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Taking Paent Care to New Levels of Excellence 150 Enterprise Drive, Rocky Hill, CT www.oasurgery.com Joint Educaon Manual

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Page 1: Joint Education Manual Taking Patient Care to New Levels ...€¦ · Taking Patient Care to New Levels of Excellence 150 Enterprise Drive, Rocky Hill, CT Joint Education Manual. 2

Taking Patient Care to New Levels of Excellence

150 Enterprise Drive, Rocky Hill, CTwww.oasurgery.com

Joint Education Manual

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150 Enterprise Drive

DIRECTIONS:

Our Center is conveniently located off I-91.

I-91 SOUTH:

Take Exit 23 towards CT 3, Rocky Hill

Turn left onto West Street

Turn right onto Capitol Blvd.

Turn right onto Enterprise Drive

I-91 NORTH:

Take Exit 23 towards CT 3, Rocky Hill

Turn right onto West Street

Turn right onto Capitol Blvd.

Turn right onto Enterprise Drive

PARKING:

When you arrive for surgery, please turn left into the first driveway.

Park to the far left of the building.

The entrance is in the left corner under a covered walkway.

If you are here for physical therapy, a patient visit, or joint education, park in the back of the building to enter the lower level.

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Thank you for coming to our important Joint Class!

Anne B. Pelow, BSN, RN Nurse Navigator

Jennifer Y. Cheshire, BSN, RN Nurse Navigator

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MEET OUR JOINT TEAM

Jeffrey K. Burns, MDDr. Jeffrey K. Burns is a native of Connecticut. He earned an undergraduate degree at Johns Hopkins University and obtained his medical degree at the University of Pennsylvania, School of Medicine. After finishing his residency training in Orthopedic surgery at the University of Connecticut, Dr. Burns completed a subspecialty fellowship in adult hip

and knee replacement at Rush University Medical Center in Chicago.

Dr. Burns is a board certified orthopedic surgeon and one of the only orthopedic surgeons in the region who performs patellofemoral arthroplasties. In this minimally invasive procedure, only the anterior portion of the knee is replaced, allowing for quicker rehabilitation and a more natural feeling knee joint.

In addition to his surgical practice, Dr. Burns is also the Director of Clinical Services at Hartford Hospital’s Joint Center. In this role he is responsible for the integration of all aspects of the joint center, ensuring quality outcomes, program development and the running of daily operations.

Dr. Burns is a member of the American Academy of Orthopedic Surgeons, the American Medical Association, the Connecticut State Medical Society, the Connecticut Orthopedic Society and the Hartford County Medical Association. He lives in the Greater Hartford area with his wife and three young children.

Robert Carangelo, MDDr. Robert Carangelo has been in practice for over 20 years in Connecticut. He specializes in primary and revision of total joint reconstruction including the shoulder, hip, and knee. Emphasis is placed on joint preservation techniques such as cartilage transplantation, partial and patellofemoral knee arthroplasty. He is the Medical Director of The

Center for Joint Care at the Hospital of Central Connecticut.

He also performs arthroscopy of the knee and shoulder and treats

Dr. Carangelo continued on next page

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sports medicine injuries. He currently serves as the team doctor for Kingswood Oxford in West Hartford.

He attended Brown University and graduated with honors in Biology. While in medical school at the University of Connecticut, he participated in the surgical scholars program and Sigma Xi Scientific Research Society, followed by a General Surgery internship at Georgetown University, surgical fellowship in the Department of Cell Biology at Yale University, and an orthopedic residency at the University of Connecticut. He then completed the AuFranc Fellowship in Adult Total Joint Reconstructive Surgery at New England Baptist Hospital and Massachusetts General Hospital in Boston.

Dr. Carangelo is a member of the American Academy of Orthopedic Surgeons, Eastern Orthopedic Society, Connecticut Orthopedic Society, Connecticut State Medical Society and Hartford County Medical Association.

