[PREPARING FOR TOTAL KNEE REPLACEMENT: IMPORTANT INSIGHT FOR PATIENTS]
|
|
- Kathlyn Blankenship
- 8 years ago
- Views:
Transcription
1 2012 US CENTER FOR SPORTS MEDICINE DR. COREY G. SOLMAN, JR. [PREPARING FOR TOTAL KNEE REPLACEMENT: IMPORTANT INSIGHT FOR PATIENTS] Information regarding the expectations before, during and after surgery to return patients to their QUALITY of LIFE
2 The NORMAL KNEE AND ITS INTACT JOINT SURFACES The ARTHRITIC KNEE The Loss of articular cartilage (craters, potholes, pitting, and pealing). To correct this condition surgically the bone is spared and the cartilage is removed utilizing engineered jigs. The TOTAL KNEE More accurately described as Resurfacing of the arthritic compartments of the knee. It is a misnomer that the surgeon cuts your thigh bone and lower leg bone off and the replaces it with the metal and plastic. Patella Button This pictures demonstrates all the components and the knee cap button that is cemented to the back of the patella. All off the metal and plastic have a nice smooth surface to glide upon when bending and straightening the knee. Femur component Polyethylene Plastic Space Tibial Component
3 Schedule appointment with Primary Care Physician Preoperative information: 1. Lab work (CBC, BMP or CMP, PT,PTT, UA) a. Results sent to our office 2. Possible Diagnostic Tests (EKG, Stress test, Chest X-ray): Good for 6 months a. Results sent to our office 3. Letter of Medical Clearance sent to our office a. Primary Care Physician b. Cardiologist if under their care c. Pulmonologist if under their care 4. Dental Hygiene a. Imperative to prevent infections into bloodstream that may affect Total Joint Replacement b. Routine Dental work i. antibiotics prior to procedure for life ( 1 hour prior to procedure and 1 hour after) ii. Script either from Dentist or our office iii. Typically write for Amoxicillin or Clindamycin iv. The earliest to consider elective dental work would be 6 weeks post op 5. Urinary Tract Infections a. If susceptible may require long term antibiotics to prevent infection of the Total Joint 6. Risk of Operative infection a. 1% in general b. Increases with number of medical co-morbidities (Diabetes, Obesity, Hypertension, Kidney disease, Vascular insufficiency, Depressed immune system) c. Increases if performing bilateral procedures (not 2X but 4x or greater). Day of Surgery: Arrive at Hospital scheduled time and go to admissions and then to pre op area to review medical history, assess all labs are in order, IV placement, possible EKG. You will then be transferred to the Pre-op Holding area Surgery will take approximately minutes. That does not account for the time it takes: 1. The OR staff to roll you to the OR suite 2. Transfer you to the operative table 3. Anesthesia putting you to sleep (of course that is not the same thing as the unfortunate event for pets) and waking you after surgery 4. Applying your postoperative dressing 5. Transferring you back to your bed 6. The OR staff rolling you to recovery area
4 Once in recovery you will remain there until you are stable (breathing and maintaining oxygen saturation in your blood, blood pressure stable, and pain managed) prior to going to your assigned room. That time frame is approximately 1-1 1/2 hours. After you are discharged from recovery and are wheeled to your room you should expect: 1. Nursing to ask you many questions 2. A continuous Passive Motion Machine will arrive (hospital property) and you may also receive the one that will be going home with you from Joe (Kinex Company). 3. Hopefully, a successful femoral block will keep your pain under control, the nursing staff will be monitoring and administering either oral or IV pain medication a. While the block is effective you DO NOT put your weight on that leg unless you have the immobilizer on! Why you ask.you will fall down because the block keeps your quadriceps from firing and contracting and therefore you cannot hold your body weight. 4. A bulky dressing on your surgical knee along with a drain that will collect excess blood. This prevents a very swollen painful knee that keeps you from bending or performing exercises. 5. Remain in Hospital 2-3 days for swelling, pain management, medical management, and physical therapy. Physical therapy will come to your room: 1. Instruct you in basic knee exercises 2. Walk with you on the floor with the walker and immobilizer (as long as block is functioning) 3. Encourage you to BEND your knee (Initial goal is 90 degrees) by hanging over the side of your bed, sitting in the chair, or performing heel slides. 4. We discourage prolonged seated positions with your knee extended! a. This will increase stiffness and pain along with apprehension to flex knee MOTION, MOTION, MOTION= Positive Outcome, Possibility of Blood Clots, Faster Return to your Quality of Life The CPM (Continuous Passive Motion) Machine 1. Dr. Solman s Protocol is 0-50 for 6 hours a. There is no particular regimen for 6 hours; you can break it up into whatever time intervals that works for you. 2. It is ok to sleep with the CPM 3. As tolerated, we ENCOURAGE you to increase the range of motion with the hand held control: SO from 50 to and see how it feels for a few cycles. If you find it easy and you are not experiencing increased pain continue to increase the motion within tolerance. 4. You will go home with the Machine from Kinex, or one will be scheduled to be delivered to your residence. 5. The average duration is 2 weeks of use
