How to Prepare for Joint Replacement Surgery

As a specialist in joint replacement, I am frequently asked “How can I best prepare for my upcoming surgery?”  There are many things that you can do to get ready for surgery.

Hip and knee replacements are considered major surgeries.  You will likely be in the hospital for 2 to 3 days. Prior to surgery, I want you to see your medical doctor to make sure that you are in the best health possible.  Sometimes medications need to be adjusted.  If you are a diabetic, studies have shown that improving your blood glucose levels and your hemoglobin A1C helps to reduce complications.  If you are overweight, weight loss may be recommended before considering surgery as obesity is also a risk factor for serious complications such as infections.   Any skin problems such as eczema or open cuts on the skin need to be resolved before having surgery.   If you are anemic, increasing your intake of red meat or taking iron supplements may help to decrease the need for blood transfusions after surgery.

Joint replacement surgery removes the arthritis and replaces the joint with metal and plastic.  The muscles, however, are not replaced.  Physical therapy before surgery can help to improve muscle strength and balance and may help to speed your recovery.

After surgery, you will likely be using a walker or crutches.   Will you be safe in your home?  Remove throw rugs and pick up objects on the floor that you could trip over. Do any heavy cleaning around the house before your surgery, as you will not be feeling up for housework for some time.  Get all the laundry done before your surgery! Think about making and freezing dinner items and stock up on easy to prepare foods.  Although you may be able to go up and down stairs, you will not be doing so quickly or while carrying anything.  If possible, try to arrange things at home so you can stay predominately on one level.  You will not be able to drive for several weeks after your surgery, so you need to consider that in your planning.   What will you do with your free time when you are recuperating from surgery?  Make sure you have extra yarn for knitting or books from the library.  Pack a small bag of toiletries and loose-fitting clothes to bring with you to the hospital.  If you are planning on going to a nursing facility after surgery I would pack a separate larger bag with clothes for 1-2 weeks.

It is normal to be anxious, apprehensive, and stressed about your upcoming surgery.  It is something unknown and unfamiliar to you.   Make sure you talk to your surgeon about your concerns as you prepare for your upcoming joint replacement.