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Birmingham Hip Resurfacing Surgery - Preoperative investigations

 
 

JOINT REPLACEMENT SURGERY

Preoperative  preparation Protocol

(For Dr. Vijay C. Bose patients)

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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.
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Preparation and investigations for the surgery is done from 3 different profiles
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  1. Fitness to have anaesthetic

  2. To detect hidden sources of infection in the body

  3. To help the surgeon in the technical planning for the operation

Fitness to have anaesthetic

Hb%*

TC / DC / ESR*

Bld sugar (Random)*

Bld.Urea*

Sr. Creatinine*

Platelet count*

PT/PTT*

Chest x-ray*

ECG*

Routine urine examination*

Echo cardio gram - * Required only if older than 40yrs of age

Other special tests if any ( please ask the doctor)

To detect hidden  infection

Urine culture*

Dental opinion*

required if one has any kind of skin lesion however

minor - Dermatologist consultation*

Technical planning

Recent x-ray

May be  required

CT scan

3D reconstruction

Special x-rays eg: lateral view, Wt -bearing films & Full-length films
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