Your Guide To Joint Replacement Surgery

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Your Guideto JointReplacementSurgery513-354-3700 beaconortho.com

BEACON SURGERY CENTERTABLE OF CONTENTSPHYSICIAN OWNERSHIPWelcome To Beacon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Please note that your surgeon may have a financial interest in the Surgery Center.The Physician Partners in Beacon Orthopaedics Surgery Center, LLC include:SECTION 1Prepare for Your Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8Financial Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3David Argo, M.D.Matthew Langenderfer, M.D.Pre-Admission Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4John Bartsch, M.D.Glen McClung, M.D.Physical Exam & Your Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5John Brannan, M.D.Timothy McConnell, M.D.Surgey Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Robert Burger, M.D.Adam Miller, M.D.Peter Cha, M.D.Joshua Murphy, M.D.Haleem Chaudhary, M.D.Andrew Razzano, M.D.Jaideep Chunduri, M.D.Ian Rodway, M.D.Your Surgery & Stay at Beacon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12Mohab Foad, M.D.Michael Rohmiller, M.D.Morning of Your Surgery & Operating Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Steve Hamilton, M.D.Robert Rolf, M.D.Total Knee Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Matthew Johansen, M.D.V. James Sammarco, M.D.Total Hip Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Sam Koo, M.D.Kevin Shaw, M.D.Timothy Kremchek, M.D.Michael Swank, M.D.Important Information Regarding ASC Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Physical Therapy & Beacon DME Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8SECTION 2SECTION 3Your Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-15After Your Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Post-Surgery Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Post-Operative Orders for Joint Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15CONTACT USFrequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-18Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20Main Number513-354-3700Financial Inquiries513-580-7519Surgery Center513-401-6611Workers’ Comp. &Disability Services513-354-7679beaconortho.com

1 2Welcome to BeaconWelcome and thank you for choosing to have your surgery at Beacon Orthopaedics and Sports Medicine’sAmbulatory Surgery Center located within our Sharonville location Summit Woods.Recent advances in surgical technique, anesthesia, and pain management have enabled joint replacementsurgery to move safely out of the hospital setting. Joint replacement surgery is now possible with a same dayrelease. We have designed our facility to be on the cutting edge of new technology to provide you and yourfamily members the best care available. Our goal is for you and your loved ones to have a safe, comfortable,high-quality patient care experience in a more peaceful environment with more individualized service. Thisbooklet is designed to help you feel comfortable, informed, and prepared for your total joint replacement.Date of Surgery:Time of Surgery: Exact time of surgery is determined one day in advance. You will be notifiedof your surgery time via phone the work day before your surgery date.Location:SUMMIT WOODSAmbulatory Surgery Center (ASC)WESTAmbulatory Surgery Center (ASC)DIRECTIONSSummit Woods Ambulatory Surgery CenterWest Ambulatory Surgery Center501 E Business Way, Cincinnati, OH 452416480 Harrison Avenue, Cincinnati, OH 45247FROM I-75FROM I-275 Take I-275 East to Reed Hartman (Exit 47). Stay in middle lane on the ramp and follow signs to Kemper Rd. Turn right on Reed Hartman and immediately get into the leftlane for Kemper Rd. Connector. Turn left at first traffic signal and travel up a short hill to KemperRd., across from the Doubletree Hotel. Turn right (east) on Kemper Rd. At second traffic signal turn left onto E Business Way. Beacon Orthopaedic Center is at the end of the circle. Take I-275 to I-74/US-52. Use the left lane to take exit 28 to merge onto I-74/US-52 Easttoward Cincinnati. Use the middle lane to take exit 11 toward Rybolt Rd/Harrison Ave.fontsuse the right two lanes to turn right ontoHarrison Ave. Travel on Harrison Ave. for half a mile. Turn left at the Beacon sign and proceed up the hill. Beacon Orthopaedic Center is at the end of the driveway.FROM I-71 Take I-275 West to Reed Hartman (Exit 47). Turn left off exit and cross over the interstate. Stay in the left lane. Turn left at first traffic signal and travel up a short hill to KemperRd., across from the Doubletree Hotel. Turn right (east) on Kemper Rd. At second traffic signal turn left onto E Business Way. Beacon Orthopaedic Center is at the end of the circle.S E C T I O N1PREPARE FOR YOUR SURGERY

