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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 6/2020

01-12-2020 | Telemedicine | Emerging Trends in Design for Musculoskeletal Medicine (S Goldchmit and M Queiroz, Section Editors)

Telemedicine: Is It a Tool for Orthopedics?

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

Published in: Current Reviews in Musculoskeletal Medicine | Issue 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.
Literature
1.
David Novillo-Ortiz (2016) Framework for the implementation of a telemedicine service. Washington, DC.
2.
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.
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.
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.
• 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.
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.
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.
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.
McGill A, North J. An analysis of an ongoing trial of rural videoconference fracture clinics. J Telemed Telecare. 2012;18:470–2.PubMed
10.
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.
•• 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.
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.
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.
• 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.
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.
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.
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.
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.
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.
•• 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.
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.
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.
Groeneveld B, Dekkers T, Boon B, D’Olivo P. Challenges for design researchers in healthcare. Des Heal. 2018;2:305–26.
24.
Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthcare. 2016;4:11–4.PubMed
25.
Preece J, Sharp H, Rogers Y (2019) Interaction design: beyond human-computer interaction, 5th ed. New York, NY.
26.
Garrett JJ (2010) The elements of user experience: user-centered design for the web and beyond, 2nd ed. Berkeley, CA.
27.
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.
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
Metadata
Title
Telemedicine: Is It a Tool for Orthopedics?
Authors
Noel Oizerovici Foni
Lauro Augusto Veloso Costa
Leandro Manuel Reis Velloso
Carlos Henrique Sartorato Pedrotti
Publication date
01-12-2020
Publisher
Springer US
Keyword
Telemedicine
Published in
Current Reviews in Musculoskeletal Medicine / Issue 6/2020
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09680-6

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