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Orthopedic follow-up template
Built for orthopedic follow-ups where wound/healing status, ROM progress, restrictions, and next rehab or surgical milestones need a concise interval note.
Template content
Copy or download, then paste into Wavo under My Templates.
Orthopedic Follow-Up Note Interval History - Pain, swelling, stiffness, instability, numbness, wound issues, fever, or thromboembolic symptoms since last visit. - Function: weight-bearing status, assistive devices, ADLs/work/sport participation, and adherence to restrictions/home exercise. - For post-op: procedure date/type, current post-op week/month, and rehab progress. Exam - Wound/incision status if applicable; effusion, ROM, strength, stability, neurovascular exam, and gait. - Brace/cast/splint condition and skin under device if assessed. Imaging / Data Reviewed - Interval X-rays or other studies with healing/alignment/implant findings as discussed. Assessment - Interval status (healing as expected / delayed / complication) and working diagnosis update. Plan - Changes to weight-bearing, ROM limits, bracing, medications, or PT orders. - Injections, procedures, or revision/surgical planning if indicated. - Activity/work notes, DME, and follow-up timing with precautions.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Separates post-op checkpoints from general MSK follow-up without needing two products.
- Keeps weight-bearing status, restrictions, and DME easy to update.
- Links PT progress and imaging to clear next steps.
- Good base for fracture clinic and arthroplasty follow-up customization.
- 1Post-operative orthopedic visits
- 2Fracture clinic follow-ups
- 3Nonoperative MSK return visits
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Interval History 6-week follow-up after right arthroscopic ACL reconstruction with hamstring autograft. Pain 2/10, minimal swelling. Compliant with hinged brace and PT 2×/week. No fever, calf pain, or wound drainage. Climbing stairs with rail; not yet jogging. Exam Incisions healed, no erythema. Trace effusion. ROM 0–125°. Quad lag improved. Lachman 1A firm endpoint. NV intact. Ambulates without assistive device, mild antalgic gait. Imaging XR knee: tunnels and hardware appropriately positioned; no fracture. Assessment Routine 6-week post-ACLR progress; motion and wound healing satisfactory. Plan Wean brace for ADLs per PT; continue ACL rehab protocol phase 2. Advance closed-chain strengthening; no pivoting sports. Continue naproxen PRN. Follow up at 3 months with PT progress note; call for calf swelling, fever, or loss of extension.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.