Surgical Questionnaire - Andrea Fowler Design

Name *

First

Last

Please explain your technique on both hip and knee replacements *

(example: lateral/ anterior)

Please indicate incision length and placement of knee and hip replacements. *

What is your overall complication rate for both hip and knee replacements? *

Who is your biggest competitor? *

Individual physicians

How many surgical cases are you doing in one OR day and how many go home the same day? *

on average

What prosthesis are you currently using? Is this metal on plastic, metal on metal? Are you using bone cement on the knee? *