Evidence-based informed consent form for total knee arthroplasty

IntroductionInformed consent documentation is often the first area of interest for lawyers and insurers when a medico-legal malpractice suit is concerned. However, there is a lack of uniformity and standard procedure about obtaining informed consent for total knee arthroplasty (TKA). We developed a solution for this need for a pre-designed, evidence-based informed consent form for patients undergoing TKA.Materials and methodsWe extensively reviewed the literature on the medico-legal aspects of TKA, medico-legal aspects of informed consent, and medico-legal aspects of informed consent in TKA. We then conducted semi-structured interviews with orthopaedic surgeons and patients who had undergone TKA in the previous year. Based on all of the above, we developed an evidence-based informed consent form. The form was then reviewed by a legal expert, and the final version was used for 1 year in actual TKA patients operated at our institution.ResultsLegally sound, evidence-based Informed Consent Form for Total Knee Arthroplasty.ConclusionThe use of legally sound, evidence-based informed consent for total knee arthroplasty would be beneficial to orthopaedic surgeons and patients alike. It would uphold the rights of the patient, promote open discussion and transparency. In the event of a lawsuit, it would be a vital document in the defence of the surgeon and withstand the scrutiny of lawyers and the judiciary.

Automated summary

To address the lack of uniformity and standard procedure in obtaining informed consent for total knee arthroplasty (TKA), researchers developed a pre-designed, evidence-based informed consent form. After one year of use, it was found to be legally sound and beneficial for both orthopaedic surgeons and patients.