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Pre & Post-Surgery Instructions for Orthopedic Procedures

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Important Pre-Operative Guidelines

Exact Important Pre-Operative Guidelines depend on the planned surgical procedure. In general, you should:

Stop Blood Thinners as Advised

Stop blood thinners 3/5 days before the surgery to minimize the risk of bleeding during the procedure.

Fasting Rules: When to Stop Food & Water

Depending on the type of anesthesia you’ll have, you may need to avoid eating solid foods or liquids, six hours before starting your procedure. Usually, You should be fasting from midnight 12 am unless specified otherwise.

What to Wear on Surgery Day

Wear loose, comfortable clothing — gym shorts, or loose T-shirt for example, so that you can dress easily after the procedure.

Arrange a attender for Post-Surgery Support

All surgical procedures, whether day-care same day discharges, short stay or long hospital stays, a single attender with the patient is mandatory for patient care and decision making.

Bringing Medical Reports & Scans

Please bring the x-rays, MRI or CT scans and blood reports at the time of admission to the hospital

What you can expect after admission

• You’ll remove your street clothes and jewelry and put on a hospital gown.
• Our nursing staff will place an IV into a vein in your hand or forearm.
• The surgical site/axilla/pubic area will be shaved to prevent infection during the surgery.

— Your Orthopedic Care Team

” Healing takes time, care, and commitment — follow every step, and we’ll walk this recovery journey together. “

During the procedure

The type of anesthesia used varies by procedure.

Local anesthesia. For this form of anesthesia, numbing agents are injected below the skin to block sensation in a limited area, such as your hand or foot. You’ll be awake during your procedure.

Regional anesthesia. The most common form of anesthesia is regional anesthesia, where the anesthetic medicine is delivered, through a small needle, in the lower back. This numbs your legs and you remain awake during the procedure.

General anesthesia. Depending on the length of the operation, it may be better for you to be unconscious during the procedure. For general anesthesia, the anesthetic is delivered through a vein. You will be put to sleep completely.

You’ll be placed in the best position for the procedure you’re having. This may be on your back or sitting or on your side or sometimes, on your belly. A tourniquet might be used safely, to decrease blood loss and enhance visibility inside the joint.

After the procedure

Your aftercare may include:

Medicines. You may be prescribed medicines to relieve pain and inflammation and infection.

ICE & elevation. At home, it may be helpful to rest, apply icepack and elevate the limb for few days to reduce swelling and pain.

Protection. You might need to use temporary walking aids — a walker or crutches — for comfort and protection.

Exercises. Your healthcare team might prescribe physical therapy and rehabilitation to help strengthen your muscles and improve the function of your joint.

Dressing. DO NOT remove the surgical dressing or the belt/sling. Swelling of the surgical area or distal limb is expected and may take a few weeks to disappear.

Showering. You may do wet sponging or bathing after carefully covering the surgical part with a plastic cover. Make sure that water shouldn’t go inside the brace and wet the surgical dressing.

Review. You will be asked to get the wound dressing changed once, on the 4th post operative day and get stitches or sutures removed on the 14th day post surgery.

Recovery. Your recovery will be monitored regularly during your follow-up visits and any potential problems will be addressed accordingly.