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

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 CO2 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.