Rehabilitation powered bei digitalisation Innovative Digital Solutions in Orthopaedic Surgery Prof. Dr. med. Clayton N. Kraft Department of Orthopaedic Surgery and Traumatology Helios Klinik Krefeld / Düsseldorf Germany
Do you remember……..?
2007
Do you remember……..?
breaking technologies 1 gadget does it all breaking technologies
New technologies – why do they matter to us? Hospitals: 111 HELIOS hospitals - Germany 43 Quironsalud hospitals - Spain Business Activities: integrated spectrum of care: in-and out-patient care, prevention, rehabilitation, care for the elderly Employees over 108.000 Patients more than 15 million per year (of which 1.6 Mio. in-patients) Turnover 8,3 € billion (2016)
New technologies – why do they matter to us? 500 km 800 km
Sharing expertise - distance can be a problem!
New technologies – why do they matter to us? TAVI- transcatheter aortic valve intervention HELIOS Heart Centre – Leipzig: > 500 patient in Hamburg Leipzig know-how in Leipzig patient in Hamburg
YES! Orthopaedics and Trauma Surgery Minimally invasive joint replacement Can surgical know-how and expertise be transported over distance, without moving the patient?? YES!
The technology is there high speed transmission / big data remote medical consultations remote surgery remote post-OP patient monitoring
The technology is there high speed transmission / big data remote medical consultations remote surgery remote post-OP patient monitoring
The technology is there high speed transmission / big data remote medical consultations remote surgery remote post-OP patient monitoring Digital OR-suites Navigation Intra-OP Monitoring
The technology is there high speed transmission / big data remote medical consultations remote surgery remote post-OP patient monitoring Biomedical data Physiotherapy
Problem of „virtual“ healthcare? In telemedicine, despite having text, audio, video, images, and real-time remote patient data there are setbacks in patient acceptance privacy issues remote post-OP patient monitoring
Orthopaedic patient: loss of spinal balance 65j Dutch female rural Holland very well informed severe back pain
Issues not preliminary assessment not surgery not pain management Problem: postoperative ADL management and physio-monitoring am I doing too much? is this new pain serious may I cycle what about my tablets am I allowed this or that………
Issues
Postoperative care needs special attention! high speed transmission / big data remote medical consultations remote surgery remote post-OP patient monitoring
Artificial intelligence and individualised solutions databanks Evidence based medicine objective parameters medical history Integrated patient portals patient engagement mobile apps remote patient monitoring software health tracking apps
Is big data in healthcare „breaking technology“
Thank you for your attention