JOINT REPLACEMENT SURGERY
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.
- Fitness to have anaesthetic
- To detect hidden sources of infection in the body
- To help the surgeon in the technical planning for the operation
| Fitness to have anaesthetic | To 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* |
| Bld.Urea* | |
| 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 age | Special x-rays eg: lateral view, Wt -bearing films & Full-length films |
| Other special tests if any ( please ask the doctor) |






Aloha Dr.Bose,
My post op update:
I have had a remarkable experience as I have had no problems at all.I have been a bit Conservative with my exercises but as of last week I walk atleat two or three miles on the beach daily.I have never had pain or swelling since the surgery.
Dr.Bose,and Mohan,
It has been almost two and a half years since I journeyed to Chennai for my Birmingham hip replacement, and for the most part things are good with my new hip joint. The experience has had a profound effect on my life. I have since cut my long hair, and am still living in Alaska and enjoying my mobility once again. In the past few years I have had a return to pain free activities.