5 Discharge to Home 1. Home Nursing a. Evaluates your incision to make sure there is no signs of infection b. Removes staples 2. Home Physical Therapy a. Will come to the home and work on swelling, range of motion, strengthening and gait (how you are walking) b. Progress from walker to cane when able 3. Blood Clot Management a. Xarelto for 12 days or Lovenox for 14 days b. Some patients may require Coumadin, Blood draws and variations in amount of medication taken will be monitored c. After completing the above medication you will then take a 325mg Aspirin daily until you are 6 weeks post op d. Ted Hose Stockings x 6 wks 4. Pain Medications a. It is the Patient s Responsibility to watch the amount of narcotics you are taking and call for refill in a timely manner. b. Refills are approved during the week up until noon on Fridays. Refills are not called in over the weekend c. It is important to be pain managed to perform exercises d. Exceeding the prescribed amount of narcotics has the potential for serious impact on an individual s liver function because the amount of Tylenol consumed. e. Signed Narcotic Agreement Follow Up with Dr. Solman 1. Post op appointment approximately 2 weeks after surgery 2. Make sure you have scheduled follow up appointment 3. At first visit expect: a. See Dr. Solman or Physician Assistant (PA) b. Staples removed if not already c. X-rays will be taken d. Evaluate swelling, range of motion, pain management e. May be transitioned from home physical therapy to outpatient physical therapy f. You can initiate driving if on a cane i. Practice in parking lot ii. Avoid pain medication because you will be impaired while driving
6 4. Follow up intervals for office visits a. occur monthly up to 3 months post op b. Based on progress may follow up at 6 and 12 months post op and then at 1-2 year intervals thereafter. c. Will obtain X-rays at first visit and year anniversary, as well as, yearly thereafter to keep a baseline on the prosthesis and patients bone quality. Will perform more frequently if patient is experiencing post operative issues. Preventing Knee stiffness and Scar tissue formation (Arthrofibrosis) 1. MOTION! MOTION!MOTION 2. MOTIVATION! MOTIVATION! MOTIVATION! 3. Staying on top of your pain medication for the first few weeks so that you are able to perform your exercises 4. Once incision is healed if patient has access to a pool. exercise in the water is encouraged to enhance motion (Patient is only 10% body weight in the water) 5. Your knee replacement is solid as it can be prior to going to recovery area It s your swelling, motion, and strength that are now the focus! 6. If stiffness & pain are problematic after 6-8 weeks post op the patient may undergo: a. Closed Manipulation under anesthesia i. Requires return to the Operating room a Femoral Block is placed to allow for hrs of painfree movement ii. Manually Force Knee through ROM gradually to break through scar tissue, subsequent intra articular cortisone injection iii. Walker & Knee immobilizer until Femoral Block has worn off (24 hours) iv. Immediate Same day return to physical therapy to maintain range of motion and subsequent daily PT for approximately 7-10 days Prosthesis Expectations: 1. Longevity of prosthesis (15-20 yrs) a. Weight Management b. Bone(quality of the bone)/cement Bonding c. Avoiding impact activities 2. Activities a. Kneeling (limited by the scar tolerance not the implants) There is a knee sleeve that allows patients to kneel and eliminates the scar pain b. Gardening c. Doubles Tennis d. Walking e. Skiing-no moguls
7 3. Sounds/Stiffness/Pain a. On occasion patients hear and feel the prosthesis metal on plastic components moving within the knee..this is Normal, it is a mechanical knee at this point, or it may be scar tissue b. Stiffness is a trade off for the Osteoarthritis pain prior to surgery i. Weather changes still may be noticeable ii. Geographical locations may cause more or less stiffness c. Pain should be eliminated from the Osteoarthritis standpoint. Other issues that may be creating pain include i. Scar Tissue formation (Arthrofibrosis) MOVE! MOVE! MOVE! ii. Weakness in quads (Mechanical pain).strengthening EXERCISES!!! iii. Bursitis/ITB syndrome from correcting deformity of arthritis which may impact how you walk (Pes Anserine Bursitis or Iliotibial Band Syndrome.) STRETCH,NSAID,CORTISONE INJECTION, POSSIBLE SURGICAL Bursectomy iv. Saphenous Neuritis is an irritation of the sensory nerve around the knee..referral to specialist for possible injection versus removal of the nerve
8 Resources: (Vanguard prosthesis) (Legion prosthesis) Louis Home Health