3 4Prepare for Your SurgeryPRE-ADMISSION TESTINGFINANCIAL PRE-PAYMENT POLICYThank you for entrusting Beacon with your surgical care. At Beacon, we want to make your experiencewith us as smooth as possible. Our goal is to provide you with the information needed to navigate thecomplex health insurance & billing field. Our patient advocates are here to assist with any questions youmay have regarding this information.At Beacon, we require the prepayment of any estimated patient responsibility amounts prior to theservice being performed. Depending on your insurance benefits, you may have a deductible, coinsurance,or co-pay. Our patient advocates may be contacting you regarding your estimated out of pocket costs toset up payment arrangements.When you have surgery, you will likely receive multiple bills. These bills can include: Professional Charges — Professional charges are the fees that are paid to the physician for performingthe surgery. For assistance with these fees, contact our representative at 513-580-7519. Facility Charges — Facility charges are the fees from the building where the surgery was performedwhich cover the costs of medications, implants, and supplies. These can come from the SurgeryCenter or Hospital, depending on where your care is performed. For assistance with the BeaconSurgery Center’s fees, contact our representative at the number listed above. Anesthesia Charges — Anesthesia charges are the fees from the anesthesiologists’ services duringyour surgery and recovery. If performed at our Surgery Center, these bills will come from Seven HillsAnesthesia Group Practice. For questions regarding anesthesia charges, contact our representative at513-862-2432.The quoted amounts due for surgery are only estimates. The real dollar amount owed by the patientcan fluctuate depending on changes in the patient’s benefits or the procedure performed. If the amountquoted is less than what is actually due, the patient will be required to pay the difference after the surgery.If the amount quoted is higher than the actual amount, the patient will receive a refund in a timely manner.You will receive a phone call from a nurse in our Pre-Admission Testing (PAT) department to go over basichealth questions and to help guide you through the pre-operative process. This is a good opportunity toask any questions you may have regarding other medications you are taking, etc. Please note that yourexact time of surgery will be communicated 24-48 hours prior to your date of surgery.Beacon Orthopaedics & Sports Medicine utilizes One Medical Passport in order to complete pre-admissiontesting. Please follow the instructions below in order to create a One Medical Passport account andcomplete the pre-admission questions as soon as possible after you have scheduled your surgery.If you have difficulties doing this online, or don’t have a working computer, p lease call 513-257-2950.Beacon Orthopaedics Surgery Centers ask that you complete pre-admission with One Medical Passport.The website guides you to enter your medical history online to help up provide you with the best possiblecare and minimize long phone interviews and paperwork. BEGIN PRE-ADMISSION ON OUR WEBSITE1. Open a web browser and type in: www.beaconortho.com/surgery2. Click on the Pre-Surgical Assessment Link or One Medical Passport Icon3. Create your One Medical Passport AccountFirst time users of onemedicalpassport.com should click on the greenRegister button and c reate an account. Answer the questions on each page and click save and continue.Username chosen:Password:4. Once complete, you will be prompted to click F inish to securelysubmit your information.Please note:Returning Users (for changes or reuse)If you are a returning user, enter the username and password youchose previously to access or update your account.Help Completing Pre-AdmissionEach page has a Help link you may click for assistance from OneMedical Passport. I f you are unable to complete the assessment forany reason, please call 513-257-2950.beaconortho.combeaconortho.com

