Birmingham Hip Resurfacing Surgery - Preoperative investigations - Joint Replacement Surgery
JOINT REPLACEMENT SURGERY
Preoperative preparation Protocol
(For Dr. Vijay C. Bose patients)
Joint Replacement surgery has seen many recent developments and now gives consistently gratifying results using appropriate implants in the respective age groups. However it is a major surgical undertaking and must be given the utmost care and preparation. It is never an emergency procedure and thus the patient must be in an 'Best possible condition' at the time of the surgery.
Preparation and investigations for the surgery is done from 3 different profiles.
- Fitness to have anaesthetic
- To detect hidden sources of infection in the body
- To help the surgeon in the technical planning for the operation
| Fitness to have anaesthetic | To detect hidden infection |
| Hb%* | Urine culture* |
| TC / DC / ESR* | Dental opinion* |
| Bld sugar (Random)* | required if one has any kind of skin lesion however minor - Dermatologist consultation* |
| Bld.Urea* | |
| Sr. Creatinine* | |
| Platelet count* | Technical planning |
| PT/PTT* | Recent x-ray |
| Chest x-ray* | May be required |
| ECG* | CT scan |
| Routine urine examination* | 3D reconstruction |
| Echo cardio gram - * Required only if older than 40yrs of age | Special x-rays eg: lateral view, Wt -bearing films & Full-length films |
| Other special tests if any ( please ask the doctor) |






Dr. Bose, firstly I want to thank you again for the "miracle" of the new knees. After the initial recovery I have been Pain free. Before it was a struggle to walk one block, and tennis was becoming more difficult and increasing painful (a constant 7). Now I can walk comfortably for any reasonable distance, and have become a "butterfly on the court".
Mrs Al Saeed Nada Ali Kadhim, from Iraq had
Rheumatoid arthritis on both her knees for 20 years.