摘要：Figures See all figures Authors A. Bertani , P. Menguy , J.M. Delmas , F. Launay , L. Mathieu , P. Candoni , R. Dulou , F. Rongiéras HIA Desgenettes, service de chirurgie orthopédique et traumatologique, 108, boulevard Pinel, 69003 Lyon, France, Centre de consultation Pasteur, 34 rue du Moulin à Poudre, Brest, France, HIA du Val-de-Grâce, service de neurochirurgie, Paris, France, CHU Timone, département de chirurgie orthopédique infantile, Marseille, France, HIA Laveran, service de chirurgie orthopédique, Marseille, France Key words: telemedicine, surgery, Djibouti DOI : 10.1684/mst.2012.0112 Page(s) : 405-8 Published in: 2012 Objective. Our objective was to assess the influence of teleconsultations on patient management and clinical outcomes in a developing country. Materials and methods. All the surgical teleconsultations by a single surgeon (orthopedist) between November 2009 and November 2011 were recorded. Results. Neurosurgery and pediatric orthopedics were the two most important specialities most often concerned, accounting for 67% of the 157 teleconsultations for 138 patients. The teleconsultations resolved the diagnostic uncertainties in 29 of 37 cases (78%). Advice from the expert modified management in 69% cases. Clinical outcomes were good or very good in 86% of the treated patients. Conclusions. This study establishes the feasibility and usefulness of surgical teleconsultations in Djibouti.