He resides in West Hartford with his wife and three children. He enjoys cycling and alpine mountaineering.

John Grady-Benson, MDDr. John Grady-Benson was born and raised in the Chicago area. He graduated Phi Beta Kappa, magna cum laude, from Brown University in 1981. He was the president of his freshman medical school class at Northwestern University in Chicago and graduated in 1985. He did his internship in general surgery at Hartford Hospital, and completed

his residency in orthopedic surgery at the University of Connecticut. He did a fellowship in joint replacement surgery and adult reconstruction at the Scripps Institute in San Diego, California. He started his professional orthopedic career at the University of Michigan, where he was the chief of the joint replacement service from 1991 to 1995. He returned to San Diego for one year, prior to joining Orthopedic Associates of Hartford and the clinical faculty at the University of Connecticut in 1996. Dr. Grady-Benson was recognized as the “Teacher of the Year” by orthopedic residents in training at all three institutions: the University of Michigan, 1994, the University of California San Diego, 1995; the University of Connecticut, 2004.

Dr. Grady-Benson continued on next page

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Dr. Grady-Benson has had extensive experience in orthopedic trauma surgery and adult reconstruction surgery. His primary interest now is in joint replacement of the hip and knee. Dr. Grady-Benson performs approximately 500 hip and knee replacements annually. He feels privileged to be an expert in surgeries that can alleviate the crippling pain of arthritis and transform patients with significant orthopedic disabilities into leading active and functional lives.

Dr. Grady-Benson makes every effort to provide the most up to date care and treatment of patients with arthritic disease. “I strongly believe the procedure should match the patient,” he says. “I try to provide the information the patients need to make the best, most informed decision to optimize their quality of life. I work tirelessly to provide quality care in a compassionate, caring environment.”

Christopher Lena, MDDr. Christopher Lena focuses his practice on the diagnosis and treatment of shoulder and knee injuries as well as sports related conditions. He performs arthroscopic and reconstructive surgery on the shoulder, hip, elbow and knee.

Following medical school and an orthopedic residency at the University of Connecticut, he

completed a sports medicine fellowship at Yale University and then was invited to serves as a Clinical Instructor in the Yale Sports Medicine Department. In 2001, Dr. Lena joined Orthopedic Associates of Hartford. During the last sixteen years, he has performed well over ten thousand surgical cases.

Since arriving in the Hartford area, Dr. Lena has helped to care for the Hartford Wolf Pack AHL ice hockey team, Connecticut Crush women’s football team, USA Gymnastics Tour of Champions and Cirque du Soleil. He is also the team doctor for Goodwin College and the Glastonbury and Wethersfield High School Athletic Departments. He has been named among America’s Top Docs by US News and World Report and Castle Connolly 2009-2017.

Dr. Lena is a member of numerous academic societies including the American Academy of Orthopedic Surgeons, American College of Surgeons, the American Medical Association, the Arthroscopy

Dr. Lena continued on next page

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Association of North America, the Connecticut Orthopedic Society and the Hartford County Medical Association.

With a firm commitment to the educational aspect of orthopedics, Dr. Lena obtained additional subspecialty certification in sports medicine and completion of the recertification process in 2012. He actively participates in the education and training of orthopedic residents as an Associate Clinical Instructor of Orthopedics for the University of Connecticut Department of Orthopedics. He is an Associate Master Instructor for the orthopedic learning center courses for the Arthroscopy Association of North America where he helps surgeons from around the world acquire new techniques and surgical skills. He serves as the orthopedic liaison for the Center for Education and Innovation (CESI), a simulation center for training and innovation in arthroscopic techniques.

Dr. Lena is a graduate of Dartmouth College. He was a Collegiate All-American Rugby player and a 1999 inductee into the Dartmouth College Athletic Hall of Fame. He currently enjoys cycling, skiing and spending time on the Long Island Sound with his family.