5 SURGERY CHECKLISTCOMPLETE PHYSICAL EXAM 6You will need to have a comprehensive physical exam completed by your family physician. This physicalexam must be completed within 30 days of your surgery.In the back of this booklet, there are two perforated pages to take to your physician for completion. If youhave a cardiologist or another specialist physician, please check in with those doctors as well.Please instruct any specialist that may be involved to fax approval/testing results to Beacon at513-823-2887 (fax) at least 2 business days or sooner prior to your surgery date. If you are going tobe out of town the week before your surgery, please let our staff know as soon as possible.THINGS TO DO THE NIGHT BEFOREAND MORNING OF YOUR SURGERYTHINGS NOT TO DO THE NIGHT BEFOREAND MORNING OF YOUR SURGERYn Do brush your teeth, but do not swallow then Do not eat or drink after midnight.water in the morning.n Do not drink alcohol, including beer or wine.n Do shower the night before and morning ofn Do not smoke.surgery with antibacterial soap.SURGERY AND YOUR MEDICATIONSPlease bring a list of your home medications to the Ambulatory Surgery Center. Your surgeon willdetermine what medications can be started after your surgery.All weight-loss products, nutritional supplements, and herbal supplements should be stopped 2 weeksbefore surgery. Please review this with the PAT nurse.If you are on Aspirin, Aspirin-containing medications or any type of blood thinner (i.e, Aggrenox,Coumadin, Effient, Eliquis Plavix, Pradaxa, Xarelto), contact your physician for instructions regardingthese medications.Medications such as ibuprofen and other anti-inflammatories need to be stopped 7 days before surgery.n Do leave all unnecessary valuables at home.n Do not chew gum.n Do take medication as directed with just a sipn Do not eat any type of hard candy.of water.n Do not shave the surgical area at home.n Do not wear make-up or nail polish.THINGS TO BRING THE DAY OF SURGERYn List of medications you are currently taking andn Wear a comfortable outfit or athletic clothes thatn Driver’s Licensen Crutches/walker (if you don’t have these, theylist of allergieswill be provided for you to take home)n Insurance cardCommon Anti-inflammatories to Stop 7 Days Before Surgery:n Copy of Advanced Directives (if you have them)Advil or Motrin (ibuprofen)EtodolacMeclofenamate-MeclomenAleve or Naprosyn (naproxen)Feldene (piroxicam)Mefanamec AcidArthrotec or Voltaren (diclofenac)Fenoprofen-NaflonNuprin Ketoralac-ToradolCelebrex (celecoxib)Indocin (indomethacin)Relafen (nabumetone)Daypro (oxaprozin)Lodine (etodolac)Toradol (ketorolac)Do not take your diabetic medications the morning of surgery unless you have been instructed by yourmedical doctor.Medications you may be told to take the morning of surgery as instructed by your physician and/or PATnurse include:Blood pressure medicationsBeta blockers (heart medications)Anti-seizure medicationsare easy to get on/off and a pair of gym shoes.n Eyeglasses, contacts, hearing aidesPREPARE YOUR HOMEYour ability to perform your usual daily activities may be altered after your surgery. There are a fewthings you can do before your surgery to make your transition back home safer and easier.n Make sure walkways and hallways are clear andn Complete housekeeping tasks before surgery:n It may be difficult to get up from low surfaces, son Cut the grass, tend to the garden, and finish anywide enough for you and your walker, crutches,or cane. Rearrange furniture if needed.make sure your favorite chairs and bed are highenough for you to get into and out of easily.n Remove throw rugs, carpet runners, andsuch as laundry, placing clean linens on the bed,and preparing and freezing meals in advance.other yard work before surgery.n Arrange to have someone collect your mail, takeout the trash, and take care of pets.bathroom mats from the floors; these aretripping hazards.n Make arrangements for transportation to anyappointments, including physical therapy, untilyou are cleared to drive by your surgeon.n Place frequently used kitchen and bathroomitems within easy reach to avoid excessivebending and stretching.n Make arrangements to have someone stay withn Make sure you wear supportive walking shoes(no open back shoes) and comfortable,loosefitting clothing.beaconortho.combeaconortho.comyou for the first week after surgery.

