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Informed Consent for the Orthopaedic Surgeon
Toufic R Jildeh1, Muhammad J Abbas1, Meredith H Hengy2
1Henry Ford Hospital, Department of Orthopaedic Surgery, Detroit, Michigan.
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In the United States, orthopaedic surgeons have a legal obligation to obtain informed consent from patients before performing surgery; it is a process that includes a signed written document.
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There are specific legal requirements that vary somewhat by state but generally include disclosure and documentation of the diagnosis, an explanation of the recommended procedure, a conversation about the risks and benefits of the procedure, and a discussion about alternative treatments.
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Inadequate disclosure of risks and alternatives is associated with increased indemnity risk.
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Studies have shown that many consent processes and forms are suboptimal.
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