Knee Arthroscopy Post-Surgical Follow-Up Sheet
Patient Name
Date of Surgery
Age
Medical Record Number
Visit Details
Date of Follow-Up
Days Since Surgery
Present Complaints
Pain Level (0-10)
Swelling
Mild
Moderate
Severe
None
Range of Motion
Wound Status
Clean & Dry
Redness
Discharge
Delayed Healing
Signs of Infection
Yes
No
Ambulation Status
Unaided
With Walker/Crutches
Wheelchair
Bedridden
Current Medications
Physiotherapy/Exercise Progress
Examination Notes
Radiological/Other Investigation Findings
Advice/Plan
Next Follow-Up Date
Doctor's Name