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1. Surgical procedures
 
After the proper diagnose confirmed in clinic and having received a notification for hospitalization, patients should receive a pre-surgery work-up at the hospitalization services. These may include: CBC, liver function, renal function as well as X-ray, Standing Scanogram, blood type and cross-match, anesthesia information and other procedures etc. Please see (Appendix 1,2) .
 
One day prior to the operation, the doctor in charge will explain to patients the content of the surgical operation and what to pay attention and look out for after the operation. Afterwards the patients are to sign the forms for surgical consent, clinical information, and consent for blood transfusion etc. Then the medical staff will inform patients about meal times. Please see (Appendix 3) .
 
On the day of the operation, we will establish a intravenous line and at the appropriate time, we will send the patient to the operation room and do a last minute check up to make certain about the surgical site and the type of surgery that will be performed on the region.
 
After being anesthetized, we will inject antibiotics to prevent infection. The main method of anesthesia would be through spinal anesthesia. Only for exceptional cases we use general anesthesia.
 
The surgical operation will take about two hours long.
 
After the operation, patients can request for PCIP for pain control.
   
2. Hospitalization and recover
 
Patients are to be hospitalized for 8 days. During the hospitalization, aside from providing care for the wound, patients also receive physical therapy. After being able to reach 90 degrees in motion of knee, patients will be to be discharged from the hospital.
 
After leaving the hospital, patients should continue physical therapy at home using a walker or cane in walking. After about six to eight weeks, patients are allowed to walk without aid.
  2-1 Knee joint replacement surgical operation hospitalization notification.
    1.Patient instructions: after knee joint replacement surgery.
    2.Treatment at home.
  2-2 Hip joint replacement surgical operation hospitalization notification.
    1.Patient Instructions: after hip joint replacement surgery.
    2.Treatment at home
   
3. Risks
Risks from anesthesia: Risks of the heart, brain, lungs, and other regions are not directly related to the surgical site.
Risks during surgery: neurovascular injuries.
Risks after surgery: Infection, or failure in recovery may affect range of activity, function, severe skin damage on the wound.
The surgical operation will take about two hours long.
Long-term risks: damaged artificial joint, loosening of implants (infection or non-infection related.) Please see (Appendix 4, 5).
 

Update date:2009-08-10

Tel:886-4-8326161 Add:No.201, Jhongjheng Rd., Yuanlin Township, Changhua County 510, Taiwan (R.O.C.)
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Last Updated:2009/07/30