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Introducing a Virtual Fracture Clinic Increases Efficiency and Reduces Costs in Torus Fracture Management
Sheena Seewoonarain1, Satish Babu2, Dhrumin Sangoi3
1East Kent University NHS Foundation Trust.
Pediatric Quality & Safety
|February 4, 2020
Summary
The virtual fracture clinic (VFC) reduced plaster of Paris use by 51% for pediatric torus fractures, favoring splints and softcasts. This approach improves patient experience and offers cost savings.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Torus fractures of the distal radius are common pediatric forearm fractures.
- Management has shifted from traditional casting to splints and softcasts.
Purpose of the Study:
- To improve guideline compliance and patient review through a virtual fracture clinic (VFC).
- To assess the impact of VFC on the management of torus fractures.
Main Methods:
- Audit of patient management before and after VFC implementation.
- Introduction of new management protocols for torus fracture patients within the VFC.
Main Results:
- A 51% decrease in plaster of Paris use for torus fractures.
- Increased use of splints (59%) and softcasts (5%) post-VFC implementation.
Conclusions:
- The VFC enhances the management of pediatric torus fractures.
- VFC implementation leads to cost savings and improved patient experience.