9 Narcotic Agreement Patient Name: Pharmacy Name: Date: Pharmacy Number: This agreement is between the above named patient and Dr. Corey Solman. It is agreed that narcotic medication will be given by your orthopedist to you only if the following terms are met: 1) You must take the medication we prescribe exactly as instructed by the provider. 2) You cannot increase your pain medication without the EXPRESSED consent of the prescribing physician 3) If at any time you are obtaining pain medications or attempting to obtain such drugs from another source WITHOUT our knowledge, you will be DISCHARGED from our care. You will also be released if you are found to be taking illicit substances. 4) You must designate ONE pharmacy for your narcotic pain medication if you are found to be having multiple pharmacies or other physicians prescribing narcotic medication unbeknownst to your currently treating physician is grounds for discharge from our care. 5) In order to continue to receive medications, you must MAKE and KEEP scheduled appointments with Dr. Corey Solman. 6) Narcotic prescriptions WILL NOT be refilled early 7) Pain medication should be kept in a safe place. If they are LOST, STOLEN, DESTROYED or accidentally dumped in the sink or toilet, or eaten by the dog, they will not be renewed until the scheduled refill. 8) Phone call regarding medication will be made Monday through Friday prior to 2 pm to give office staff ample time to call in all patient requests. NO drug refill requests will be granted AFTER hours or on WEEKENDS, unless the patient is immediately post op. 9) EFFECTIVE 10/1/2012: Narcotic refill requests must first come from the patient s pharmacy.. No longer will calls be taken in the office for pain medication refills. 10) If at any time you are concerned about your medication or side effects of your medication, you may call the office or through the exchange after hours. 11) You understand that these medications may create a physical dependence and you are willing to ACCEPT that responsibility. 12) The physician will be decreasing your narcotic medication in a stepwise progression to a lower potency in a reasonable time frame based on your diagnosis. If managing your pain is beyond the scope of practice you will be referred to pain management. 13) State law prohibits the driving under the influence of opiate medications. 14) If requested by your insurance carrier, all information will be released to the company. If required by the Drug Enforcement Agency regulations, your diagnosis may be revealed at the pharmacy. We may contact ANY pharmacy or physician regarding your medications.
10 15) You understand that the medications that are prescribed for you are for your use ONLY. You understand that State and Federal laws prohibit the sale of or sharing of prescription medications. Such behavior will not be tolerated and result in our office notifying the DEA. This will also be grounds for discharge from care. 16) Post operative and chronic pain issues will be managed for a maximum of 3 months. IF Narcotics are needed beyond this point, you will need to seek out your primary care physician or a chronic pain management physician. The office can assist in finding a chronic pain management specialist in your area. 17) By signing this agreement, you are agreeing to ALL of the above terms. You understand the expectations as a patient regarding the use of the prescribed medication. You understand that failure to comply with any of them may result in your dismissal from Professional Athletic Orthopedics. Patient Signature Date Physician Signature Date
11 Femoral nerve blocks 1. Total Joint Replacement or Manipulation under anesthesia: Anesthesia will perform a femoral nerve block prior to total knee surgery or if you are subsequently undergoing a manipulation. This block will last approximately 12 hours (each person is different). After you are discharged, you will go to physical therapy the same day to focus on knee range of motion. You WILL need your walker! You will be Non-Weight bearing on the affected lower extremity. DO NOT attempt to walk or bear weight through your leg. The femoral block will keep your quadriceps muscles from firing, your leg will collapse under you and YOU WILL fall down. There is no need to try and prove the block wrong or you will RISK potential SERIOUS injury. 2. After Knee Surgery: if you are inpatient, do not attempt to use the bathroom without assistance if your block is working (inability of your leg to activate your quadriceps muscles when you stand and attempt to bear weight). Please notify the nursing staff far enough in advance of the need to use the restroom, this will prevent you from becoming frantic about urgency or a possible accident! 3. If you are outpatient, you will be going home the same day. If the nursing staff allows you privacy to change into your clothing don t forget you can t stand on that leg. So, don t try put your pants on and expect the leg that you had the femoral block to hold your body weight. Instead, please sit on the side of the hospital bed and put on your clothes for your SAFETY!!!! 4. If you are a manipulation you should schedule your physical therapy for the same day of manipulation, but in the afternoon. Also, schedule future appointments daily thereafter for 4-6 visits if able. 5. Please sign below acknowledging that you have been verbally instructed in the above procedure, understand the procedure, and are aware of the risk of not adhering the above guidelines. Patient Signature: Date:
12 My Questions to ask the Doctor
it s time for rubber to meet the road
your total knee replacement surgery Steps to returning to a Lifestyle You Deserve it s time for rubber to meet the road AGAIN The knee is the largest joint in the body. The knee is made up of the lower
More informationPALM BEACH ORTHOPAEDIC INSTITUTE, P.A. FAQ: OUT-PATIENT SURGERY
DISCLAIMER This information is a general guideline for most out-patient surgeries. Since every case is unique, your surgeon may give you further or differing instructions. Please follow his or her guidelines.
