Table 1.
Percentage of the operation notes with required data point recorded
| Data point | Initial audit (n = 70) Notes with data point (%) | Re-audit (n = 49) Notes with data point (%) |
|---|---|---|
| Date* | 99 | 100 |
| Surgeon's name* | 90 | 100 |
| Assistant's name(s)* | 99 | 98 |
| Consultant responsible* | 87 | 90 |
| Diagnosis* | 7 | 45 |
| Procedure performed* | 96 | 100 |
| Incision* | 93 | 92 |
| Additional procedures for exposure | 7 | 22 |
| Description of findings* | 7 | 18 |
| Details of soft tissue releases | 1 | 55 |
| Details of soft tissue excision | 0 | 0 |
| Details/stickers of prosthesis + cement* | 99 | 100 |
| Details of bone graft | 1 | 12 |
| Details of implant alignment/rotation* | 13 | 86 |
| Postoperative flexion range* | 11 | 84 |
| Tourniquet time | 16 | 27 |
| Sutures used* | 33 | 65 |
| Intra-operative difficulties/complications | 0 | 2 |
| Postoperative instructions* | 99 | 100 |
| Signature* | 97 | 100 |
*
Data points which are applicable to all total knee replacements.
Statistically significant results (P < 0.05) are indicated in bold.