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Specialty · Orthopaedics

Joint replacement and anaesthesia in one workflow

Hip, knee and shoulder replacements are plannable, high-volume procedures. medudoc connects orthopaedics and anaesthesia in one questionnaire, one personalised patient education video and one consent sheet. Patients prepare at home.

Personalised patient education video on knee replacement with anaesthesia in the medudoc patient portal, with subtitles, language selection, chapters on the procedure and anaesthesia, and the option to mark a question for the consent discussion.

One questionnaire instead of two

Orthopaedics and anaesthesia ask the same questions – medudoc asks only once

Before a knee replacement, both specialties collect much of the same information. medudoc combines it in one questionnaire per procedure; specialty-specific questions complete it.

  • Orthopaedic questionnaire

    • Pre-existing conditionsduplicate
    • Medicationsduplicate
    • Allergiesduplicate
    • Symptoms and joint function
    • Previous joint surgery
  • Anaesthesia questionnaire

    • Pre-existing conditionsduplicate
    • Medicationsduplicate
    • Allergiesduplicate
    • Previous anaesthesia, airway

medudoc

One questionnaire: knee replacement

  • Pre-existing conditionsShared
  • MedicationsShared
  • AllergiesShared
  • Symptoms and joint functionOrthopaedics
  • Previous joint surgeryOrthopaedics
  • Previous anaesthesia, airwayAnaesthesia
  • Each piece of information only once
  • No contradictory duplicate entries
  • One data set for orthopaedics and anaesthesia

Arthroplasty

One video and one consent sheet for joint, anaesthesia and blood conservation

For joint replacement, orthopaedics and anaesthesia both inform the patient, often also on measures to reduce allogeneic blood use. medudoc bundles this content without mixing responsibilities.

  • Hip
  • Knee
  • Shoulder
  • One video for procedure and anaesthesia

    medudoc assembles the personalised patient education video from short sequences. For knee replacement, it shows the procedure and anaesthesia in one video; shared content appears only once.

  • Blood conservation in the same consent sheet

    For hip, knee and shoulder replacements, there are consent sheets that also cover tranexamic acid and allogeneic blood transfusion – including for revision surgery. One document instead of an additional consent sheet.

  • Adapted to the prosthesis

    The consent sheet for knee replacement adapts to side, prosthesis type and fixation. Physicians add annotations before signature.

  • can be combined

    Can be combined with regional anaesthesia

    The anaesthesia consent sheet takes an additional regional anaesthesia into account, such as a femoral, sciatic or saphenous nerve block or a brachial plexus block.

Evidence

Better understanding before total hip arthroplasty

In a randomised controlled trial, the Department of Orthopaedics at the University of Würzburg examined an additional patient education video before total hip arthroplasty. With the video, patients answered more knowledge questions about the procedure, alternatives and risks correctly. The authors developed the video together with medudoc.

Correctly answered knowledge questions in per cent (mean)
All knowledge questions, With video: 86.5%
All knowledge questions, Without video: 78.6%

37 patients evaluated; 42 statements on procedure, involvement in decision-making, alternatives and risks.

Werte als Tabelle
With videoWithout video
All knowledge questions86.5%78.6%
correct answers with video (without video 78.6%, p = 0.014)
86.5%
patient education video, sent by link one to three days before admission
18 min

University of Würzburg · von Hertzberg-Boelch S, Fuchs K, Schubring J, Rak D, List K, Horas K, Jakuscheit A, Rudert M. Int Orthop 2025; 49: 1303–1308. DOI 10.1007/s00264-025-06503-6

Procedures

From joint replacement to outpatient arthroscopy

Orthopaedics ranges from high-volume inpatient procedures to outpatient procedures on the foot and hand. medudoc prepares all patients in the same workflow.

  • Arthroplasty

    Hip, knee and shoulder – including revision surgery

    Inpatient procedures with anaesthesia, often with measures to reduce allogeneic blood use. There are separate consent sheets for primary and revision surgery.

    • Total hip arthroplasty and revision
    • Knee replacement, unicompartmental prosthesis and total knee revision
    • Shoulder prosthesis, adapted to indication and prosthesis type
  • Arthroscopy

    Arthroscopies as outpatient or inpatient procedures

    The consent sheets adapt to the stay – for meniscus surgery, also to the technique and anaesthesia.

    • Knee, shoulder and hip arthroscopy
    • Meniscus surgery, from repair to meniscus replacement
    • Anterior cruciate ligament reconstruction, adapted to graft and fixation
  • Foot and hand

    Smaller procedures, often under regional anaesthesia

    For hallux valgus, metatarsalgia and carpal tunnel syndrome, the consent sheet adapts to the technique and type of anaesthesia.

    • Hallux valgus with the planned osteotomy technique
    • Carpal tunnel syndrome, open or endoscopic
    • Regional anaesthesia, plexus block or general anaesthesia

Benefits

Relief for orthopaedics, anaesthesia and patients

  • For orthopaedics

    • Symptoms and previous surgery captured before the consultation begins
    • Patients know the procedure, prosthesis and risks from the video
    • Consent sheet matched to side, prosthesis type and fixation
    • Complete consent trail – who saw and signed what, and when
  • For anaesthesia

    • The same information, no second questionnaire
    • Values such as BMI calculated, notable responses flagged
    • General and regional anaesthesia in the same workflow
    • Telemedical consent discussion where it fits medically
  • For patients

    • One questionnaire instead of two
    • Understand joint replacement and anaesthesia at home, at their own pace
    • Information up to the day of surgery, for example on medication pauses and fasting
    • Patient education content in 23 languages

Consent sheets

Patient education content for orthopaedics

medudoc’s medical editorial team creates consent sheets and patient education videos for orthopaedic procedures and reviews them at least once a year. Each consent sheet can be combined with the appropriate anaesthesia technique into one document.

  1. 01

    Arthroplasty

    Primary and revision surgery, also with tranexamic acid and allogeneic blood transfusion.

  2. 02

    Arthroscopy and sports orthopaedics

    Procedures on the knee, shoulder and hip.

  3. 03

    Foot and hand

    Procedures on the forefoot, hand and wrist.

  4. 04

    Spine

    Surgical and interventional procedures.

Also cartilage therapy, Achilles tendon rupture, fracture treatment with osteosynthesis, removal of osteosynthesis material and joint injections.

References

What physicians say about video-assisted patient education

  • “Being able to watch the videos again at home with grandchildren or children is great, especially for older patients.”
    Dr. med. Moritz SparnSenior Physician in the Department of General, Visceral, Endocrine and Transplant Surgery, hoch Health Ostschweiz (ehemals Kantonsspital St. Gallen)
  • “medudoc is convincing: medical patient education and documentation become digital, visual and individually tailored to each patient.”
    Univ.-Prof. Dr. med. Patrick MeybohmDirector of the Department of Anaesthesiology, Universitätsklinikum Würzburg

Knowledge

More on patient education before orthopaedic procedures

See joint replacement and anaesthesia in one workflow

In a demo, we show you how orthopaedics and anaesthesia work with one questionnaire, one video and one document – from knee replacement to outpatient arthroscopy.

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