More informationTotal Knee Replacement
Total Knee Replacement Contents Introduction Total Knee Replacement Preparing for surgery Pre-op visit Day of surgery After surgery (In Hospital) After surgery (In Rehab) Exercise Program and Physical
More informationTotal Knee Replacement Surgery
Total Knee Replacement Surgery On this page: Overview Reasons for Surgery Evaluation Preparing for Surgery Your Surgery Risks Expectations after Surgery Convalescence Also: Partial Knee Replacement Overview
More informationX-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary
X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve
More informationTotal Hip Replacement Hip replacement surgery, or arthroplasty, uses implants to resurface and replace the bones in the joint, re-creating the smooth gliding surfaces that were once intact. Hip replacement
More informationHIP & KNEE SURGERY PATIENTS
HIP & KNEE HIP & KNEE SURGERY PATIENTS GET ANSWERS TO FREQUENTLY ASKED QUESTIONS YOU. IMPROVED. 2001 Vail Ave (N. Caswell St. Entrance) Suite 200A Charlotte, NC 28207 orthocarolina.com GENERAL QUESTIONS
More informationUnderstanding Total Hip Replacement
Understanding Total Hip Replacement Brian J. White MD Orthopaedic Specialist in Disorders of the Hip Assistant Team Physician Denver Nuggets Western Orthopaedics Denver, Colorado Introduction This is designed
More informationTotal Hip Replacement Surgery Home Care Instructions
Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your
More informationArthritis of the hip. Normal hip In an x-ray of a normal hip, the articular cartilage (the area labeled normal joint space ) is clearly visible.
Arthritis of the hip Arthritis of the hip is a condition in which the smooth gliding surfaces of your hip joint (articular cartilage) have become damaged. This usually results in pain, stiffness, and reduced
More information.org. Total Knee Replacement. Anatomy
Total Knee Replacement Page ( 1 ) If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to
More informationTotal Hip Replacement
Please contactmethroughthegoldcoasthospitaswityouhaveanyproblemsafteryoursurgery. Dr. Benjamin Hewitt Orthopaedic Surgeon Total Hip Replacement The hip joint is a ball and socket joint that connects the
More informationOPERATION:... Proximal tibial osteotomy Distal femoral osteotomy
AFFIX PATIENT DETAIL STICKER HERE Forename.. Surname NHS Organisation. Responsible surgeon. Job Title Hospital Number... D.O.B.././ No special requirements OPERATION:..... Proximal tibial osteotomy Distal
More informationTotal Knee Replacement
Total Knee Replacement The Knee Joint A total knee replacement, also called total knee arthroplasty, is a surgery performed to remove and replace your knee joint. The knee joint, comprised of the femur
More informationHEADER TOTAL HIP REPLACEMENT SURGERY FROM PREPARATION TO RECOVERY
HEADER TOTAL HIP REPLACEMENT SURGERY FROM PREPARATION TO RECOVERY ABOUT THE HIP JOINT The hip joint is a ball and socket joint that connects the body to the legs. The leg bone is called the femur. The
More informationAnterior Hip Replacement
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic health. All decisions about the management of hip replacement and arthritis management must be made in
More informationTotal Knee Replacement. Patient Information
Total Knee Replacement Patient Information Introduction: We would like to thank you for choosing The Institute for Advanced Bone and Joint Surgery at St. Joseph s/ Candler for your Total Joint Replacement
More informationHip Replacement Surgery Understanding the Risks
Hip Replacement Surgery Understanding the Risks Understanding the Risks of Hip Replacement Surgery Introduction This booklet is designed to help your doctor talk to you about the most common risks you
More informationB. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY
B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY Goals addressed prior to discharge from hospital setting: Independence with bed mobility, transfers (supine to sit and sit
More informationTotal Knee Replacement
Dr C.S. Waller MB BS FRCS(Ed) FRACS FA(Orth)A Specialist Hip and Knee Surgeon Total Knee Replacement If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities
More informationworld-class orthopedic care right in your own backyard.
