Hospital for Special Surgery, New York, NY, USA.
Foot Ankle Int. 2020 Aug;41(8):1017-1026. doi: 10.1177/1071100720941020. Epub 2020 Jul 8.
The COVID-19 pandemic has necessitated a rapid and drastic shift for clinicians and patients away from traditional in-person visits and toward internet-based virtual visits. The adoption of telehealth services is likely to persist in some capacity even as in-person visits resume, given the convenience and efficiency of telehealth consultations for patients and perhaps surgeons. A primary challenge of virtual visits, particularly in the field of orthopedic surgery, is the physical examination. However, for the foot and ankle, routine physical examination maneuvers can be completed virtually with little modification given proper patient instruction. We present a comprehensive virtual foot and ankle examination for telehealth visits, including instructions that can be provided to patients verbatim and a corresponding checklist for provider documentation. Level V, expert opinion.
COVID-19 大流行使得临床医生和患者必须迅速彻底地改变传统的面对面就诊方式，转而采用基于互联网的虚拟就诊。鉴于远程医疗咨询对患者（可能还有外科医生）的便利性和效率，即使恢复了面对面就诊，远程医疗服务的采用也可能会以某种形式持续存在。虚拟就诊的主要挑战，尤其是在骨科领域，是体格检查。但是，对于足部和踝关节，可以在适当的患者指导下，通过很少的修改即可在虚拟环境中完成常规体格检查操作。我们提出了一种全面的远程医疗足部和踝关节检查方法，包括可以逐字提供给患者的说明和供医生记录的相应清单。五级，专家意见。