James T. Mazzara, MD Dr. James T. Mazzara started his orthopedic surgery practice in 1991. He has cared for thousands of patients and has performed over 12,000 surgical procedures. From this experience and his love of being an orthopedic surgeon, he strives to provide excellent orthopedic care. Dr. Mazzara graduated from NYU in 1980 and New York Medical College in

1984, and completed two years of general surgery training at St. Luke’s/Roosevelt Hospital in New York City. From 1986-1987, Dr. Mazzara did compartment syndrome and orthopedic oncology research at NYC’s Hospital for Joint Diseases.

Dr. Mazzara moved to Manchester, CT after completing his orthopedic training at St. Luke’s and independently practiced orthopedics until 2017, when he joined the surgeons of Orthopedic Associates of Hartford.

Dr. Mazzara’s special interest is the treatment of traumatic, degenerative, and sports related conditions for the knee, shoulder, and elbow. In addition to general orthopedic trauma and adult reconstructive surgery, he performs arthroscopic, reconstructive, and joint replacement

Dr. Mazzara continued on next page

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surgeries of the shoulder and knee. Dr. Mazzara also offers non-operative treatment of selective orthopedic conditions with ultrasound-guided platelet rich plasma (PRP) injections to heal injured tissue and treat painful joints.

Dr. Mazzara’s patients mostly consist of younger working adults with sports and work-related conditions and middle-aged weekend warriors with work related injuries. As such, he is experienced in dealing with complex, sometimes competing, demands of injured workers and their employers.

Dr. Mazzara is board certified in orthopedic surgery, a fellow of American Academy of Orthopedic Surgeons (AAOS), and an active member of the Connecticut Joint Replacement Surgeons, LLC at St. Francis Hospital and Medical Center. The Connecticut Join Replacement Institute (CJRI) has achieved national prominence, high patient satisfaction, and some of the lowest complication rates in the country.

Dr. Mazzara has been fortunate to be on Connecticut Magazine’s list of the state’s top doctors in 2007, 2009,2010, 2011, 2012, and 2013.

Dr. Mazzara resides in South Glastonbury with his wife Cathy.

Durgesh Nagarkatti, MDDr. Durgesh Nagarkatti received his M.D. from Seth G S Medical College Mumbai where he also did his internship. He did his orthopedic residency at King Edward Memorial Hospital. He earned the Diplomate of the National Board in Orthopedics and a fellowship in musculoskeletal oncology from Tata Memorial Hospital. He further trained

in orthopedics at St. George’s Hospital, London. At the University of Connecticut, he completed another orthopedic residency and fellowship in pediatric orthopedics with Connecticut Children’s Medical Center.

He enjoys helping his patients of all ages suffering from hip, knee and shoulder problems “get back to their quality of life.” Treatments include arthroscopic surgery, cartilage implantation, corrective osteotomies, hip resurfacing, and partial and full joint replacements. Dr. Nagarkatti offers the latest, most comprehensive technology in orthopedic care with a warm and personal touch. His office staff is exceptional and courteous to all patients.

Dr. Nagarkatti and his family have lived in Connecticut since 1995, and have strong ties to the community.

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Steven F. Schutzer, MDDr. Steven F. Schutzer was born in the Bronx, New York, and attended local city schools. He graduated with honors from Union College in 1974 where he played intercollegiate lacrosse and wrestling. He then went on to the University of Virginia School of Medicine where he received his medical degree in 1978. Dr. Schutzer was a lieutenant in the Medical

Corps of the United States Navy between 1979 and 1981 and received the Meritorious Service Award. He did his surgical internship and one year of additional general surgery at the University of Rochester, Strong Memorial Hospital, and then completed his orthopedic residency at the University of Connecticut in 1985. He was an AO Trauma Fellow in Berne, Switzerland, and subsequently did a second fellowship in Adult Hip and Reconstructive Surgery at the Massachusetts General Hospital where he was also an instructor in the Department of Orthopedic Surgery from 1985 to 1986.