world-class orthopedic care right in your own backyard. Patient Promise: At Adventist Hinsdale Hospital, our Patient Promise means we strive for continued excellence in everything we do. This means you
More informationBefore Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation.
Anterior Hip Replacement - Before and After Surgery Your Hip Evaluation An orthopaedic surgeon specializes in problems affecting bones and joints. The surgeon will ask you many questions about your hip
More informationDr. Anseth s Frequently Asked Questions about Knee Replacement Surgery
Dr. Anseth s Frequently Asked Questions about Knee Replacement Surgery What hospital do you use? Abbott Northwestern Hospital What type of anesthesia do you use? General anesthesia with an additional nerve
More informationTotal Knee Replacement
Total Knee Replacement Welcome to the Joint Replacement Center at DMOS. With over forty years of total joint experience, DMOS was the first group of surgeons in Iowa to perform the total joint procedures.
More informationCartilage Repair Center
Cartilage Repair Center Tom Minas, MD, MS 850 Boylston Street, Suite 112 Andreas Gomoll, MD Chestnut Hill, MA 02467 Courtney VanArsdale, PA-C P: 617-732-9967 Lindsey Oneto, PA-C F: 617-732-9272 (Minas)
More informationHip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107
Information for Patients Hip Replacement Department of Orthopaedic Surgery Tel: 01473 702107 DMI ref: 0134-08.indd(RP) Issue 3: February 2008 The Ipswich Hospital NHS Trust, 2005-2008. All rights reserved.
More informationBrian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament
Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament The anterior cruciate ligament or ACL is one of the major ligaments located in the knee joint. This ligament
More informationYour Practice Online
P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Knee replacement or arthritis management. All decisions about
More informationTotal Joint Replacement
Total Joint Replacement Brinceton M. Phipps MD Animas Orthopedic Associates 575 Rivergate Lane, Suite 105 Durango Colorado 970-259-3020 www.brincetonphippsmd.com www.animasorthopedics.com Frequently Asked
More informationTotal elbow joint replacement for rheumatoid arthritis: A Patient s Guide
www.orthop.washington.edu TABLE OF CONTENTS 1 Overview 2 Review of the condition 3 Considering surgery 5 Preparing for surgery 6 About the procedure 8 Recovering from surgery 9 Convalescence and Rehabilitation
More informationMAKOplasty MAKOplasty MAKOplasty MAKOplasty MAKOplasty MAKOplasty MAKOplasty MAKOplasty MAKOplasty
Pre-op Patient Guide to Partial Knee Resurfacing Your Guide to Partial Knee Resurfacing Page I 1 Partial Knee Resurfacing...2 Benefits Possible with the Procedure...4 Your Guide to Surgery...5 Frequently
More informationShoulder Joint Replacement
Shoulder Joint Replacement Many people know someone with an artificial knee or hip joint. Shoulder replacement is less common, but it is just as successful in relieving joint pain. Shoulder replacement
More informationHip Replacement Surgery Johns Hopkins Hip and Knee Replacement Program
Patient Education: Hip Replacement Surgery Johns Hopkins Hip and Knee Replacement Program Thank you for choosing Johns Hopkins for your hip replacement surgery. We use a team-based approach, and you are
More informationLumbar Spine Surgery What to Expect
Lumbar Spine Surgery What to Expect You have been scheduled for lumbar spine surgery and are probably wondering what to expect with your surgical journey. We will discuss pre- operative tasks, the day
More informationTotal knee replacement Uni-compartmental knee replacement
Your Knee Replacement at the Nuffield Orthopaedic Centre A patient s guide to: Total knee replacement Uni-compartmental knee replacement Welcome to Team Two at the NOC. Together you and your surgeon have
More informationTotal Shoulder Arthroplasty
Specialists in Joint Replacement, Spinal Surgery, Orthopaedics and Sport Injuries Total Shoulder Arthroplasty Ms. Ruth Delaney Consultant Orthopaedic Surgeon www.sportssurgeryclinic.com Introduction Arthritis
More informationKNEE ARTHROSCOPY. Dr C.S. Waller. Orthopaedic Surgeon
KNEE ARTHROSCOPY Dr C.S. Waller Orthopaedic Surgeon Specializing in surgery of the hip and knee 83826199 What is Arthroscopy? Arthroscopy involves the inspection of the inside of the knee joint with a
More informationOrthopaedic Surgery Center of Joint Preservation and Replacement After Total Knee Replacement Discharge Instructions
Congratulations! You are going home after a successful total knee replacement. Although there is still much work to do, we have already achieved a lot. So, when you get home, take a deep breath and relax.
