treated with a softcast and 59% using a splint.
Using the VFC can improve the management of patients with torus fractures and provide a cost-saving and a more positive experience for patients.
桡骨远端骨皮质增厚骨折既是儿童常见的前臂骨折,也是骨科转诊的常见原因。这些损伤的治疗方法已从传统的石膏固定转变为使用夹板和软性石膏。
随着虚拟骨折诊所(VFC)的近期引入,我们试图提高对指南的依从性,同时确保所有患者在诊所接受复查。
我们采用针对骨皮质增厚骨折患者的新管理方案,对引入VFC前后的患者管理情况进行了审核。
使用巴黎石膏治疗的患者减少了51%,5%的患者使用软性石膏治疗,59%的患者使用夹板治疗。
使用VFC可以改善骨皮质增厚骨折患者的管理,并为患者节省费用,带来更积极的体验。