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

Patient Preparation For Hip Or Knee Replacement

 

  • Discussion of RISKS OF SURGERY with attending physician during office appointment.
  • Set-up surgery date with your doctor’s Practice Assistant in clinic office

1-2 Months before surgery date:

  • Make an appointment with your primary care physician to obtain pre-operative medical clearance, if requested by attending physician (Use forms provided)
  • If you plan to be discharged to nursing/rehabilitation facilities in your area, visit the site and check if they take your health insurance.

Please note, most patients go home after the surgery.

1 Month before surgery date:

  • Receive a letter from your doctor’s Practice Assistant with Required pre-surgical appointments (including PREPARE (anesthesia) appointment and Preoperative education class).
  • Obtain and fax all prior medical records and operative notes from prior surgeries to your doctor’s office at (415) 353-2956, if requested.
  • Start taking Slow Fe, which is iron (Can be purchased at any drug store). Take it once to twice daily.
  • If blood donation has been recommended for your surgery, your doctor’s Practice Assistant will give you the blood order form.

**UCSF Blood bank is a drop-in clinic

  • Donate your first unit of blood no earlier than 35 days before surgery.
  • Donate the first unit of blood 4 weeks before your surgery, and donate second unit of blood 3 weeks before your surgery.
  • Blood donation can be done at a local Red Cross facility as well.

 

2-3 weeks before surgery date:

Attend Required PREPARE (Anesthesia) appointment. Meet with the anesthesiologist or nurse practitioner for pre-surgical work-up including: Review medical history, physical examination, take a blood sample for testing, possible chest x-ray and/or EKG and sign surgical and blood transfusion consent forms.

BRING A MEDICATION LIST OR ALL YOUR MEDICATION BOTTLES WITH YOU.

Attend Recommended preoperative education class given by Sue Klarquist, Nurse Practitioner.

  • Bring your family/care giver to this class.
  • Bring/Discuss any questions you have with Sue, NP.
  • You will receive prescriptions for Lovenox/Colace (take after surgery) at this visit.
  • Bring these prescriptions ASAP to your local pharmacy.
  1. Organize a friend/family member to pick you up from the hospital on the day of your discharge.
  2. Organize friends/family/neighbors to check in on your after your surgery or to be available to help, if needed.
  3. If you have chosen to donate blood for your surgery, this is the time to donate the last unit.
  4. The more that you know about your surgery, and plan for your recovery, the more smoothly the experience will flow.

2 weeks before surgery date:

STOP taking the following medications 14 days before your surgery with the approval of your rheumatologist.

  • Methotrexate
  • Humira
  • Enbrel
  • Remicade
  • Plaquinil

1 week before surgery date:

STOP taking the following medications 7 days before your surgery.

– Aspirin
– Motion, Ibuprofen, Advil

  • Alleve, Naprosyn, Feldene, Dislofenac
  • Vitamin E (MVI w/ Vit. E ok)
  • Garlic/ Ginko biloba/ ginseng
  • Glucosamine
  • Fish Oil
  • Any “anti-inflammatory” medication or “NSAIDS”

STOP taking the following anticoagulant medications after checking with your internist/cardiologist.

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

Above medications may thin your blood, and therefore, may increase the amount of blood loss during your surgery.

YOU MAY USE ANY TYLENOL (Acetaminophen) PRODUCT or Celebrex until the day of surgery.

1-3 days before surgery:

The prepare clinic staff will tell you what time to arrive at the hospital and the time of your surgery. If you have not heard from UCSF by 3pm prior to your day of surgery, please call (415) 353-1099.

Dr. Bozic’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:

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

Morning of surgery:

  • You may take your routine medication, as instructed by PREPARE staff, with a small sip of water.
  • You may also take Tylenol or your routine Narcotic pain medication with a small sip of water.