Opportunities of Telemedicine for Orthopedics and Trauma Surgery

Document Type : Perspective


1 Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany

2 AUC - Akademie der Unfallchirurgie GmbH Munich, Munich, Germany


Today telemedicine, or eHealth, is an important tool in everyday medical life. In all areas, from the preclinical to aftercare, significant improvements in communication structures have been seen in various eHealth options, which have had significant, positive effects on the quality of patient care in orthopedics and trauma surgery. Initially, there were several isolated solutions and many small individual projects; however, there was a lack of interdisciplinary and comprehensive systems in all healthcare fields. The German Trauma Society (DGU) together with the AUC GmbH took the lead and paved the way for a modulated, comprehensive, interface-compatible teleradiology system. Nevertheless, there are still deficits across all sectors which, in the future, will need to be optimized by eHealth methods and systems. Overall, there is an effort towards patient-centered solutions (patient empowerment). In Germany, telemedicine has gradually gained acceptance in various sectors and is being used nationwide. Telemedicine has proven itself, especially in trauma networks.


Holderried M, Schlipf M, Hoper A, Meier R, Stockle U, Kraus TM. [Chances and risks of telemedicine in orthopaedics and trauma surgery]. Z Orthop Unfall. 2018;156(1):68-77. doi:10.1055/s-0043-116941.
Droht ein Notstand bei der ärztlichen Versorgung von immer mehr alten und kranken Menschen? https://www.landkreistag.de/ themen/medizinische-versorgung.html?start=2
Schachinger U, Kretschmer R, Neumann C, Nerlich M. NOAH. A mobile emergency care system. Notfall-Organisations- und Arbeitshilfe. Stud Health Technol Inform. 1999;64:85-92.
Schachinger U, Kretschmer R, Rockelein W, Neumann C, Maghsudi M, Nerlich M. NOAH--A mobile emergency care system. Eur J Med Res. 2000;5(1):13-18.
Stadler T, Taheri-Sohi S. Datenschnittstelle Rettungsdienst und Notaufnahme: Mit Telematik die Patientenversorgung optimieren. Kma. 2018;23(9):52-54. doi:10.1055/s-0036-1595408.
Telenotarzt website. https://www.telenotarzt.de/.
Wer ist Telenotarzt? Telenotarzt website. http://www.telenotarzt.bayern/was-ist-telenotarzt/.
Ernstberger A, Koller M, Zeman F, et al. A trauma network with centralized and local health care structures: Evaluating the effectiveness of the first certified Trauma Network of the German Society of Trauma Surgery. PLoS One. 2018;13(3):e0194292. doi:10.1371/journal.pone.0194292.
Ernstberger A, Leis A, Herbst T, Nerlich M. [Comprehensive medical care with telemedicine]. Zentralbl Chir. 2014;139(1):1-3.
TKmed website. http://tkmed.org/.
Ruchholtz S, Lefering R, Debus F, Mand C, Kuhne C, Siebert H. [TraumaregisterTraumaNetwork DGU(R) und TraumaRegister DGU(R). Success by cooperation and documentation]. Chirurg. 2013;84(9):730-738. doi:10.1007/s00104-013-2474-3.
TKmed® / TeleKooperation TNW®. https://www.auc-online.de/de/telemedizin.html.
Staemmler M, Walz M, Weisser G, et al. Establishing end-to-end security in a nationwide network for telecooperation. Stud Health Technol Inform. 2012;180:512-516. doi:10.3233/978-1-61499-101-4-512.
TKmed®– Telekooperation für die einrichtungsübergreifende Versorgung. e-Health; 2014. https://www.chili-radiology.com/fileadmin/user_upload/Publikationen_PDFs/2013-Telemed-Fuehrer-TKmed.pdf.
Whitebook Medical Care of the Severely Injured. 2nd Ed. Berlin: German Society for Trauma Surgery; 2012. https://www.dgu-online.de/fileadmin/published_content/5.Qualitaet_und_Sicherheit/ PDF/2012_DGU_Whitebook_Medical_Care_2ndEdition.pdf.
Information. TKmed website. https://www.tkmed-direkt.org/ information/.
Ernstberger, Schmucker: Das Projekt TeleQualy, in: Orthopaedie und Unfallchirurgie Mitteilungen und Nachrichten (OUMN) 10/2014, S. 495-496. doi:10.1055/s-0034-1394208.
Nerlich M, Balas EA, Schall T, et al. Teleconsultation practice guidelines: report from G8 Global Health Applications Subproject 4. Telemed J E Health. 2002;8(4):411-418. doi:10.1089/15305620260507549.
Nerlich M, Mohr MT, Rdal DG. The ups and downs of the International Society for Telemedicine. J Telemed Telecare. 2004;10 Suppl 1:76-78. doi:10.1258/1357633042614311.
Eberl R, Biskup K, Reckwitz N, Muhr G, Clasbrummel B. [The televisit system in patients care after discharge in clinical use-- first experiences]. Biomed Tech (Berl). 2005;50(5):132-136. doi:10.1515/BMT.2005.019.
Guerdal D, Leis A, Chouvarda I, Lekka I, Nerlich M, Maglaveras N: A Home Care System used in post-operative patient management. E-Health, Proceedings of Med-e-Tel 2006, The International Trade Event and Conference for eHealth, Telemedicine and Health ICT. p. 59. https://www.isfteh.org/files/media/eHealth_book_2006_1.pdf.
TeleArzt website. https://www.tele-arzt.com/.
Videosprechstunde: telemedizinisch gestützte Betreuung von Patienten. https://www.kbv.de/html/videosprechstunde.php.
General Data Protection Regulation. https://dsgvo-gesetz.de/.
Forschung. TraumaRegister website. http://www.traumaregister-dgu.de/de/forschung.html.