7 8IMPORTANT INFORMATION REGARDING ASC POLICIESPHYSICAL THERAPYBeacon Orthopaedics Surgery Center treats patients and their caregivers with respect, consideration and dignity regardless of age,race, color, sex, national origin, religion, culture, physical or mental disability, personal values or belief systems. Patients will receive acopy of these rights and responsibilities via this guide book prior to the date of their procedure.If you decide to do your post-operative physical therapy outside of Beacon, call the provider in advanceand schedule a post-operative physical therapy appointment for 2-3 days after your date of surgery.Each patient has the right to:Each patient is responsible for: Receive appropriate care in a safe setting as directed by thephysician from staff members who are friendly, considerate,respectful, and qualified to perform the services for whichthey are responsible with the highest quality of service. Provision of complete and accurate information to the best ofhis/her ability about his/her health, any medication, includingover-the-counter products and dietary supplements and anyallergies or sensitivities. Expect appropriate privacy with regard to treatment while inthe facility and treatment of all patient health information heldby the facility in medical records except when disclosure isrequired by law. Following the treatment plan prescribed by his/her provider. Assuring that a responsible adult is available to transport him/her home from the facility and remain with him/her for 24hours if required by his/her provider. Approve or refuse the release of patient health informationexcept in the case of acute transfer to another facility or whendisclosure is otherwise required by law. Informing his/her provider about any living will, medical powerof attorney, or other directive that could affect his/her care. Complete information, to the extent known by the physician,regarding diagnosis, evaluation, treatment plan, procedureand prognosis, as well as alternative treatments or proceduresand the potential risks and side effects associated withtreatment plan and procedure. Being respectful of all the health care providers and staff, aswell as other patients. Accepting personal-financial responsibility for any charges notcovered by his/her insurance. Respecting the property of others and the facility. Participate in decisions regarding their healthcare, exceptwhen contraindicated for medical reasons. If the patient isunable to participate in such decisions, the patient’s rightsshall be exercised by the patient’s designated representativeor other legally designated person. Confirmation of whether he or she clearly understands theplanned course of treatment. Information regarding the scope of services available at thefacility and provisions for after-hours emergency care.We pledge that each patient will receive the highest qualitypatient care available delivered in a professional, friendlyand confidential manner. Comments or concerns regardingour service may be made directly to our Director of SurgicalServices, by telephone, US Mail or email using the followingcontact information. Information related to fees for services rendered and facilitypolicies regarding payment for such services. Refuse treatment to the extent permitted by law and be moreinformed of the medical consequences of such a refusal. Thepatient accepts responsibility for his or her actions should heor she refuse treatment or not follow the instructions of thephysician or facility. Be fully informed of any human experimentation or otherresearch projects affecting his or her care or treatment.The patient has the right to refuse participation in suchexperimentation or research without compromise to thepatient’s care. Be fully informed of the facility’s policy regarding advancedirectives/living wills. Information regarding and assistance in changing primary orspecialty physicians or dentists if other qualified physicians ordentists are available. Request information regarding the credentialing of healthcareprofessionals who provide care at the facility. Information regarding the absence of malpractice insurancecoverage when applicable to the healthcare professionalproviding patient care. Exercise his or her rights without being subjected todiscrimination or reprisal. Information regarding the procedure for expressingsuggestions and/or grievances and external appeals asrequired by state and federal regulation. Keeping appointments and, when unable to do so for anyreason, notifying the facility and physician.Beacon Orthopaedic Surgery Center LLC501 E Business Way, Cincinnati, Ohio, 45241513-401-6611dwinter@beaconortho.comYou may also contact the Ohio Department of Health or go theOffice of the Medicare Beneficiary