ArticleIndian journal of orthopaedics2025
Virtual Acute Shoulder Clinic (VASC): A Safe, Sustainable and Cost-Effective Model.
Article in Indian journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Telemedicine growth has rapidly integrated into trauma and orthopaedics through virtual fracture clinics. This study evaluates the impact of implementing a virtual acute shoulder clinic model led by an advanced physiotherapy practitioner (APP) for managing shoulder fractures on clinic re-attendance rates, patient outcomes, and satisfaction. Methods: A retrospective analysis comparing two groups of sequential patients with shoulder fractures who attended face-to-face settings (Jan 2017-May 2019) versus virtual settings (Jan 2020-May 2022). Departmental and institutional databases were reviewed for relevant data. The Constant-Murley score was used to assess functionality, and satisfaction was assessed using a 4-point Likert score on a 6-month follow-up. Results: 543 patients were seen in both settings, with 20.54% requiring surgery in the face-to-face and 18.9% in the virtual groups. The mean Constant-Murley scores were 67.17 and 69.28 for the preceded groups, respectively. A statistically significant difference in the Constant-Murley scores ( Conclusion: The use of telemedicine in the form of a virtual acute shoulder clinic led by APP has shown to deliver comparable functional outcomes and patient satisfaction to conventional face-to-face clinics while being more sustainable and cost-effective. Level of Evidence: Level 3.
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