Dr. Schutzer entered practice with Orthopedic Associates of Hartford, P.C. in July 1986 and is currently on the staff of St. Francis Hospital and the University of Connecticut, John Dempsey Hospital. He is a Clinical Associate Professor of Orthopedic Surgery at the University of Connecticut. His current clinical interests are in adult arthroscopic and reconstructive surgery of the hip and knee. He received his board certification in 1989, re-certified in 1997 and then again in 2007. He is an investigator on several ongoing research projects related to total joint replacement. He lectures nationally on new models of creating and delivering high value care for total joint replacement patients.

Dr. Schutzer is a member of numerous national and regional orthopedic specialty societies including the American Academy of Orthopedic Surgeons, the American Association of Hip and Knee Surgeons, and the Orthopedic Research Society. He is on the editorial staff of the Journal of Arthroplasty.

Dr. Schutzer has been involved in numerous community activities. He was the team physician for the Windsor High School Athletic Department for nearly 10 years. He was the company physician for the Hartford Ballet and Dance Connecticut and has maintained his interest in caring for dancers and their injuries. He was a Big Brother mentor from 2001-

Dr. Schutzer continued on next page

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2011 and received the exceptional volunteer award from Nutmeg Big Brothers/Big Sisters in 2006. He is also a member of Reverend Cornell Lewis’ Men of Color Initiative.

Dr. Schutzer serves on the Board of the Centers for Neurological Restoration (CNR), the Connecticut Joint Replacement Surgeons, LLC and DancEnlight (serves as President of the Board).

In addition to his academic and community work, Dr. Schutzer has numerous outside interests. He holds a third degree black belt in Hapkido and Tae Kwon Do. He is an avid fisherman and outdoorsman. He and his wife study Chinese calligraphy. Dr. Schutzer enjoys riding his motorcycles, working on his tractor, water skiing, playing guitar and studying Asian philosophy. He is very happily married and has two wonderful sons.

Mark Shekhman, MD Dr. Mark Shekhman came to the Hartford community with extensive training at internationally renowned medical programs. He received his Bachelor of Science degree from the University of Toronto Faculty of Medicine. He completed his residency training in orthopedic surgery at the University of British Columbia in

Vancouver, Canada, and received additional elective training in hip replacement surgery at the Princess Elizabeth Orthopaedic Hospital in Exeter, England. Devoting a special interest in disorders of the hip and knee, he went on to complete a fellowship in Adult Reconstruction and Joint Replacement at the Hospital for Special Surgery, Weill Cornell Medical College in New York City. He began a solo practice in the Hartford area in 2008 and later merged his practice with the Orthopedic Associates of Hartford.

Dr. Shekhman is board certified in orthopedic surgery by the American Board of Orthopedic Surgeons. He specializes in disorders of the hip and knee with interests in minimally invasive surgery including hip and knee arthroscopy, rapid recovery hip and knee replacement, partial (uni-compartmental) knee replacement and complex revision total joint replacement. He is one of the few surgeons in the region with expertise in Birmingham Hip Resurfacing.

Dr. Shekhman continued on next page

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He is a member of the American Academy of Orthopedic Surgeons, American Association of Hip and Knee Surgeons, Connecticut Orthopedic Society, and is a Fellow of the Royal College of Surgeons of Canada.

When not helping patients he is an avid mountain biker, hiker, skier, and enjoys working on home improvement projects. He lives in the greater Hartford area with his wife and three rambunctious sons.

Daniel K. Witmer, MDDr. Witmer grew up in Lancaster, Pennsylvania. He graduated with a degree in Biology from Ursinus College in Collegeville, PA, and was a member of the Bears’ Football, Wrestling, and Track & Field teams. He received his medical degree from Jefferson Medical College in Philadelphia, where he graduated magna cum laude and was a member of the George McClellan

Surgical Honor Society. He then came to Connecticut to complete a residency in orthopedic surgery at the University of Connecticut, where at graduation he was presented with the Cavazos Award for Most Outstanding Resident. He went on to complete a one-year fellowship in Adult Reconstruction and Joint Replacement at Indiana University under the direction of Dr. Michael Meneghini. He is thrilled to be returning to Connecticut to practice and serve the greater Hartford community.

