Accuracy of virtual assessment in hand trauma

Westley, Suzanne; Mistry, Rikki; Dheansa, Baljit

doi:10.1016/j.jpra.2021.10.008

Cited by 10 publications

(5 citation statements)

References 3 publications

(4 reference statements)

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“…The authors found no difference between the three modalities, stating that telemedicine may represent a reliable alternative [ 39 ]. Similar results could be obtained by Westley et al [ 49 ] when comparing the accuracy of virtual versus face-to-face assessment in hand trauma: there were no significant differences [ 49 ]. Another important issue is patient satisfaction, as it is crucial for compliance.…”

Section: Discussionsupporting

confidence: 87%

Telemedicine in orthopaedics and trauma surgery during the first year of COVID pandemic: a systematic review

Hofmann

Hildebrand

Mederake

et al. 2023

BMC Musculoskelet Disord

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Purpose Prior to the COVID-19 pandemic, telemedicine in orthopaedics and trauma surgery had mostly developed for joint arthroplasty, fracture management, and general pre- and postoperative care including teleradiology. With the corona-outbreak, telemedicine was applied on a broad scale to prevent assemblage and to guarantee access to medical care protecting critical areas. The purpose of the present study was to give an overview of the spectrum of clinical applications and the efficacy of telemedicine in orthopaedic and trauma surgery as published in times of the COVID-19 pandemic. Methods All published studies investigating the application of telemedicine related to orthopaedics and trauma during the COVID-19 pandemic were accessed and screened for suitability. The primary outcome of interest was the efficacy of telemedicine in various clinical applications. The secondary outcome of interest was the spectrum of different applications in which telemedicine applications were investigated. Results The literature search resulted in 1047 articles. After the removal of duplicates, 894 articles were screened of which 31 finally met the inclusion criteria. Dimensions that were described by studies in the literature to have positive effects were preoperative patient optimisation, the usefulness of telemedicine to correctly diagnose a condition, conservative treatment, willingness to and feasibility for telemedicine in patients and doctors, and postoperative/post-trauma care improvement. The efficacy of telemedicine applications or interventions thereby strongly varied and seemed to depend on the exact study design and the research question addressed. Conclusion Various successful applications of telemedicine have already been reported in orthopaedics and trauma surgery, with a strong increase in scientific output during the COVID-19 years 2020–2021. Whether the advantages of such an approach will lead to a relevant implementation of telemedicine in everyday clinical practice should be monitored after the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 87%

Telemedicine in orthopaedics and trauma surgery during the first year of COVID pandemic: a systematic review

Hofmann

Hildebrand

Mederake

et al. 2023

BMC Musculoskelet Disord

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“… 45 Lastly, it must be acknowledged that our study did not include clinical samples, resulting in limited clinical applicability. 46 , 47 Further experiments will consider comparing the efficacy of the eschar preservation with other treatment methods in patients, aiming to provide more robust clinical evidence.…”

Section: Discussionmentioning

confidence: 99%

Preservation of Eschar Prevents Excessive Wound Healing by Reducing M2 Macrophages Polarization

Shi,

Lu,

Mohyeddin

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Removal of the eschar has gradually become a consensus on treatments of deep dermal necrosis after skin trauma in recent years, whereas exaggerated scar contracture and tissue proliferation developed during healing have received little attention. Here, the authors investigated the effects of eschar on excessive wound healing of small dermal damage and focused on the role M2 macrophages played, hoping to offer a theoretical basis to improve patients’ cosmetic satisfaction. Methods: A mouse dorsal wound model (n = 12) was established by electric heating pads heating for 20 seconds on each side of the spine, and the left side was the preserved group. Macrophage numbers, expression of wound-healing-associated proteins, and inflammatory cytokine levels were assessed at different time points by immunohistochemistry and quantitative real-time polymerase chain reaction. A co-culture system of M2 macrophages and myofibroblasts was created in vitro. Immunohistochemistry, real-time polymerase chain reaction, and Western blot were performed to evaluate the proliferation, migration, and protein expression of myofibroblasts. Results: Preserving eschar inhibited contraction-associated proteins (α-smooth muscle actin and vimentin) and collagen expression, inflammatory cytokine (IL-1β, IL-10, TFN-α, and IL-4) expression, and M2 macrophage infiltration. Mechanistically, M2 macrophages potentially contributed to excessive wound healing by promoting myofibroblasts proliferation, migration, and production of contraction-associated proteins. Conclusion: Eschar preservation in wounds could reduce inflammation and negatively modulate myofibroblasts by inhibiting M2 macrophage polarization and infiltration, preventing excessive wound contraction and collagen deposition.

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“…Additionally, Atia et al [17] described checking up on patients less frequently, whereas most of authors used telemedicine to follow up with their patients [12,14,[22][23][24]. This is a method that proved its accuracy [25] and found satisfaction among patients [10,22,26], whereas surgeons had frequent issues [10,22]. The authors did not use telemedicine, and Toia et al [11] as well as Leti Acciaro et al [27] confirmed it might be an issue in Italy.…”

Section: Discussionmentioning

confidence: 99%

One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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2020 will be remembered worldwide as the year of COVID-19 outbreak. The onset of this pandemic abruptly changed everybody’s life and, in a particular manner, doctors’ lives. Our hand surgery department became rapidly one of the first COVID-19-specialized wards in Italy, impacting considerably the authors’ routines and activities. In this paper, the authors focus on how the demographics of patients with hand trauma changed and how they had to modify their activity. The authors retrospectively took into consideration all patients reaching their emergency department (ED) with hand trauma between 9 March 2020 (the day of the beginning of the first lockdown in Italy) and 8 March 2021 and compared them to those who reached the ED in the three previous years. Authors have analyzed the number of patients, their gender and age, the severity of their trauma, where the trauma occurred, the type of lesion, the percentage of patients who underwent surgery, and the percentage of patients who had an emergency admission. In the last year, the number of patients reaching the ED for a hand trauma has been reduced by two thirds (975 patients during the past year), the mean age of those patients has slightly increased, the severity of cases has increased, places of trauma and type of lesions have changed, and, lastly, the percentage of patients needing surgery who were admitted immediately has increased. This paper shows how the type of patients reaching the ED changed and discusses how surgeons evolved and modified their habits in treating those patients during the first lockdown and the year that followed.

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Accuracy of virtual assessment in hand trauma

Cited by 10 publications

References 3 publications

Telemedicine in orthopaedics and trauma surgery during the first year of COVID pandemic: a systematic review

Telemedicine in orthopaedics and trauma surgery during the first year of COVID pandemic: a systematic review

Preservation of Eschar Prevents Excessive Wound Healing by Reducing M2 Macrophages Polarization

One Year of COVID-19: Lessons Learned in a Hand Trauma Center

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