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Erschienen in: Current Reviews in Musculoskeletal Medicine 6/2020

29.10.2020 | Emerging Trends in Design for Musculoskeletal Medicine (S Goldchmit and M Queiroz, Section Editors)

Telemedicine: Is It a Tool for Orthopedics?

verfasst von: Noel Oizerovici Foni, Lauro Augusto Veloso Costa, Leandro Manuel Reis Velloso, Carlos Henrique Sartorato Pedrotti

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 6/2020

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Abstract

Purpose of Review

The purpose of this paper is to illustrate how telemedicine can be beneficial in many areas of orthopedic clinical practice through a literature narrative review. In addition, we discuss advantages, barriers, and enablers of such technology.

Recent Findings

Telemedicine in orthopedics was initially described to discuss simple cases among non-specialist doctors through videoconferencing. Recently, it evolved to postoperative follow-up on selected cases, physical examination, and even teleconsultations direct to patients. Studies have reported that consultation can be offered safely to selected patients. Although this topic is already being addressed for a long time, recent studies have reported that there is still resistance among many orthopedic surgeons.

Summary

Telemedicine for orthopedics has safely expanded its operations. It can be used in postoperative follow-up of selected cases, fracture follow-up, and even in pediatric cases. Remote diagnosis of fractures is done successfully on an outpatient basis in many countries. Protocols and methods to standardize the virtual orthopedic examination for common musculoskeletal conditions have been developed. Satisfaction with teleconsultations as well as cost-effectiveness of remote care orthopedics were already well reported by some studies. We believe that remote care will be expanded in several hospitals around the world due to its huge potential. This fact is explained by natural technological development and by change and obliteration of habits accelerated exponentially after COVID-19 crisis.
Literatur
1.
Zurück zum Zitat David Novillo-Ortiz (2016) Framework for the implementation of a telemedicine service. Washington, DC. David Novillo-Ortiz (2016) Framework for the implementation of a telemedicine service. Washington, DC.
2.
Zurück zum Zitat Strehle EM, Shabde N. One hundred years of telemedicine: does this new technology have a place in paediatrics? Arch Dis Child. 2006;91:956–9.PubMedPubMedCentral Strehle EM, Shabde N. One hundred years of telemedicine: does this new technology have a place in paediatrics? Arch Dis Child. 2006;91:956–9.PubMedPubMedCentral
3.
Zurück zum Zitat Caffery LJ, Taylor M, North JB, Smith AC. Tele-orthopaedics: a snapshot of services in Australia. J Telemed Telecare. 2017;23:835–41.PubMed Caffery LJ, Taylor M, North JB, Smith AC. Tele-orthopaedics: a snapshot of services in Australia. J Telemed Telecare. 2017;23:835–41.PubMed
4.
Zurück zum Zitat Lamminen H, Nevalainen J, Alho A, Lindholm TS, Tallroth K, Lepistö J. Experimental telemedicine in orthopaedics. J Telemed Telecare. 1996;2:170–3.PubMed Lamminen H, Nevalainen J, Alho A, Lindholm TS, Tallroth K, Lepistö J. Experimental telemedicine in orthopaedics. J Telemed Telecare. 1996;2:170–3.PubMed
5.
Zurück zum Zitat • Wongworawat MD, Capistrant G, Stephenson JM. The opportunity awaits to lead orthopaedic telehealth innovation. J Bone Jt Surg - Am. 2017;99:1–6 Summary on telehealth in orthopaedics. Considers new trends in patients and health services. It highlights need for paying sources to be included in the process. • Wongworawat MD, Capistrant G, Stephenson JM. The opportunity awaits to lead orthopaedic telehealth innovation. J Bone Jt Surg - Am. 2017;99:1–6 Summary on telehealth in orthopaedics. Considers new trends in patients and health services. It highlights need for paying sources to be included in the process.
6.
Zurück zum Zitat Marcolino MS, Alkmim MB, Assis TGP, de Sousa LAP, Ribeiro ALP. Teleconsultorias no apoio à atenção primária à saúde em municípios remotos no Estado de Minas Gerais, Brasil. Rev Panam Salud Pública. 2014;35:345–52.PubMed Marcolino MS, Alkmim MB, Assis TGP, de Sousa LAP, Ribeiro ALP. Teleconsultorias no apoio à atenção primária à saúde em municípios remotos no Estado de Minas Gerais, Brasil. Rev Panam Salud Pública. 2014;35:345–52.PubMed
7.
