Joint Reconstruction Group, Chennai


Preoperative preparation Protocol
(For Dr. Vijay C. Bose patients)

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.

Preparation and investigations for the surgery is done from 3 different profiles.

  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 anaestheticTo detect hidden infection
Hb%*Urine culture*
TC / DC / ESR*Dental opinion*
Bld sugar (Random)*required if one has any kind of skin lesion however minor - Dermatologist consultation*
Sr. Creatinine*
Platelet count*Technical planning
PT/PTT*Recent x-ray
Chest x-ray*May be required
ECG*CT scan
Routine urine examination*3D reconstruction
Echo cardio gram - * Required only if older than 40yrs of ageSpecial x-rays eg: lateral view, Wt -bearing films & Full-length films
Other special tests if any ( please ask the doctor)