During his fellowship, he was trained in complex hip and knee replacement and revision surgery, computer assisted surgery, cementless and partial knee replacement, and rapid recovery techniques enabling outpatient joint replacement for optimized patient recovery. His clinical interests include cementless knee technology, joint kinematics, and treating fractures and complex problems around existing hip and knee replacements. He has authored numerous publications and book chapters, and has presented his work at national conferences. He serves as a review for the journal Arthroplasty Today. He is an active member of the American Academy of Orthopedic Surgeons, the American Academy of Hip and Knee Surgeons, and the Connecticut Orthopedic Society.

Dr. Witmer is married and has two young children. In his free time, he enjoys spending time with his family, hiking, fishing, and playing sports.

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Gordon Zimmermann, MDDr. Gordon Zimmermann was born in Washington, D.C. He graduated from the University of Notre Dame and Georgetown University School of Medicine. He then completed his residency in orthopedic surgery at the Mayo Clinic. Dr. Zimmerman was among the first surgeons to perform arthroscopic surgery in the state of

Connecticut. He has been practicing orthopedics in Hartford for over 35 years, and has performed over ten thousand knee and shoulder arthroscopic procedures and over seven thousand knee replacements. He has been the president of Orthopedic Associates of Hartford (OAH) since 2001.

During his tenure, OAH has grown into one of the largest and most prestigious full service orthopedic groups in New England. He is the director and founding member of the Orthopedic Associates Surgery Center, and a founding member of the Connecticut Joint Replacement Institute, and Glastonbury Surgery Center.

Based on the vision of Dr. Zimmermann and Mr. Jeff Flaks, Chief Operating Officer of Hartford Healthcare, OAH and Hartford Hospital entered into a co-management agreement. In January 2017 they together opened the Bone and Joint Institute at Hartford Hospital. This one of a kind facility is the only freestanding hospital in the Mid-Atlantic and New England regions dedicated solely to omprehensive orthopedic care. Dr. Zimmermann has been recently recognized as one of the top Orthopedic Surgeons in the United States by US News and World Report. He is perennially recognized by his peers as one of the top orthopedic surgeons in our state in the Connecticut Magazine, Hartford Magazine, and other publications.

Dr. Zimmermann resides in Farmington with his wife Kimberly, and has three grown daughters. His personal interests include golf, auto racing, tennis, and animal rescue.

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PREPARING YOUR HOME FOR YOUR RECOVERY

• Please pull up scatter rugs, throw rugs, power cords and general

clutter. This is a tripping hazard and will get in the way of using

your walker.

• Move small pieces of furniture out of the way so that you have a safe

way to move around your home with your walker.

• If you have animals, you might want to get gates to keep them out of

the area. You may want to consider boarding them for the first 24-48

hours just so you can heal from surgery. They can be a tripping hazard.

• If you are able to relocate to the main level of your home for the first

24-48 hours, you may want to do so.

• Get your medications ahead of time so that you are not sending

someone out to get them.

• Prepare nutritional meals ahead of time.

• You can expect a call from a pre-arranged home care company to

perform a site assessment to further ready your home.

ITEMS THAT WILL HELP WITH HEALING

• Hibiclens (Chlorhexide Gluconate) – We would like you to wash the

surgical area daily for 2 days prior to surgery, especially the morning of

your surgery. This will help prepare the skin for surgery.

• Glucerna/Ensure – This is a high protein drink to help with repairing

the muscles from surgery.

– Glucerna if you have diabetes

• G2 Gatorade – to assist with replenishment of fluids because you were

not drinking/eating prior to surgery.

