Precaution to taken before joint replacement surgery by dr. Shailendra Patil

Why do I need to prepare for surgery in advance?

In order for the recovery stage after joint replacement surgery to take place with the greatest benefit and with the least discomfort, it is worth preparing yourself and your home in advance for this stage of treatment. The following information will be useful in preparing for hip replacement and knee replacement surgeries.

In any case, when preparing for surgery, you should listen to the doctor’s recommendations. It is necessary to take into account the age and general health of the patient.

In addition, proper preparation for endoprosthesis surgery and the postoperative period will minimize risks such as rejection of the prosthesis, injury and protect against other troubles. Therefore, it would be wise to prepare in advance for the process of treatment, rehabilitation and recovery.

Some useful recommendations

1. Take care of your physical condition:

  • First of all, it is necessary to check with doctors for the presence of any infectious processes in the patient’s body. By the time of the operation, it is necessary to treat all chronic and acute inflammations, otherwise there is too high a risk of infection in the area of the artificial joint.
  • Be sure to visit a dentist. Any foci of inflammation, for example in the teeth and gums, increase the risk of infection. It should also be taken into account that from two weeks to a month should pass between tooth extraction and endoprosthesis surgery.
  • Make sure that no damage or fungal lesions appear on the skin: cracks between the toes or on the heels, diaper rash, purulent pimples, wounds or ulcers on the extremities.
  • On the eve of surgery, the patient should not have fever, viral diseases or diarrhea.
  • In order for the body to adapt to the artificial joint faster after surgery, it is necessary to engage in physical exercises that strengthen the muscles. Of course, the load needs to be adjusted in accordance with the physical condition of the patient and the recommendations of doctors.
  • If the patient is overweight, then, if possible, care should be taken to bring his weight back to normal. Excess weight can increase the load on the new joint and provoke the formation of blood clots and other complications.
  • A week before the operation, it is not recommended to drink alcoholic beverages. Two weeks before the operation, if possible, give up smoking (maybe this is a great reason to quit smoking?).
  • One week before the scheduled operation, it is necessary to stop taking anti-inflammatory and pain medications. If the pain is severe, then it is necessary to consult with the attending physician so that he prescribes the most sparing gastrointestinal medications.
  • Four days before the operation, blood thinning drugs (warfarin and other drugs) are stopped.
  • As a rule, the treatment of concomitant diseases does not need to be interrupted. Medicines that the patient takes with him to the hospital must be in the original packaging.

Prices for some types of endoprosthetics in the Czech Republic and Italy:

  • A hip replacement in the Czech Republic — 8500 € (7 days)
  • Knee replacement in the Czech Republic — 8500 € (7 days)
  • Simultaneous replacement of both hip joints in the Czech Republic — 14000 € (10 days)
  • Shoulder replacement — from 15000 € (14-17 days)
  • Arthroplasty after osteosynthesis in the Czech Republic — 10000 € (14 days)

2. Prepare your home for your return from the clinic:

In addition to taking care of the patient’s physical health, preparation for joint replacement surgery also involves preparing the home for the patient’s return home after surgery.

  • Make sure that the movement around the house, apartment or household plot is free and has no obstacles.
  • It is better to remove carpets that are not attached to the floor. And also hide electrical cables and other objects for which you can catch your foot and fall.
  • Think over the lighting in the house, apartment and on the plot so that it is sufficient, especially at night.
  • Add to the list of contacts of your mobile phone the necessary phone numbers of loved ones, emergency services, etc. Make a habit of always keeping the phone with you.
  • After joint replacement, low chairs, sofas and beds should not be used for the first time. Prepare stable supports for the bed legs and overhead seats for chairs and armchairs in advance.
  • Prepare comfortable home shoes with low heels with non-slip sturdy soles. It is better if the shoes are well fixed on the foot with Velcro fasteners.
  • Things that you often use, place them at a convenient height in advance so that you don’t have to reach for them, bend over or stand on other pieces of furniture. If necessary, things from the ground or the floor should be lifted with forceps or other devices, because it is strictly forbidden to bend to an angle of 90 degrees for several weeks after the operation.
  • In the toilet and bathroom, you need to take care of a sufficient height of the toilet and the presence of handrails to make it easier to get up and sit down. There should be no slippery coating and mats in the bathroom. Put non-slip tabs in the bathroom and shower. After the operation, it is recommended to take a shower in a standing or sitting position on a chair for the first weeks.
  • For the first time after the operation, you will need help with dressing, cleaning, and visiting the store. Therefore, think in advance who could help you during this period.

3. What to take with you to the clinic:

  • The results of preoperative examinations that were performed at the place of residence.
  • Personal identification documents (passport).
  • Take medicines with you that you need to take regularly. All medicines must be in the original packaging.
  • Take comfortable home shoes with durable and non-slippery soles. Shoes should be easily and firmly fixed on the foot.
  • Do not forget personal hygiene items (soap, comb, toothbrush, etc.). Also take the items you need in everyday life (glasses, dentures, hearing aid, books, etc.).
  • Take personal comfortable clothes: socks, underwear, tracksuit, sneakers, etc.
  • You can take a mobile phone, laptop, tablet with you.
  • If possible, do not take valuables with you, since the hospital is not responsible for personal property left unattended. Check with the clinic in advance about the possibility of placing valuables for temporary storage in a safe.

4. Preoperative preparation during hospitalization:

  • As a rule, the patient arrives at the hospital for hospitalization at least 1-2 days before the operation. Upon arrival, a meeting with an orthopedic surgeon is scheduled to discuss the details once again and get answers to the remaining questions. After that, the patient signs the necessary documents: a contract with the clinic, consent to the operation, a questionnaire for the anesthesiologist.
  • In the clinic, the patient will once again take all the necessary tests, do X-rays, ECG and other preoperative examinations. The patient meets with an anesthesiologist to discuss possible and most appropriate methods of anesthesia.
  • On the eve of surgery in the evening, injections are given to the patient to prevent the formation of blood clots. It is also necessary to take a shower on the eve of the operation and in the morning on the day of the operation.
  • Before the operation, you can not use cosmetics and nail polish. The nail polish should be removed from the nails before arriving at the clinic!
  • The patient himself is strictly forbidden to shave the hairs in the area of the operation! If necessary, a nurse will do it.
  • Immediately before the operation, you need to get rid of removable dentures, remove glasses, wristwatches and jewelry. Before the operation, the patient needs to change into operating clothes.
  • In the morning on the day of the operation, you can not take any food and drink, chew gum, smoke.

Preparation for joint replacement surgery is a very important stage of treatment that should not be neglected.

Precaution to taken before joint replacement surgery by dr. Shailendra Patil

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