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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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 92.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009294) of patients were successfully managed through VARF. Patient satisfaction was high, with 86% of respondents reporting they were \u2018satisfied\u2019 or \u2018very satisfied\u2019, and 69% perceiving time and cost-savings. Financial analysis demonstrated an average saving of \u00a311.78 per patient in fuel and parking costs. A theoretical cost reduction of \u00a348,978.91 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\u00a0kg of CO\n                      <jats:sub>2<\/jats:sub>\n                      equivalent emissions by reducing in-person visits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-025-04479-y","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T13:00:42Z","timestamp":1756213242000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Virtual arthroplasty follow-up (VARF) in total hip replacement: a safe, effective, and sustainable model for post-operative care"],"prefix":"10.1007","volume":"35","author":[{"given":"Nicholas A","family":"Platt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Bolland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"4479_CR1","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1302\/2633-1462.16.BJO-2020-0063.R1\/LETTERTOEDITOR","volume":"1","author":"D King","year":"2020","unstructured":"King D, Emara AK, Ng MK et al (2020) Transformation from a traditional model to a virtual model of care in orthopaedic surgery COVID-19 experience and beyond. 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