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PREPARING YOURSELF FOR SURGERY

• Most important – Do NOT eat anything after midnight the night before

your surgery. You are allowed CLEAR liquids up to 4 hours prior to your

arrival time for surgery.

– Clear liquids are defined as black coffee, black tea, water, ginger

ale, apple juice

• You will have some discomfort after surgery. The important thing is

to stay ahead of the pain. Playing catch-up with pain medication is a

challenge.

• Our anesthesia nurses will be in contact with you regarding your current medication and what you can/cannot take the day of surgery.

– If you haven’t completed your Simple Admit form online, you

need to do so at your earliest convenience.

• Please do not bring valuables with you the day of surgery. All jewelry

should be removed and left at home. This includes piercings. They are

a potential burning/swelling hazard.

WHAT TO EXPECT FROM ANESTHESIA

• You will meet with the Anesthesiologist who will review your pre-

operative evaluation. You will also sign your consent for anesthesia at

this time.

– Using a multi-modal medication approach to pain, you will be

given medication the day of surgery with a small amount of water.

• A Regional Block will be done to numb up your limb.

• All joint patients will receive a spinal block in the operating room. If

you have had spinal surgeries or any other indications that a spinal

block will not work for you, our anesthesiologists will give you general

anesthesia.

• In Recovery, they will partner with the recovery nurse to monitor you

as you awaken from anesthesia. They will do their very best to keep

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you comfortable by avoiding nausea/vomiting and maintaining good

pain control.

• At discharge you will be given a pain diary (included in this booklet).

This is a tool to keep track of your pain levels. When we make our

post-operative calls to you it will assist us on how we can help you

manage your pain.

WHAT TO EXPECT IN PRE-OP

• Our Experienced nurses and medical assistants will help prepare you

for your surgery.

– We will be clipping the hair on the operative site. Please do not

shave this area yourself. This creates cuts in the area that could

be a source for infection.

– We will be cleansing the operative site.

• You will change into a gown that will pre-warm you for surgery. Studies

have shown that maintaining your temperature at a normal level will

assist in the recovery process.

• Your family can join you so any questions they might have can also be

answered.

• The nurses will be conducting a nursing assessment, including your

vital signs, a site and side verification, and review of your daily

medications. Your IV will also be started at this time.

WHAT TO EXPECT IN THE OPERATING ROOM

• It will be COLD. We have the same warmers in the OR that you were

hooked up to in Pre-op.

• We understand that this is a big day for you. There will be a lot of

equipment and people around. We are there for you and the nurse in

the room is there as your advocate and support.

• The nurse in the room will assist the anesthesiologist with your spinal

block. Your legs will begin to feel heavy and we will help you get

positioned on the table. (continued on next page)

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• You will have Sequential Stockings placed on the non-operative leg.

This is to help with circulation and decrease the chance of blood clots.

They are yours to take home. Please use them when you are resting at

home. Remove them before you walk, they are a tripping hazard.

WHAT TO EXPECT IN THE PACU

• The usual length of stay is 2 to 4 hours.

• During this time your vital signs will be monitored. The cold therapy

device will also be attached.

– You may still have weakness, numbness in your lower

extremities. This is from the block and spinal anesthesia.

It is normal and will wear off.

• Once you are more awake, your family member will join you.

– We will also offer something to drink and eat. It is important to

stay hydrated. Water is best. Try and keep caffeinated drinks to a

minimum.

• We will start reviewing your discharge information with you and your

family member. Your instructions will be sent home with you so that

you can refer back to them.

• A Physical Therapist will work with you on walking and stairs. They will

review safety tips with you.

• Your discharge paperwork will be faxed to a prearranged Home Care

Company. You can expect to see them either the day of discharge or

the next day.

• If you had spinal anesthesia, you must be able to urinate

before going home.

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ONCE YOU ARE HOME• Your responsible adult will safely assist you at home. They will need

to stay with you for a minimum of 24 hours after surgery, although you may require assistance for several days. This is due to the anesthesia you have been given. Your safety is a priority.