More informationNo two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments. For Knee Replacement Surgery
No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments For Knee Replacement Surgery Table of Contents Here s how it works....2 Why does my knee
More informationYOUR GUIDE TO TOTAL HIP REPLACEMENT
A Partnership for Better Healthcare A Partnership for Better Healthcare YOUR GUIDE TO TOTAL HIP REPLACEMENT PEI Limited M50 Business Park Ballymount Road Upper Ballymount Dublin 12 Tel: 01-419 6900 Fax:
More informationTotal Hip or Knee Joint Replacement
Preparing for your Total Hip or Knee Joint Replacement Pre-operative education for patients St. Clair Hospital Center for Orthopedics Copyright 2011 by St. Clair Hospital The Orthopedic Team Physicians
More informationRehabilitation Protocol: Total Hip Arthroplasty (THA)
Rehabilitation Protocol: Total Hip Arthroplasty (THA) Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical
More informationOrthopaedic Surgery Center of Joint Preservation and Replacement After Total Hip Replacement Discharge Instructions
Congratulations on your new hip! You are going home after a successful total hip replacement. Although there is still much work to do, we have already achieved a lot. So, when you get home, take a deep
More informationKNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION
KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of the procedure named
More informationTOTAL HIP REPLACEMENT
TOTAL HIP REPLACEMENT 2 Causes of Hip Pain Arthritis is the leading cause of disability in the United States, and the most frequent cause of discomfort and chronic hip pain. In fact, it s estimated that
More informationX-Plain Preparing For Surgery Reference Summary
X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding
More informationAnterior Approach. to Hip Replacement Surgery
Anterior Approach to Hip Replacement Surgery Introduction When debilitating pain and stiffness in your hip limits your daily activities, you may need a total hip replacement. The development of total hip
More informationRehabilitation Protocol: Total Knee Arthroplasty (TKA)
Rehabilitation Protocol: Total Knee Arthroplasty (TKA) Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical
More informationRehabilitation After Your Total Knee Replacement
1809 E. 13 th Street Suite 200 Tulsa, OK 74104-4243 (918) 582-6800 www.toctulsa.com Rehabilitation After Your Total Knee Replacement If your knee is severely damaged by arthritis or injury, it may be hard
More informationCORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY
CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY www.cpmc.org/learning i learning about your health What to Expect During Your Hospital Stay 1 Our Team: Our cardiac surgery specialty team includes nurses,
More informationThis is my information booklet: Introduction
Hip arthroscopy is a relatively new procedure which allows the surgeon to diagnose and treat hip disorders by providing a clear view of the inside of the hip with very small incisions. This is a more complicated
More informationLumbar or Thoracic Fusion +/- Decompression
Lumbar or Thoracic Fusion +/- Decompression PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS
More informationPhysical & Occupational Therapy
In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be
More informationTHE RECOVERY PROCESS
THE RECOVERY PROCESS PART 1 This information will help you get ready for your surgery AND prepare for the days, weeks, and months following your surgery. You may need to adjust your work schedule, ask
More informationTotal Hip Replacement
Total Hip Replacement 1. What are the surgical options for the arthritic hip? When non-operative treatments for hip pain due to arthritis fail to work, surgery may be indicated. The surgical options include
More informationPre and Post-Op instructions for lumbar fusion
Pre and Post-Op instructions for lumbar fusion These instructions are divided in 3 sections: 1. Pre-op instructions (things to do) 2. The hospital stay 3. Post-op and discharge instructions Pre- op instructions
More informationFine jewelry is rarely reactive, but cheaper watches, bracelets, rings, earrings and necklaces often contain nickel.