Zurück zum Zitat Lambrecht C, Canham W, Gattey P, Mckenzie G. Telemedicine and orthopaedic care: a review of 2 years of experience. Clin Orthop Relat Res Mar. 1997:228–32. Lambrecht C, Canham W, Gattey P, Mckenzie G. Telemedicine and orthopaedic care: a review of 2 years of experience. Clin Orthop Relat Res Mar. 1997:228–32.
8.
Zurück zum Zitat Aarnio P, Lamminen H, Lepistö J, Alho A. A prospective study of teleconferencing for orthopaedic consultations. J Telemed Telecare. 1999;5:62–6.PubMed Aarnio P, Lamminen H, Lepistö J, Alho A. A prospective study of teleconferencing for orthopaedic consultations. J Telemed Telecare. 1999;5:62–6.PubMed
9.
Zurück zum Zitat McGill A, North J. An analysis of an ongoing trial of rural videoconference fracture clinics. J Telemed Telecare. 2012;18:470–2.PubMed McGill A, North J. An analysis of an ongoing trial of rural videoconference fracture clinics. J Telemed Telecare. 2012;18:470–2.PubMed
10.
Zurück zum Zitat Prada C, Izquierdo N, Traipe R, Figueroa C. Results of a new telemedicine strategy in traumatology and orthopedics. Telemed e-Health. 2019;00:1–6. Prada C, Izquierdo N, Traipe R, Figueroa C. Results of a new telemedicine strategy in traumatology and orthopedics. Telemed e-Health. 2019;00:1–6.
11.
Zurück zum Zitat •• Tanaka MJ, Oh LS, Martin SD, Berkson EM. Telemedicine in the era of COVID-19. J Bone Jt Surg Publish Ah. 2020:1–7 Demonstrates trends in tele-orthopaedics after COVID-19 pandemic. Makes an important description of virtual orthopedic examination. •• Tanaka MJ, Oh LS, Martin SD, Berkson EM. Telemedicine in the era of COVID-19. J Bone Jt Surg Publish Ah. 2020:1–7 Demonstrates trends in tele-orthopaedics after COVID-19 pandemic. Makes an important description of virtual orthopedic examination.
12.
Zurück zum Zitat Russell T, Jull G, Wootton R. Can the internet be used as a medium to evaluate knee angle? Man Ther. 2003;8:242–6.PubMed Russell T, Jull G, Wootton R. Can the internet be used as a medium to evaluate knee angle? Man Ther. 2003;8:242–6.PubMed
13.
Zurück zum Zitat Buvik A, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Patient reported outcomes with remote orthopaedic consultations by telemedicine: a randomised controlled trial. J Telemed Telecare. 2019;25:451–9.PubMed Buvik A, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Patient reported outcomes with remote orthopaedic consultations by telemedicine: a randomised controlled trial. J Telemed Telecare. 2019;25:451–9.PubMed
14.
Zurück zum Zitat • Buvik A, Bergmo TS, Bugge E, Smaabrekke A, Wilsgaard T, Olsen JA. Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial. J Med Internet Res. 2019;21:1–15 Randomized controlled study evaluated 559 consultations, divided between intervention and control. It demonstrated teleconsultation is cost-effective from health sector perspective. • Buvik A, Bergmo TS, Bugge E, Smaabrekke A, Wilsgaard T, Olsen JA. Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial. J Med Internet Res. 2019;21:1–15 Randomized controlled study evaluated 559 consultations, divided between intervention and control. It demonstrated teleconsultation is cost-effective from health sector perspective.
15.
Zurück zum Zitat Atanda A, Pelton M, Fabricant PD, Tucker A, Shah SA, Slamon N. Telemedicine utilisation in a paediatric sports medicine practice: decreased cost and wait times with increased satisfaction. J ISAKOS Jt Disord Orthop Sport Med. 2018;3:94–7. Atanda A, Pelton M, Fabricant PD, Tucker A, Shah SA, Slamon N. Telemedicine utilisation in a paediatric sports medicine practice: decreased cost and wait times with increased satisfaction. J ISAKOS Jt Disord Orthop Sport Med. 2018;3:94–7.
16.
Zurück zum Zitat Marsh J, Hoch JS, Bryant D, MacDonald SJ, Naudie D, McCalden R, et al. Economic evaluation of web-based compared with in-person follow-up after total joint arthroplasty. J Bone Jt Surgery-American. 2014;96:1910–6. Marsh J, Hoch JS, Bryant D, MacDonald SJ, Naudie D, McCalden R, et al. Economic evaluation of web-based compared with in-person follow-up after total joint arthroplasty. J Bone Jt Surgery-American. 2014;96:1910–6.
17.
Zurück zum Zitat Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? A systematic review. Physiother (United Kingdom). 2018;104:178–86. Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? A systematic review. Physiother (United Kingdom). 2018;104:178–86.
18.
Zurück zum Zitat Thomas K, Burton D, Withrow L, Adkisson B. Impact of a preoperative education program via interactive telehealth network for rural patients having total joint replacement. Orthop Nurs. 2004;23:39–44.PubMed Thomas K, Burton D, Withrow L, Adkisson B. Impact of a preoperative education program via interactive telehealth network for rural patients having total joint replacement. Orthop Nurs. 2004;23:39–44.PubMed