• This is a time for you to rest and recover.

• Drink plenty of fluids and eat light meals. Drink decaffeinated fluids for the first 24 hours.

• One of our nurses will be calling you the next business day.

• The dressing is able to get wet, but DO NOT remove it. This will occur at your surgeon’s office at your post-op visit.

– This is depending on your surgeon. Some have a dressing that cannot get wet.

– You will be able to shower with your dressing.

– You will need to pat the area dry, do not rub.

– Please use a new towel each time you shower.

NOTES

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PHYSICAL THERAPY• A physical therapist will be coming to your home to work on your mobility.

• Small short walks are beneficial.

• The walker you will be using is for your safety. It is not necessary for the joint. We just want to keep you safe.

• If you have any animals, taking them for short walks is beneficial to work that new joint. You should not be responsible for the leash. This could be a significant tripping hazard.

• You can start practicing with stairs. You need to think “UP with the GOOD, DOWN with the BAD”.

– Go UP the stairs using the non-operative leg, DOWN with the operative leg. This is for safety and stability. Most of your weight will be placed on the non-operative leg.

– Please use hand rails for safety.

• Sleeping

– Side sleeper – place a pillow in between your legs.

– Back sleeper – place a pillow under your heels.

– Don’t place pillow directly under knee if knee replacement, this will make it more difficult to straighten the knee completely.

Pre Operative/Advanced Exercises for Hip & Knee Replacement

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Pre Operative/Advanced Exercises for Hip & Knee Replacement

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Immediate Post Operative Hip Replacement Exercises

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Immediate Post Operative Hip Replacement Exercises

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Day 1 (24 Hours) Day 2 (48 Hours) Day 3 (72 Hours)

What was your highest pain score in the last 24 hours? (On a scale from 0-10)

What was your lowest pain score in the last 24 hours? (On a scale from 0-10)

Do you experience any pain on ambulation? (On a scale from 0-10)

Is the pain interfering with your mobility or movement? Yes / No Yes / No Yes / No

Were you woken up by pain last night? Yes / No Yes / No Yes / No

Is the pain interfering with your mood? Yes / No Yes / No Yes / No

Have you had any nausea or vomiting since your surgery? Yes / No Yes / No Yes / No

Any constipation, Itching or urinary retention Yes / No Yes / No Yes / No

How satisfied are you with your pain management since surgery? (on a scale from 0-10)

_________________________________________________________________________

How likely is it that you would recommend the anesthesia services to your friends and/or family? (on a scale from 0-10)

_________________________________________________________________________

How many pain tablets have you taken in the last 24 hours? ________________________

What time did your block wear off? ____________________________________________

Comments

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Total Joint Pain Diary

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Checklist

h Appointment with Primary Care

h Appointment with Specialty Care

h Completed Simple Admit Form

h Medication is ready post-op

h Day of Surgery: bring list of medications with dosage and last taken

h Surgery Date: ___________________________________________

h Post-op Appointment with Surgeon: _________________________

h Physical Therapy Appointments: ____________________________

Important Phone Numbers

Orthopedic Associates Surgery Center ..........(860) 529-0295

OAH after Business Hours/Holidays ..............(860) 549-3210

ATrinity Home Care ......................................(877) 699-9104

Precision Medical Supplies ...........................(860) 878-9440

Dr. Carangelo’s Office ...................................(860) 223-8553

Dr. Grady-Benson’s Office .............................(860) 549-8264

Dr. Nagarkatti’s Office ................................... (860) 549-8980

Dr. Shekhman’s Office ..................................(860) 549-8221

Dr. Zimmermann’s Office ..............................(860) 549-8255

Visit www.oasurgerycenter.com for helpful information

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Questions

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150 Enterprise Drive, Rocky Hill, CT • (860) 529-0295 • oasurgerycenter.com