虚拟咨询可以取代膝关节关节整形手术前的实体访问吗? :一个回顾性队列研究
Rune T Paulsen1, Claus Varnum1, Niels Martin Jensen1
1Department of Orthopaedic Surgery, Lillebaelt Hospital, Vejle, Denmark.
Bone & joint open
|February 4, 2026
概括
对于接受膝关节关节整形手术的精选患者来说,虚拟咨询是可行的,减少了对面访问的需求. 这种方法简化了适合候选人的全膝关节整形术 (TKA) 和单间膝关节整形术 (UKA) 途径.
科学领域:
- 整形外科手术 整形外科手术
- 数字健康创新 数字健康创新
- 患者护理途径 患者护理途径
背景情况:
- 膝关节置换手术的需求日益增加,需要有效的患者管理.
- 虚拟咨询提供了一种新的方法来简化手术前评估.
研究的目的:
- 评估虚拟咨询的可行性,以取代接受全膝关节整形手术 (TKA) 或单隔板膝关节整形手术 (UKA) 的患者的面对面咨询.
主要方法:
- 一个单一中心的队列研究包括患有严重关节炎的患者,他们接受虚拟咨询作为他们唯一的手术前联系人.
- 纳入标准:凯尔格伦-劳伦斯等级≥3和美国麻醉学会等级≤2.
- 结果:预定进行手术的患者比例,需要亲自咨询,手术完成率和转化率.
主要成果:
- 在303名患者中,有32%的人直接安排了手术后虚拟咨询.
- 41%的患者需要亲自咨询,27%的患者没有进行手术.
- 85%的直接安排的手术按计划进行,没有UKA转换为TKA.
结论:
- 虚拟咨询对于精选的膝关节关节整形患者来说是一个可行的选择,可能会取代亲自进行手术前评估.
- 建议进行进一步的研究,以评估患者的安全性和患者报告的结果.
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