Quality of primary total knee arthroplasty operative reports in a tertiary teaching hospital

Table 2 Operative report variables

Mandatory variables	n (%)	Optional variables	n (%)
Administrative
Chart number	58 (100)
Date of procedure	58 (100)
Date of dictation	58 (100)
Dictating physician	58 (100)
Median (range)	4.0 (4.0-4.0)
Procedural
Surgeon	58 (100)	Position	57 (98.3)
Assistant	58 (100)
Preoperative diagnosis	37 (63.8)
Postoperative diagnosis	29 (50.0)
Procedure	58 (100)
Type of anesthesia	57 (98.3)
Median (range)	5.5 (3.0-6.0)
Implant data
Manufacturer	50 (86.2)	Patellar implant	1 (1.7)
Femoral component size	54 (93.1)	Use of stems	0 (0)
Tibial component size	54 (93.1)	Use of augments	4 (6.9)
Insert thickness	56 (96.6)
Articular surface type	37 (63.8)
Median (range)	5.0 (1.0-5.0)	Median (range)	0.0 (0.0-2.0)
Clinical data
Indication for surgery	15 (25.9)	Presence of comorbidities	0 (0)
Coronal alignment	0 (0)	Patella tendon Hight	0 (0)
Fixed flexion deformity	0 (0)	Calcified popliteal artery	0 (0)
Ligament testing	0 (0)	Urgency of surgery	0 (0)
Median	0.0 (0.0-1.0)	Median	0.0 (0.0-0.0)
Process
Consent obtained	2 (3.5)	ASA status	0 (0)
Leg marked	2 (3.5)	Timeout performed	23 (39.7)
Antibiotic prophylaxis	34 (58.6)	DVT prophylaxis	0 (0)
Torniquet applied	51 (87.9)	Postoperative NV assessment	5 (8.62)
Torniquet pressure	9 (15.5)
Torniquet duration	26 (44.8)
Use of protective pads	0 (0)
Count of sponges	0 (0)
Disposition	46 (79.3)
Median	3.0 (1.0-5.0)	Median	0.0 (0.0-2.0)

ASA: American Society of Anesthesiologists; DVT: Deep vein thrombosis; NV: Nausea and vomiting.