Salentijn Dorien A, Willinge Gijs J A, Dijkgraaf Marcel G W, van Veen Ruben N
Amsterdam Public Health, Amsterdam, The Netherlands.
Department of Trauma Surgery, OLVG, Amsterdam, The Netherlands.
J Hand Surg Eur Vol. 2025 Feb;50(2):169-177. doi: 10.1177/17531934241268976. Epub 2024 Aug 21.
The aim of this before-and-after study was to evaluate the implementation of a virtual fracture clinic (VFC) on the time between injury and surgery in patients presenting with a phalangeal or metacarpal fracture and in need of semi-acute surgical treatment. Between 1 January and 30 September 2018 (pre-VFC) and in the same period in 2022 (VFC), 101 and 113 patients were included, respectively. Before VCF implementation, the time between injury and surgery was 8.9 days (95% confidence interval [CI]: 8.1 to 9.6), while after VCF implementation it was 7.6 days (95% CI: 7.0 to 8.3). In 2018, 7% of operations were unacceptably delayed beyond 14 days from injury, which was reduced to 5% in 2022, despite patient-presentation delays of up to 10 days. VFC implementation was associated with a reduction in time until semi-acute surgery for phalangeal or metacarpal fractures and improved the quality of semi-acute surgery planning. Level III.
这项前后对照研究的目的是评估虚拟骨折诊所（VFC）对需要半急性手术治疗的指骨或掌骨骨折患者从受伤到手术的时间的影响。在2018年1月1日至9月30日（VFC实施前）以及2022年同期（VFC实施后），分别纳入了101例和113例患者。在实施VFC之前，受伤到手术的时间为8.9天（95%置信区间[CI]：8.1至9.6），而在实施VFC之后，该时间为7.6天（95%CI：7.0至8.3）。2018年，7%的手术从受伤起延迟超过14天，这一比例在2022年降至5%，尽管患者就诊延迟长达10天。实施VFC与缩短指骨或掌骨骨折半急性手术的时间相关，并改善了半急性手术规划的质量。三级证据。
