Preparing for Robotic Assisted Joint Replacement Surgery

We understand that undergoing any surgical procedure can be a stressful time and you may have many questions. The following information has been written to help you understand what to expect.

1. Initial Consultation

The first step is to have a consultation appointment with one of our Orthopaedic Surgeons to discuss if you are suitable for MAKOplasty®.

If both you and your surgeon agree that MAKOplasty® is the right option for you, a CT scan will be arranged.

2. CT Scan

This will be performed for you at Dr. Jones & Partners, which is conveniently located within the grounds of the hospital.  This CT scan can only be performed at Burnside Hospital, as the scanner has a special calibration tool that helps to ensure accuracy of the data obtained.

It is important that your CT scan be performed within 2 to 6 weeks of your surgery.  This enables your patient specific planning to occur and allows the best possible outcomes at the time of surgery.

3. Pre-operative Blood tests

Depending on your current health status, your past medical history and any medications you are taking, our staff will arrange a blood test for you. Clinpath is conveniently above Dr Jones & Partners and are able to perform these tests usually with little or no wait.

4. Pre-operative Assessment

The experienced nursing staff at Burnside Hospital offers a comprehensive pre-operative assessment service that caters to the individual patient’s discharge needs, prior to their admission.

If you have further questions about your discharge, rehabilitation options or services available to you when going home, please ask one of our AHKC staff members to make an appointment with the Pre-operative Assessment Team.

5. Physiotherapy

Pre-operatively you have the opportunity to consult with a physiotherapist that will also look after you during your stay at Burnside Hospital.  In this consultation they will teach you important exercises that you can commence prior to having your surgery (pre-rehabilitation), training your muscles to be in the best possible shape for after surgery has been performed.

This physiotherapy service is available at Burnside Hospital.  If you already have a relationship with a physiotherapist who you know and trust we will be happy to provide them with further information to ensure you get a personalised exercise program to optimise your results.

before surgery

  • Your local GP should be aware of your up coming surgery.
  • If you have a history of heart disease, your cardiologist may need to provide a surgical clearance as well as assist in managing your cardiac medications before, during and after your procedure.
  • Depending on your current health status, you may require a review by a perioperative physician.
  • Ensure you complete any dental procedures six (6) weeks before your joint replacement surgery. This reduces the potential risk of post operative infections.
  • Your orthopaedic surgeon will advise you which over-the-counter and prescription medications should not be taken before surgery.  Blood thinners in particular may need to be stopped 1-2 weeks before your surgery.  Ask your surgeon about these.
  • Stop Smoking. This is a good idea at any time, but especially before major surgery as it reduces the risk of post-operative lung problems and improves healing.
  • Lose weight if your doctor has recommended this.
  • Plan what you will take to the hospital. Include comfortable clothes and toiletries.
  • Inform your surgeon of infection in other areas of your body, including wounds, rashes or colds and flu.
  • Have a positive attitude and see yourself getting back to the best you can be!

recovery and regaining mobility after surgery

  • Remember at all times that you have had major surgery. Give yourself the opportunity to recover.
  • Avoid kneeling and twisting during the first few months.
  • Care for your wound and be aware of possible complications, especially if you experience increasing pain, redness, swelling, a temperature over 38 degrees, or if there are any changes in the way you feel.
  • Ask for help as much as you can when doing the chores around the house.
  • Make sure you take pain relief medication if required.
  • If you are going to have dental procedures or another surgery after your joint replacement please discuss the need for antibiotics with your treating and orthopaedic surgeon and see the attached guidelines. ‘Antibiotic Prophylaxis for Patients after Total Joint Replacement Information Statement’ from the American Academy of Orthopaedic Surgeons’ guidelines.