Deviation in the Standard of Orthopedic Care During Knee Surgery (Knee Fracture or Replacement)

Evaluate breaches in the standard of care using the following questions and answers as a guide to determine whether or not there was a Deviation in the Standard of Orthopedic Care During Knee Surgery (Knee Fracture or Replacement)

Answer the following questions to find out if the standard of care was followed for your case.

  • Which type of knee surgery did the patient undergo?
    Knee replacement surgery
    Arthroscopic knee surgery
    Surgery for fracture of knee
    Why is this important?
    As medicine progresses, the range of conditions that can be effectively treated has increased. Patients with conditions that would previously have precluded surgery are now regularly presenting for an operation.
    (2004) 18 ECORTH 5 379-395

  • Was the procedure appropriate for the patient’s condition? Why is this important?
    Answer this question
    
Meniscectomy knee surgery is used when a portion of the knee's cartilage called the meniscus is damaged, causing pain, swelling and issues with movement. The most common form of a meniscectomy knee surgery is arthroscopy.

    (2012) 31 ECLSMD 1 1-14 



  • Were pre-operative x-rays obtained? Why is this important?
    Answer this question
    
Pre-operative imaging using radiographs or CT scans is necessary to study the structures involved, and also to plan for surgery.

    (2012) 9 JNLACR 2 96-103 



  • Were imaging studies obtained to confirm the meniscus injury? Why is this important?
    Answer this question
    
Imaging studies such as MRI or CT scan or Ultrasound of the involved knee are necessary for confirming the diagnosis and for appropriate planning of the surgery.

    (2012) 9 JNLACR 2 96-103 



  • Was a pre-operative evaluation completed? Why is this important?
    Answer this question
    
Knee surgery is a major surgical procedure, a thorough pre-operative evaluation of the patient must be performed and necessary steps need to be taken to stabilize the patient’s co-morbidities.

    (2012) 13 EAICMD 3 77-80 



  • Was a pre-operative evaluation completed? Why is this important?
    Answer this question
    
Knee surgery is a major surgical procedure, therefore, a thorough pre-operative evaluation of the patient must be performed and necessary steps need to be taken to stabilize the patient’s co-morbidities.

    (2012) 13 EAICMD 3 77-80 



  • Did the clinician address the patient’s co-morbidities? Why is this important?
    Answer this question
    
Knee surgeries are major surgical procedures, the patient’s co-morbidities must be addressed prior to surgery.

    (2004) 18 ECORTH 5 379-395 



  • Did the clinician address the patient’s co-morbidities? Why is this important?
    Answer this question
    
Knee surgeries are major surgical procedures, the patient’s co-morbidities must be addressed prior to surgery.

    (2004) 18 ECORTH 5 379-395 



  • Were pre-operative prophylactic antibiotics administered? Why is this important?
    Answer this question
    
The administration of prophylactic antibiotics has been shown to decrease the risk of peri-operative infections.

    (2008) 22 EBPRCA 3 571-584 



  • Were pre-operative prophylactic antibiotics administered? Why is this important?
    Answer this question
    
Administration of prophylactic antibiotics has been shown to decrease the risk of peri-operative infections.

    (2008) 22 EBPRCA 3 571-584 



  • Was the patient positioned appropriately for the surgery? Why is this important?
    Answer this question
    
The positioning on the operating table can lead to pressure on certain nerves, resulting in nerve damage to the effected limb. 

    (1998) 16 ENLOGC 1 55-82 



  • Was the patient positioned appropriately for the surgery? Why is this important?
    Answer this question
    
The positioning on the operating table can lead to pressure on certain nerves, resulting in nerve damage to the effected limb.

    (1998) 16 ENLOGC 1 55-82 



  • Did the patient develop any complications during the surgery? Why is this important?
    Answer this question
    
Any intra-operative complication must be handled immediately.

    (2005) 16 SAPLST 2 88-99 



  • Did the patient develop any complications during the surgery? Why is this important?
    Answer this question
    
Any intra-operative complication must be handled immediately.

    (2005) 16 SAPLST 2 88-99 



  • Were post-operative radiographs obtained? Why is this important?
    Answer this question
    
Radiographs are necessary to determine whether the components have been appropriately implanted, and serve as a baseline investigation to which all subsequent radiographs can be compared.

    (2009) 23 ECORTH 2 88-100 



  • Were prophylactic anti-coagulants administered? Why is this important?
    Answer this question
    
According to the American Academy of Orthopedic Surgeons (AAOS), deep vein thrombosis in the leg is the most common complication of knee replacement surgery. 

    (2008) 23 EJNART 3 350-354 



  • Were prophylactic anti-coagulants administered? Why is this important?
    Answer this question
    
According to the American Academy of Orthopedic Surgeons (AAOS), deep vein thrombosis in the leg is the most common complication of knee replacement surgery.

    (2008) 23 EJNART 3 350-354 



  • Was the patient monitored post-operatively for signs of infection? Why is this important?
    Answer this question
    
Surveillance is essential for effective infection prevention.

    (2010) 5 EPERNC 3 355-371 



  • Was the patient monitored post-operatively for signs of infection? Why is this important?
    Answer this question
    
Surveillance is essential for effective infection prevention.

    (2010) 5 EPERNC 3 355-371