Description

There is no denying the significance of radiography in orthopedic practice. The SARS-CoV-2 pandemic and its associated clinical syndrome of coronavirus disease 2019 have strained all aspects of society over the past two years. Radiological imaging options like fluoroscopy, portable X-ray, C-arm, and O-arm provide benefit and comfort to both the patient and the surgeon in trauma surgery. Despite the fact that the amount of radiation has increased as the image quality in imaging methods has increased, the accuracy of the surgeon in evaluating. Orthopedic, gastrointestinal, and cardiovascular elective operations account for 33% of health system revenue, in addition to the backlog of surgical cases created by executive mandates and elective surgery cancellation.  

Telehealth as a Means of Providing Healthcare

Acute Care Surgery (ACS) services were still managing large volumes of urgent and emergent surgical patients. These factors, in addition to reallocation of personnel, reassignment to medical ward ACS was still treating trauma, Emergency General Surgery (EGS), and Surgical Critical Care (SCC) patients in a resource-constrained and shifting landscape, in addition to assisting staff in overcrowded medical critical care units. Although there are known healthcare disparities based on a patient's socioeconomic status and rurality, few studies have looked at how urban versus rural status affects outcomes after orthopaedic trauma surgery. Due to concerns about the availability and accessibility of the internet, tele health is very feasible in rural areas and offers patients appealing options. However, there are still some disparities in perceptions, such as an equivocal comparison of the quality of care received to an office visit, which may be a significant barrier to utilization. Education and increased familiarity with telehealth services could help change these perceptions. However, it remains an option for the delivery of health care and has prompted changes in billing for these types of visits. A 2021 report by Medicare showed an increase in telehealth visits during the peak of the pandemic and a gradual decline in stay at home orders in. It is common knowledge that the outpatient rehabilitation services, outcomes, and racial disparities in trauma care contribute to worse outcomes and morbidity. Injury and Intense Consideration Medical procedure patients are a populace of these patients who might be a significant distance from home when their crisis happens and subsequently follow-up visits can challenge. When it comes to providing outpatient services like physician follow-up and mental health screening, telehealth can have a greater impact on improving patient outcomes following a traumatic injury. Patients and healthcare providers alike stand to gain significantly from utilizing telehealth in this patient population. Telehealth visits have been shown to reduce travel expenses, increase patient satisfaction, and save time off from work. However, many of these studies were conducted on patients in primary care or non-emergency surgical subspecialty settings and did not address the potentially significant obstacles faced by patients undergoing trauma and acute care surgery or living in rural areas; such as a lack of reliable cell phone services, unfavorable perceptions of telehealth, and restricted access to high-speed internet. In the United States, traumatic injuries continue to be the leading cause of death for people of all ages, and between 30 and 35 per cent of trauma-related deaths result from hemorrhage from traumatic vascular injuries.

Computer-Assisted Solutions Are Surgical Practice

In trauma settings, vascular injuries rarely occur in isolation and carry a high mortality risk. In addition, research demonstrates that an American College of Surgeons Level I trauma verification status can have a positive impact on patient survival and care, particularly when analyzing the outcomes of patients who have particular injuries that are associated with high mortality and poor functional outcomes. Computer-assisted solutions are constantly altering surgical practice. Virtual, mixed, and Augmented Reality (AR) technologies integrated with surgical techniques are among the most disruptive technologies. Through an interface, such as a Head-Mounted Display (HMD), these technologies superimpose virtual information over the real world and deliver it. Using 360-degree video cameras or synthetic graphics and audio technology, Virtual Reality (VR) lets students immerse themselves in a completely virtual environment. Using Augmented Reality (AR), it is possible to overlay 3D virtual models of anatomical details or telestrated images—drawn freehand sketches over moving or still video images—of assistive graphics on top of a surgical field view. While experiencing and interacting with digital artifacts linked to the actual environment, users continue to interact with their physical surroundings. A variety of applications in education, training, healthcare, industrial maintenance, and manufacturing have resulted from the availability of consumer-level optical see-through HMDs. AR includes 3D digitalization of physical objects and integrated streaming video from actual locations. By applying forces, vibrations, or motions to the user, haptic interfaces create the sensation of touch. Few studies have examined how orthopedic trauma volumes vary throughout the week, despite the fact that a significant amount of research has been conducted to determine whether weekend admission or treatment outcomes differ from weekday outcomes. There is evidence that the weekend effect can be found in numerous medical fields: Patients who are admitted during the week may have better outcomes than those who are admitted on weekends. Emergency surgeries and urgent procedures have a stronger weekend effect. The weekend effect is thought to be caused by variations in admission patterns, staff and subspecialty availability, resource allocation and utilization, and resource allocation, even though the cause is unknown. Large bone defects and non-unions frequently necessitate bone transplantation in fracture surgery.