1. 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

2. Do you remember……..?

3. 2007

4. Do you remember……..?

5. breaking technologies
1 gadget does it all
breaking technologies

6. 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
Patients more than 15 million per year (of which 1.6 Mio. in-patients)
Turnover 8,3 € billion (2016)

7. New technologies – why do they matter to us?
500 km
800 km

8. Sharing expertise - distance can be a problem!

9. 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

10. YES! Orthopaedics and Trauma Surgery
Minimally invasive joint replacement
Can surgical know-how and expertise be transported over distance, without moving the patient??
YES!

11. The technology is there
high speed transmission / big data
remote medical consultations
remote surgery
remote post-OP patient monitoring

12. The technology is there
high speed transmission / big data
remote medical consultations
remote surgery
remote post-OP patient monitoring

13. 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

14. The technology is there
high speed transmission / big data
remote medical consultations
remote surgery
remote post-OP patient monitoring
Biomedical data
Physiotherapy

15. 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

16. Orthopaedic patient: loss of spinal balance
65j Dutch female
rural Holland
very well informed
severe back pain

17. 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………

18. Issues

19. Postoperative care needs special attention!
high speed transmission / big data
remote medical consultations
remote surgery
remote post-OP patient monitoring

20. 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

21. Is big data in healthcare „breaking technology“

22. Thank you for your attention