What question did this study set out to answer?

To assess whether the virtual fracture clinic triage pathway delays operative management of distal radius fractures relative to British Orthopaedic Association Standards for Trauma (BOAST) guidelines compared with traditional trauma-meeting triage.

August 15, 2026CureusOpen Access

The Virtual Fracture Clinic Bottleneck: A Single-Centre Service Evaluation of Compliance With British Orthopaedic Association Surgical Timing Standards for Distal Radius Fixation

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Authors

AMAhmed Mohammed AVAdithya VenkatasubramanianPilgrim Hospital

Discussion

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Implication

Retrospective evaluation reveals lower surgical timing guideline compliance with virtual fracture clinics for distal radius fractures, suggesting a need for direct-listing protocols.

Key Points

To assess whether the virtual fracture clinic triage pathway delays operative management of distal radius fractures relative to British Orthopaedic Association Standards for Trauma (BOAST) guidelines compared with traditional trauma-meeting triage.
Conducted a retrospective service evaluation of adult patients undergoing open reduction and internal fixation (ORIF) for distal radius fractures over seven months at Lincoln County Hospital, UK (N=25).
Stratified patients by triage pathway (virtual fracture clinic vs. traditional trauma meeting) and fracture morphology.
Compared BOAST compliance between triage pathways using Fisher's exact test and calculated odds ratios (ORs) with 95% confidence intervals (CIs).
Of the 25 ORIF cases analyzed, 92% (23/25) involved intra-articular fractures, and overall BOAST timing compliance was 12% (3/25).
Compliance with surgical timing standards was 0% (0/17) in the virtual fracture clinic cohort compared with 37.5% (3/8) in the traditional trauma-meeting cohort (Fisher's exact p = 0.0243; OR 0.045, 95% CI 0.002–0.93).

Cite This Study

Mohammed et al. (2026) studied this question.

synapsesocial.com/papers/6a8019fe75c2e31742c86605 https://doi.org/10.7759/cureus.114475

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August 15, 2026CureusOpen Access

The Virtual Fracture Clinic Bottleneck: A Single-Centre Service Evaluation of Compliance With British Orthopaedic Association Surgical Timing Standards for Distal Radius Fixation

View Full Paper

Ask AI

Bookmark

Authors

AMAhmed Mohammed AVAdithya VenkatasubramanianPilgrim Hospital

Discussion

Member takes

Implication

Retrospective evaluation reveals lower surgical timing guideline compliance with virtual fracture clinics for distal radius fractures, suggesting a need for direct-listing protocols.

Key Points

To assess whether the virtual fracture clinic triage pathway delays operative management of distal radius fractures relative to British Orthopaedic Association Standards for Trauma (BOAST) guidelines compared with traditional trauma-meeting triage.
Conducted a retrospective service evaluation of adult patients undergoing open reduction and internal fixation (ORIF) for distal radius fractures over seven months at Lincoln County Hospital, UK (N=25).
Stratified patients by triage pathway (virtual fracture clinic vs. traditional trauma meeting) and fracture morphology.
Compared BOAST compliance between triage pathways using Fisher's exact test and calculated odds ratios (ORs) with 95% confidence intervals (CIs).
Of the 25 ORIF cases analyzed, 92% (23/25) involved intra-articular fractures, and overall BOAST timing compliance was 12% (3/25).
Compliance with surgical timing standards was 0% (0/17) in the virtual fracture clinic cohort compared with 37.5% (3/8) in the traditional trauma-meeting cohort (Fisher's exact p = 0.0243; OR 0.045, 95% CI 0.002–0.93).

Cite This Study

Mohammed et al. (2026) studied this question.

synapsesocial.com/papers/6a8019fe75c2e31742c86605 https://doi.org/10.7759/cureus.114475

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