BEFORE SURGERY What should I do to prepare for my surgery? Arrange for a family member or friend to accompany you to the hospital on the day of your surgery. Cancel any dental appointments that fall within
More informationOne REVISION TOTAL KNEE REPLACEMENT. Ted W. Parcel, DO Larry Martin, MD Scott Sherrill, MD
One REVISION TOTAL KNEE REPLACEMENT Ted W. Parcel, DO Larry Martin, MD Scott Sherrill, MD 84484 RTKR New Cover.indd 1 10/30/13 10:53 AM CMC-Lincoln has earned the Joint Commission s Gold Seal of Approval
More informationKnee Replacement: Information for Patients and Carers
Directorate of Surgical Care Department of Orthopaedics Knee Replacement: Information for Patients and Carers This information is for patients who are considering having a knee replacement. What is a Knee
More informationARTHROSCOPIC HIP SURGERY
ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were
More informationDelivering Excellence. Nuffield Orthopaedic Centre NHS Trust. Information for Patients. Hip and Knee service. Total Knee Replacement NHS
www.noc.nhs.uk/hipandknee/default.aspx Nuffield Orthopaedic Centre NHS Trust www.noc.nhs.uk NHS Total Knee Replacement Information for Patients Hip and Knee service Delivering Excellence Contents Page
More informationYour Practice Online
P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Revision Hip Replacement or arthritis management. All decisions
More informationPre and Post-Op instructions for laminectomy
Pre and Post-Op instructions for laminectomy These instructions are divided in 3 sections: Pre-op instructions (things to do) The hospital stay Post-op and discharge instructions Pre- op instructions (things
More informationKnee Arthroscopy Post-operative Instructions
Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Knee Arthroscopy Post-operative Instructions PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY. THEY WILL ANSWER MOST OF YOUR QUESTIONS. 1. You may walk
More informationPREOPERATIVE: POSTOPERATIVE:
PREOPERATIVE: ACL RECONSTRUCTION RECOVERY & REHABILITATION PROTOCOL If you have suffered an acute ACL injury and surgery is planned, the time between injury and surgery should be used to regain knee motion,
More informationTotal Hip Joint Replacement. A Patient s Guide
Total Hip Joint Replacement A Patient s Guide Don t Let Hip Pain Slow You Down What is a Hip Joint? Your joints are involved in almost every activity you do. Simple movements such as walking, bending,
More informationY O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y
Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Your Surgeon Has Chosen the C 2 a-taper Acetabular System The
More informationLevel 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865
Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Total Knee Replacement Further Information and Feedback: Tell us how useful
More informationA Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee
A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments
More informationTHE REVERSE SHOULDER REPLACEMENT
THE REVERSE SHOULDER REPLACEMENT The Reverse Shoulder Replacement is a newly approved implant that has been used successfully for over ten years in Europe. It was approved by the FDA for use in the U.S.A.
More information.org. Knee Arthroscopy. Description. Preparing for Surgery. Surgery
Knee Arthroscopy Page ( 1 ) Arthroscopy is a common surgical procedure in which a joint (arthro-) is viewed (-scopy) using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee.
More informationRehabilitation. Rehabilitation. Walkers, Crutches, Canes
Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.
More informationLumbar or Thoracic Decompression and Fusion
Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS
More informationPERIACETABULAR OSTEOTOMY SURGERY
1 PERIACETABULAR OSTEOTOMY SURGERY It is important to us that all of our patients know what to expect before surgery, during their hospitalization and after surgery. Office Visits Planning begins with
More informationDr. Anseth s Frequently Asked Questions about Hip Replacement
Dr. Anseth s Frequently Asked Questions about Hip Replacement What hospital do you use? Abbott Northwestern Hospital What type of anesthesia do you use? General anesthesia with sciatic and lumbar plexus
More informationHip arthroscopy Frequently Asked Questions
Hip arthroscopy Frequently Asked Questions What is a hip arthroscopy? Hip arthroscopy is key hole surgery. Usually 2-3 small incisions (about 1 cm long) are made on the side of your hip. Through these
More informationRehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair
UW Health Sports Rehabilitation Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair The knee consists of four bones that form three joints. The femur is the large bone in the thigh
More informationArthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
More informationPOSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION
www.southerarizonaspine.com POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION This handout will review the care you need to follow once you are home. If you have any questions or concerns,
More informationTotal knee replacement
Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage
More informationYour Practice Online
P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Knee Replacement or arthritis management. All decisions about
More informationShould I have a knee replacement?
