Abstract
Virtual fracture clinic in the management of foot and ankle fractures
Highlights
Most patients presenting to the emergency department with foot and ankle injuries can be managed as outpatients
Discharged patients have good outcomes with a very low percentage returning to clinic for further review or needing subsequent x-rays
We retrospectively looked at data on 200 patients with foot and ankle injuries referred to the virtual fracture clinic from October 2015 to January 2016
Summary
The majority of cases seen are discharged home with splintage, analgesia and essential information about the injury All these patients are reviewed in fracture clinics by clinicians with varying levels of experience ranging from Junior Trainees, Career Grades and Consultants. This system goes back to the uncoordinated fracture management protocols from the early twentieth century [1]. The knowledge of the natural history and management of these injuries have improved, this system of fracture management is still being adopted This unfocused system means that while on one hand minor injuries are being over investigated and unnecessarily followed up, complex injuries requiring specialist input get sub optimal care. Many injuries get unnecessarily over treated leading to prolonged immobilization and repeated imaging
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