Introducing a Virtual Fracture Clinic Increases Efficiency and Reduces Costs in Torus Fracture Management

Sheena Seewoonarain; Satish Babu; Dhrumin Sangoi; Adhish Avasthi; David Ricketts

doi:10.1097/pq9.0000000000000202

Introducing a Virtual Fracture Clinic Increases Efficiency and Reduces Costs in Torus Fracture Management

Pediatr Qual Saf. 2019 Nov 25;4(6):e202. doi: 10.1097/pq9.0000000000000202. eCollection 2019 Nov-Dec.

Authors

Sheena Seewoonarain¹, Satish Babu², Dhrumin Sangoi³, Adhish Avasthi³, David Ricketts⁴

Affiliations

¹ East Kent University NHS Foundation Trust.
² Frimley Health NHS Foundation Trust.
³ Western Sussex NHS Health Trust.
⁴ Brighton and Sussex Univeristy Hospitals NHS Trust.

Abstract

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.

Aim: 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.

Methods: We audited the management of patients before and after the introduction of the VFC with new management protocols for torus fracture patients.

Results: There was a 51% decrease in patients managed using plaster of Paris with 5% treated with a softcast and 59% using a splint.

Outcome: Using the VFC can improve the management of patients with torus fractures and provide a cost-saving and a more positive experience for patients.