Department of Orthopaedic Surgery

The Department of Orthopaedic Surgery offers services and programs through the following Divisions. Use these links to directly access all our Department sites.

Arthritis & Joint Replacement

Preparation for hip replacement

Considering surgery:  schedule in advance

  1. Discussion of risks of surgery with surgeon during office appointment.
  2. Set-up surgery date with your doctor’s practice assistant.

1-2 months before surgery

  1. Make appointment with your primary care physician to obtain pre-operative surgical optimization.

  2. Start thinking about your post-surgery plan; most patients go home after a brief hospital stay following surgery. However, there are rare cases when a patient will be discharged to nursing/rehabilitation facility.  Note:  If you think you might need this service, please research local facilities and verify directly with the facility that it takes your health insurance.

  3. If you are due for a dental cleaning or a dental procedure, please complete at this time; dental procedures will not be allowed for up to 3 months after surgery.

1 month before surgery

  1. Receive a letter from your surgeon’s practice assistant with two required pre-surgical appointments

    Anesthesia appointment at the UCSF PREPARE Clinic on the Parnassus Campus. The practice assistant will make your appointment. Info: 415-353-1099.

    Pre-operative education class on the Parnassus Campus. Note:  patients will have to make this appointment directly by calling 415-514-8421.

    Note:  both appointments can be scheduled on the same day and is recommended.

  2. Obtain and fax all prior medical records and operative notes from prior surgeries to your surgeon’s office at (415) 353-2956.

  3. Discuss possibility of blood transfusion, which is rare, with your surgeon. Reminder: Pre-op Blood Donation Not Recommended In the UCSF Adult Reconstruction Division we no longer recommend donating your own blood prior to surgery. Recent research shows that shorter surgical times, improved anesthesia techniques, and new medications to prevent bleeding have made the chance of needing a transfusion very rare. Further, blood donations before surgery have been shown to make the risk of needing a blood transfusion even higher.

2-3 weeks before surgery

  1. Attend anesthesia appointment at UCSF PREPARE Clinic. Here, you will meet with the anesthesiologist or nurse practitioner for pre-surgical evaluation, which will include  reviewing your medical history, a physical examination, taking a blood sample for testing, possible chest x-ray and/or and EKG. Note:  please bring a list of your current medications or your medication bottles with you to this appointment.
  2. Attend preoperative education class. Bring your family/care giver with you to this class. Prepare any questions or concerns for the class
  3. Verify a friend/family member to pick you up from the hospital on the day of your discharge.
  4. Organize friends/family/neighbors to check in on your after your surgery or to be available to help, if needed. The more that you know about your surgery, and plan for your recovery, the more smoothly the experience will flow.

2 weeks before surgery

If you are taking the following medication, stop taking the following medications 14 days before your surgery with the approval of your surgeon and rheumatologist.

  • Methotrexate
  • Humira
  • Enbrel
  • Remicade
  • Plaquinil

1 week before surgery

If you are taking the following medication, stop taking the following medications 7 days prior to your surgery.

  • Aspirin (Note:  there are cases occasionally in which continuation of Aspirin is appropriate; ask your surgeon).
  • Motrin, Ibuprofen, Advil
  • Aleve, Naprosyn, Feldene, Diclofenac
  • Vitamin E (MVI w/ Vit. E ok)
  • Garlic
  • Ginko biloba
  • Ginseng
  • Glucosamine
  • Fish Oil/Omega-3
  • Any anti-inflammatory medication or “NSAIDS”

If you are taking the following medication, stop taking the following anti-coagulant medications after checking with your internist/cardiologist.

  • Plavix
  • Heparin
  • Coumadin
  • Lovenox
  • Arixtra
  • Any “blood thinners”

Note:  The above medications may thin your blood, and therefore, may increase the amount of blood loss during your surgery.

Tylenol (Acetaminophen) or Celebrex may be taken until the day of surgery.

1-3 days before surgery

Your surgeon’s practice assistant will be calling you the business day prior to surgery to confirm your time of arrival for your surgery.

Day before surgery

  1. Light meal for dinner with no alcohol. NOTHING TO EAT OR DRINK AFTER 12 MIDNIGHT.
  2. Anti-bacterial soap wash night before surgery or the morning of surgery; you will be given a packet at your first surgical appointment.

Morning of surgery

  1. You may take your routine medication, as instructed by PREPARE staff, with a small sip of water.

  2. You may also take Tylenol or your routine narcotic pain medication with a small sip of water.

  3. Do not eat or drink anything, otherwise, on the morning of surgery.  This includes water. Thank you.