Ombudsman website to reporta specific grievance associated with your care at this facility.If you choose to have your post-operative physical therapy sessions at a Beacon location, the staff willschedule your first follow up appointment and more before you leave the morning after your surgery. Ifyou choose a non-Beacon facility, you will need to request a physical therapy script from our office to giveto your provider.Post-operative physical therapy is done 1-3 times per week for approximately 6-8 weeks. If transportationis unavailable or not practical for you to get to outpatient physical therapy, home physical therapy may bearranged for you. If you anticipate you will need this, call your physician’s staff for assistance in arrangingthis service. Beacon Orthopaedics does not offer in-home physical therapy.BEACON DME SERVICES - MEDICAL EQUIPMENTBeacon Orthopaedics and Sports Medicine has in-house Durable Medical Equipment (DME) services toprovide patients with the bracing, assistive devices and other medical devices they may need. Dependingon your physician and your insurance company, patients may receive different medical devices and atdifferent times.FOR TOTAL KNEE & TOTAL HIP REPLACEMENTSOur physicians recommend the use of a rolling walker after a total knee or total hip replacement. Rollingwalkers allow you to keep a normal gait as you walk, and reduce the risk of losing your balance thatcrutches often cause. If you already own a rolling walker or are borrowing one from a friend, please bring itwith you to your surgery so that our staff can assure it is fitted to you properly. If you do not have a rollingwalker already, one will be provided to you at the surgery center and you will be sent home with thatrolling walker.If you already have a cane or crutches, these items can be useful once you are further along in yourrecovery and no longer need the full support of the rolling walker.Ohio Department of Health, PCSH246 North High Street, Columbus, OH 43215Complaint Hotline: 800-342-0553Complaint Email: hccomplaint@odh.ohio.govOffice of the Medicare Beneficiary are-rights/gethelp/ombudsman.htmlYou have now received all the patient rights and responsibilityinformation in this section and will be responsible for reviewingit and asking any questions you may have. Be free from all forms of abuse or harassment.beaconortho.combeaconortho.com

9 10MORNING OF YOUR SURGERYCertain medications may be taken with a sip of water the morning of your surgery.After checking in at the Surgery Center’s front desk, you will be taken to the pre-operative holding areawhere you will be prepared for surgery. You will meet the anesthesiologist at this time and you will seeyour physician before you go into surgery.If you are having a knee replacement, your anesthesiologist will perform a peripheral nerve block. Thisis called an adductor canal nerve block and will help reduce post-operative pain. The block involvesinfiltration of local anesthetic with a needle under ultrasound guidance around the mid-thigh. You will begiven a mild sedative prior to this procedure.For both a hip or knee replacements, you will receive spinal anesthesia or general anesthesia.Spinal anesthesia can be performed in the preoperative holding area or in the operating room. Theanesthesiologist infiltrates the lower lumbar spine with local anesthetic. General sedation is accomplishedwith intravenous medication.Advantages to spinal anesthesia include the following: less pain, less blood loss, no need for endotrachealintubation, no sore throat, less nausea, and lower rates of blood clots.OPERATING ROOMS E C T I O N2YOUR DAY AT BEACONThe operating rooms are kept at a cold temperature so every attempt will be made to keep you warmduring the surgery.Depending on your surgeon, a drain may be placed at your surgical site; this controls swelling andremoves excess blood and fluid. This drain will be removed before you are discharged home. You mayhave an oxygen tube in your nose. As you wake up from surgery, you will be very sleepy and will not wantto breathe deeply, the tube will deliver oxygen until you are fully awake.Joint replacement surgery takes about 60 minutes to perform. You will be in the operating room for anestimated 90 minutes from start to finish. After surgery, you will be taken to the recovery room where youwill remain until you are discharged home.beaconortho.com