Introduction Should I have a knee replacement? Knee replacement is an operation to remove the arthritic parts of the knee and replace them with an artificial joint made of metal and plastic. It can either
More information.org. Arthritis of the Hand. Description
Arthritis of the Hand Page ( 1 ) The hand and wrist have multiple small joints that work together to produce motion, including the fine motion needed to thread a needle or tie a shoelace. When the joints
More informationPost Surgical Care of Patella Luxation Repair
Post Surgical Care of Patella Luxation Repair Home patient care after orthopedic surgery is critical to the success of the surgery. Allowing your pet too much activity may alter the anticipated outcome
More informationTotal Knee Arthroplasty (Knee Replacement) PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Condition and treatment
The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v4.00-04/2011 SW9337 Total Knee Arthroplasty
More informationKnee Microfracture Surgery Patient Information Leaflet
ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 Knee Microfracture Surgery Patient Information Leaflet Table of Contents 1. Introduction
More informationTOTAL KNEE REPLACEMENT Doug Thompson, MD
PROCEDURE The purpose of the total knee replacement procedure is to replace diseased worn joint cartilage with metal and plastic to reduce or eliminate pain, decrease deformity, and improve function. An
More informationEndovascular Abdominal Aortic Aneurysm Repair Surgery
Endovascular Abdominal Aortic Aneurysm Repair Surgery You are scheduled for an admission to Cooper University Hospital for Endovascular Abdominal Aortic Aneurysm surgery (EVAR). Please read this handout,
More informationILIOTIBIAL BAND SYNDROME
ILIOTIBIAL BAND SYNDROME Description The iliotibial band is the tendon attachment of hip muscles into the upper leg (tibia) just below the knee to the outer side of the front of the leg. Where the tendon
More informationAFTER TOTAL KNEE REPLACEMENT. Living with Your New Knee
AFTER TOTAL KNEE REPLACEMENT Living with Your New Knee Stepping into Recovery Before knee replacement surgery, your painful knee may have limited your activity. Movements that you once took for granted
More informationPATIENT REGISTRATION
Orthopedic & Sports Therapy Center PATIENT REGISTRATION NAME DATE OF BIRTH SSN# FIRST MI LAST PHONE INFO: HOME BEST WAY TO CONFIRM APPOINTMENTS WORK CALL TEXT EMAIL MOBILE (TEXT) MOBILE CARRIER EMAIL ADDRESS
More informationProcedure Information Guide
Procedure Information Guide Total hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that the
More informationFurther information You can get more information and share your experience at www.aboutmyhealth.org
OS01 Total Hip Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset
More informationINFORMED CONSENT FOR SLEEVE GASTRECTOMY
INFORMED CONSENT FOR SLEEVE GASTRECTOMY This informed-consent document has been prepared to help inform you about your Sleeve Gastrectomy including the risks and benefits, as well as alternative treatments.
More informationBaker Rehab Group HomeCare Rehab and Nursing LLC
Baker Rehab Group HomeCare Rehab and Nursing LLC Introduction So it s time for a joint replacement... Are you worried about the surgery? Are you wondering about the pre and post surgical process? Do you
More informationTotal Hip Replacement. University Hospital Ahuja Medical Center
Total Hip Replacement University Hospital Ahuja Medical Center Total Hip Replacement Whether you have just begun exploring treatment options or have already decided to undergo hip replacement surgery,
More informationANTERIOR HIP REPLACEMENT WWW.ORTHOWISCONSIN.COM
ANTERIOR HIP REPLACEMENT WWW.ORTHOWISCONSIN.COM The Orthopaedic Surgery Center Welcome Thank you for choosing The Orthopaedic Surgery Center for your medical and surgical needs. It is our goal and privilege
More informationPatella Realignment Tibial Tuberosity Transfer with Lateral Release
Patella Realignment Tibial Tuberosity Transfer with Lateral Release Alan M. Reznik, M.D. The Orthopaedic Group, LLC The knee is made of three bones, the kneecap (patella), the shin bone (tibia) and thigh
More informationINTRODUCTION TO HEALTH CAREERS
INTRODUCTION TO HEALTH CAREERS Pre-Health Advising Nicole Labrecque-Blue, Program Manager Abby Voss, Assistant Director We don t just advise pre-med Agenda Exploration Resources Introduction to a few Healthcare
More informationOrthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs
Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.
More information