Introducing a Virtual Fracture Clinic Increases Efficiency and Reduces Costs in Torus Fracture Management

Abstract

Background: Torus fractures of the distal radius are both a common pediatric forearm fracture and a common source of referral to orthopedic departments. Management of these injuries has moved away from traditional casting methods to using splints and softcasts. Aim: With the recent introduction of a virtual fracture clinic (VFC), we sought to improve our compliance with guidelines while ensuring all patients undergo review in the clinic. Methods: We audited the management of patients before and after the introduction of the VFC with new management protocols for torus fracture patients. Results: There was a 51% decrease in patients managed using plaster of Paris with 5% treated with a softcast and 59% using a splint. Outcome: Using the VFC can improve the management of patients with torus fractures and provide a cost-saving and a more positive experience for patients.