Excess weight makes your surgery more difficult and places you at an increased risk of complications. Speak to your primary physician about weight loss programs.
Eating as healthy as possible, with the right amount of fruits, vegetables, protein, whole grains, and low-fat dairy, is important for surgery. Iron is important, too. Good sources of iron include lean red meat, fortified cereals, and leafy green vegetables.
If you have diabetes, it is important that your blood sugar is under control. Check your blood sugar daily. Also ask your doctor about having an A1C test, if you haven’t had one recently. This test measures your average glucose level over the previous few months.
Smoking increases your risk of complications. Consider stopping now. If you would like help quitting, you can contact the California Smokers Helpline at 1-800-NO-BUTTS.
Bacteria that cause infections in the teeth or gums can travel through the bloodstream and settle in your new joint, so you should have a dental exam before surgery. You should also wait at least six months after surgery before having any dental procedures done, including cleaning. Speak to your surgeon and dentist about preventive antibiotic treatment before any procedure.
Alcohol may interfere with anesthesia and pain medications. Don’t consume alcohol within one week of surgery.
Signs of Infection
If you develop a fever, infection, skin rash, cut, bite, or openings in your skin prior to surgery, contact your surgeon immediately.
Hip and knee surgery increase your risk of developing blood clots. Tell your surgeon if you have a history of blood clots. Also let your surgeon know if you smoke, use birth control pills, or have any type of cancer.
Use of NSAIDs
Stop using anti-inflammatory medications (NSAIDs) 10 to 14 days prior to your surgery. These increase your risk of bleeding. Examples of NSAIDs are aspirin, Ecotrin, Advil, Motrin, ibuprofen, Aleve, and Naprosyn. You may continue to take medications that contain acetaminophen as ordered by your doctor. These include Tylenol, Vicodin, Norco, and Percocet.
If you are currently taking blood thinners (anticoagulants), consult your physician about how far in advance of your surgery you should stop taking them. Anticoagulants include Coumadin, Pradaxa, Plavix, Ticlid, and others.
Your leg muscles help support your knees and hips. Making them strong aids recovery.
The exercises on these pages strengthen your muscles. They also increase range of motion
and flexibility. Do each of these 10 times with each leg, twice a day until your surgery.
Short Arc Quads
Straight Leg Raises
These exercises help build upper body strength. This will make using a walker or crutches easier on you.
NOTE: Use small bottles of water or cans of food if you don’t own weights.
This checklist will help you prepare for your total joint surgery. Your surgeon
and/or primary physician will decide which diagnostic tests you should have.
Donating Your Own Blood
If your surgeon advises you to donate blood for yourself, you should schedule an appointment with the blood bank three to four weeks prior to your surgery date. If you are donating more than one unit of blood, wait about one week between donations. The phone number for the Upland Donation Center is 909.920.0625.
Community Blood Supply
The blood bank keeps an available supply of blood donated by community volunteers. New methods for screening donors and testing blood mean that blood is safer than it has ever been.
If you are unable to donate your blood, you may have a friend or family member donate for you. Blood that is compatible will be set aside for your surgery. The processing and testing takes approximately seven days.
Several Days Before Surgery
All of these tips will help you be better prepared for surgery. They will also make returning home easier.
The Day Before Surgery
Follow these instructions on the day before surgery. They’ll help to ensure that everything goes smoothly.
On the day before surgery you will receive a call from the hospital. You’ll be told the time that you are scheduled to arrive. It is important that you arrive on time. This allows the nurses and other staff to complete the necessary preparations for your surgery. Here are some DOs and DON’Ts for the day of your surgery.
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