11 12TOTALKNEEReplacementREPLACEMENTTotal damagedThis procedureprocedurerestoresfunctionto aa onto a t hasknee.Mostcommonly,itisusedtorepairakneedamaged knee. Most commonly, it is used thatto endamagedbyarthritis.Duringtheprocedure,therepair a knee that has been damaged by thDuring the procedure, the surgeon replaces amagedportionsof theknee acer.component,aconsistmetal tibialtibialcomponentand aa A small plastic patellar component may also be used.a metal tibial component and a plastic spacer. Asmallplastic patellar component may also be used.PreparationPreparationIn preparation for the procedure, anesthesia isadministeredadministered andand thethe patientpatient isis positioned.positioned. TheThe siaismakesanincisioninthefrontoftheknee.Themakes an incision in the front of the knee. The y moves the kneecap out of the way to expose thethejoint.surgeonmakes an incision in the front of the knee.joint.In preparation for the procedure, anesthesia tTotal Hip ReplacementTotal Hip mplantFemoralImplantImplantMetal ballMetal ballMetal ballLinerLinerLinerDAMAGED HIPDAMAGED HIPJOINTDAMAGED HIPJOINTJOINTPelvisPelvisPelvisTheThe surgeonsurgeon carefullycarefully trimstrims awayaway thethe damageddamaged endsends ofof thethefemur and the tibia. The surgeon removes cartilage and ytrimsawaythe damagedsmallsurgeonamount ofofunderlyingbone,reshapingthe bonesbones nd forthethetibia.The components.surgeonReshapingtheBonesfemur and thetibia.The surgeon removes cartilage and aFemurFemurFemurremoves cartilage and a small amount of underlyingInsertingtheComponentsInsertingthe MetalMetalComponentsbone,reshapingthe bonesto provide a nprepared,the surgeonsurgeon maymayplatform for the AREDAfterthe boneshave been prepared, the surgeonInsertingthe SpacerInsertingmayapply theboneSpacercement to stabilize theseThe surgeon secures a plastic spacer onto the tibiacomponents. The surgeon inserts the metal femoralcomponent. The spacer will allow the femoral componentandtibialcomponents.to glidesmoothlyand naturally as the knee is used.to glide smoothly and naturally as the knee is used.Inserting the SpacerPatellar ResurfacingThesurgeonsecures aplasticontotheIn additionto repairingthefemur spacerand tibia,the may also choose to resurface the kneecap. If so, thecomponentto glidetrimsmoothlyandnaturallyas thesurgeon will carefullyaway thebackof the kneecapkneeis used.and replaceit with a small plastic cap.PatellarTestingResurfacingthe JointTesting the JointWhenall of thecomponentsin place,surgeonInadditionto repairingthearefemurandthetibia,thetests the componentsby guidingthe knee throughasurgeonmay also chooseto resurfacethe eIf so, the surgeon will carefully trim away the back ofthe kneecapknee flexesandandreplaceextends witha fluidand naturaltheit witha smallplastic cap.ART IF IC A LNEEKK NEEmotion. When the procedure is complete, the surgeonTestingJointand bandages the knee.closes thetheincisionWhen all of the components are in place, thesurgeon tests the components by guidingthe knee through a range of movements. Thesurgeon checks to make sure the knee flexes andextends with a fluid and natural motion. Whenthe procedure is complete, the surgeon closes theincision and bandages the knee.beaconortho.combetween the major muscles of the hip instead ofThe anteriorallows thesurgeonto workbetweenthe incisionmajormusclesof thehipinsteadcuttingthemordetachingthemfromofthe hipThethroughAnteriorApproachbetweenthe majormusclesof the hipinstead ofcuttingthroughthemormuscledetachingthemthe hipor femur.By ordetachingthemfromthe hiporfemur.anteriorBymuscle tissue,the heincisionallowsthesurgeon to proachcanrecoverytimeand reducetheminimizerisk of futuredislocation.betweenthemajormusclesofthehip instead ofapproachcanminimizerecoverytimeand reduce the risk of future dislocation.andreduce therisk of futuredislocation.cuttingthroughthemor detaching them fromPreparationPreparationthehip orforfemur.By preservingInpreparationthe procedure,anesthesia ismuscle tissue, thePreparationInpreparationapproachfor thethe patientprocedure,anesthesiaTheisadministeredandis positioned.anteriorcanminimizeIn preparation for the procedure, anesthesia isrecovery time andadministeredandthepatientis positioned.Thesurgeonmakesanriskincisionin thefrontof thehip.reducetheoffuturedislocation.administered and the patient is positioned. Thesurgeonmakesan incisionin thethe hip.The surgeongentlyseparatesthe frontfemuroffromthesurgeon makes an incision in the front of the hip.Thesurgeongentlyseparatesthe PreparationThesurgeon gently separates the femur from thehipsocket and removes the damaged ball of thejoint.hip socket and removes the damaged ball of thejoint.In preparation for the procedure, anesthesiajoint.The surgeon gently moves the kneecap out of the

booklet is designed to help you feel comfortable, informed, and prepared for your total joint replacement. Date of Surgery: _ Time of Surgery: Exact time of surgery is determined one day in advance . You will be notified . of your surgery time via phone the work day before your surgery date . Location: Summit Woods Ambulatory Surgery Center

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