19.
Zurück zum Zitat Eichler S, Salzwedel A, Rabe S, Mueller S, Mayer F, Wochatz M, et al. The effectiveness of telerehabilitation as a supplement to rehabilitation in patients after total knee or hip replacement: randomized controlled trial. J Med Internet Res. 2019;21:1–12. Eichler S, Salzwedel A, Rabe S, Mueller S, Mayer F, Wochatz M, et al. The effectiveness of telerehabilitation as a supplement to rehabilitation in patients after total knee or hip replacement: randomized controlled trial. J Med Internet Res. 2019;21:1–12.
20.
Zurück zum Zitat •• Abel KC, Baldwin K, Chuo J, Ganley T, Kim A, Wells L, et al. Can telemedicine be used for adolescent postoperative knee arthroscopy follow-up? JBJS J Orthop Physician Assist. 2017;5:1 350 patients aged 10-20 years , who underwent knee arthroscopy, were evaluated by teleconsultation. Authors describe how to assess range of motion, incision color and effusion size. •• Abel KC, Baldwin K, Chuo J, Ganley T, Kim A, Wells L, et al. Can telemedicine be used for adolescent postoperative knee arthroscopy follow-up? JBJS J Orthop Physician Assist. 2017;5:1 350 patients aged 10-20 years , who underwent knee arthroscopy, were evaluated by teleconsultation. Authors describe how to assess range of motion, incision color and effusion size.
21.
Zurück zum Zitat Bertani A, Launay F, Candoni P, Mathieu L, Rongieras F, Chauvin F. Teleconsultation in paediatric orthopaedics in Djibouti: evaluation of response performance. Orthop Traumatol Surg Res. 2012;98:803–7.PubMed Bertani A, Launay F, Candoni P, Mathieu L, Rongieras F, Chauvin F. Teleconsultation in paediatric orthopaedics in Djibouti: evaluation of response performance. Orthop Traumatol Surg Res. 2012;98:803–7.PubMed
22.
Zurück zum Zitat Loeb AE, Rao SS, Ficke JR, Morris CD, Riley LH, Levin AS. Departmental experience and lessons learned with accelerated introduction of telemedicine during the COVID-19 crisis. J Am Acad Orthop Surg. 2020;28:469–76. Loeb AE, Rao SS, Ficke JR, Morris CD, Riley LH, Levin AS. Departmental experience and lessons learned with accelerated introduction of telemedicine during the COVID-19 crisis. J Am Acad Orthop Surg. 2020;28:469–76.
23.
Zurück zum Zitat Groeneveld B, Dekkers T, Boon B, D’Olivo P. Challenges for design researchers in healthcare. Des Heal. 2018;2:305–26. Groeneveld B, Dekkers T, Boon B, D’Olivo P. Challenges for design researchers in healthcare. Des Heal. 2018;2:305–26.
24.
Zurück zum Zitat Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthcare. 2016;4:11–4.PubMed Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthcare. 2016;4:11–4.PubMed
25.
Zurück zum Zitat Preece J, Sharp H, Rogers Y (2019) Interaction design: beyond human-computer interaction, 5th ed. New York, NY. Preece J, Sharp H, Rogers Y (2019) Interaction design: beyond human-computer interaction, 5th ed. New York, NY.
26.
Zurück zum Zitat Garrett JJ (2010) The elements of user experience: user-centered design for the web and beyond, 2nd ed. Berkeley, CA. Garrett JJ (2010) The elements of user experience: user-centered design for the web and beyond, 2nd ed. Berkeley, CA.
27.
Zurück zum Zitat Reay SD, Collier G, Douglas R, Hayes N, Nakarada-Kordic I, Nair A, et al. Prototyping collaborative relationships between design and healthcare experts: mapping the patient journey. Des Heal. 2017;1:65–79. Reay SD, Collier G, Douglas R, Hayes N, Nakarada-Kordic I, Nair A, et al. Prototyping collaborative relationships between design and healthcare experts: mapping the patient journey. Des Heal. 2017;1:65–79.
28.
Zurück zum Zitat Fatehi F, Smith AC, Maeder A, Wade V, Gray LC. How to formulate research questions and design studies for telehealth assessment and evaluation. J Telemed Telecare. 2017;23:759–63.PubMed Fatehi F, Smith AC, Maeder A, Wade V, Gray LC. How to formulate research questions and design studies for telehealth assessment and evaluation. J Telemed Telecare. 2017;23:759–63.PubMed
Metadaten
Titel
Telemedicine: Is It a Tool for Orthopedics?
verfasst von
Noel Oizerovici Foni
Lauro Augusto Veloso Costa
Leandro Manuel Reis Velloso
Carlos Henrique Sartorato Pedrotti
Publikationsdatum
29.10.2020
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 6/2020
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09680-6

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