Work

Virtual arthroplasty follow-up (VARF) in total hip replacement: a safe, effective, and sustainable model for post-operative care

Year: 2025

Type: article

Abstract: Purpose Virtual follow-up programmes offer an alternative to traditional in-person appointments, aiming to reduce patient burden and optimise healthcare resources. Following a successful pilot in 2020, the virtual arthroplasty follow-up (VARF) pathway was formally implemented to monitor total hip replacement (THR) patients. This study evaluates the clinical outcomes, patient satisfaction, economic impact, and environmental benefits of VARF in a large cohort. Methods A retrospective analysis was performed on a prospectively maintained database of 319 patients who underwent primary THR between January 2022 and July 2023. Follow-up was conducted using Oxford Hip Scores (OHS) and radiographs. Patient satisfaction was assessed via telephone survey in a representative sample of 35 patients. Estimated carbon dioxide emissions related to clinic visits were calculated based on previously published data. Results A total of 92.2% ( n = 294) of patients were successfully managed through VARF. Patient satisfaction was high, with 86% of respondents reporting they were ‘satisfied’ or ‘very satisfied’, and 69% perceiving time and cost-savings. Financial analysis demonstrated an average saving of £11.78 per patient in fuel and parking costs. A theoretical cost reduction of £48,978.91 was identified for the Trust, primarily due to operational efficiencies and the release of clinic time. While not a direct monetary saving, this freed capacity allowed reallocation for other clinical purposes, enhancing overall service efficiency. Environmentally, the programme prevented an estimated 19,691 kg of CO 2 equivalent emissions by reducing in-person visits. Conclusion VARF is a safe, effective, and patient-centred approach for THR follow-up, achieving high satisfaction rates while delivering significant cost and environmental benefits. This model demonstrates strong potential for wider adoption in arthroplasty post-operative care.

Source: European Journal of Orthopaedic Surgery & Traumatology

DOI: 10.1007/s00590-025-04479-y

Authors: Nicholas A Platt, Benjamin Bolland

Institutions: Musgrove Park Hospital, University of Bristol

Language: English

Topic: Telemedicine and Telehealth Implementation

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Climate action

Open Access status: hybrid

Estimated APC paid: $2,690