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Unfortunately the documentation standards of the time were poor and his work was no different in this regard. There was unclear documentation regarding the

near vital structures, careful initial neurovascular evaluation and documentation is important as a baseline for subsequent monitoring prior to, and post

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examination goes beyond the avoidance of legal liability – liability that poor documentation can only enhance. Rather, a careful pre- and post- treatment neurological

procedure The more specific Lysholm score or the International Knee Documentation Committee score may have been more appropriate tools than the WOMAC score