[et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” background_color=”#9ab9ad” custom_margin=”||||false|false” custom_padding=”||20px||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” text_line_height_tablet=”1em” text_line_height_phone=”1em” text_line_height_last_edited=”on|phone” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n
BEING REFERRED FOR JOINT SURGERY<\/p>\n
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STANDARD 8<\/p>\n
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Referring you for joint surgery is only done if your symptoms and quality of life haven\u2019t improved after all possible conservative care options have been exhausted. While joint replacements are successful for many people, non-urgent surgery should be considered as an option only after other osteoarthritis treatments have stopped working. Your surgeon will help you understand the benefits and risks of surgical options and help you understand how joint surgery can help you.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ fullwidth=”on” disabled_on=”on|off|off” _builder_version=”4.16″ _module_preset=”default” background_color=”#9ab9ad” background_enable_image=”off” background_size=”contain” background_position=”center_left” custom_margin=”-12px||||false|false” custom_margin_tablet=”-12px||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|phone” custom_padding=”||33px||false|false” global_colors_info=”{}”][et_pb_fullwidth_image src=”https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/line-01-e1650521660256.png” title_text=”line-01″ _builder_version=”4.16″ _module_preset=”default” width=”80%” max_width=”80%” global_colors_info=”{}”][\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||true|false” top_divider_color=”rgba(12,113,195,0.32)” top_divider_height=”27px” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][lwp_divi_breadcrumbs _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.17.4″ _module_preset=”default” background_color=”#FFFFFF” custom_margin=”0px||||false|false” custom_padding=”0px||||false|false” custom_padding_tablet=”” custom_padding_phone=”0px||||false|false” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.17.4″ _module_preset=”default” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n
OVERVIEW<\/p>\n
[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font_size=”18px” global_colors_info=”{}”]As we talked about earlier, the goal of using conservative options to manage your osteoarthritis is to slow the progression of your symptoms. Some people may get to a point that their symptoms don\u2019t get any worse. However, others may still find that their symptoms are progressing. This can cause them to lose more movement, which affects their quality of life.<\/p>\n
Once all possible Core and Adjunct Treatment options have been tried but haven\u2019t helped, a referral for joint surgery may be next. Surgery isn\u2019t usually an option until you\u2019ve tried at least 3 months of treatment options. Remember that it can take over 3 months of dedication to most osteoarthritis treatments to see results<\/strong> (Standard 3)<\/a>. Surgery isn\u2019t the final goal of Core and Adjunct Treatments; a referral for joint surgery means that all treatments haven\u2019t worked or have stopped working.<\/p>\n The decision to refer you for joint surgery also depends on how ready you are, and how your symptoms (your pain, movement, and joint function) are doing. Even after all care options have been tried, your symptoms may not be any better or may have continued to get worse. This is a good sign that it is time to talk to a surgeon.[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” background_color=”#f2f2f2″ custom_padding=”20px|20px|20px|20px|true|true” hover_enabled=”0″ border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n View All Resources<\/strong><\/a><\/p>\n View References<\/strong><\/a>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” background_color=”rgba(12,113,195,0.08)” background_image=”https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/shapes-bg-1.png” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” text_line_height_tablet=”1em” text_line_height_phone=”1em” text_line_height_last_edited=”on|phone” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n Being Referred to an Alberta Hip and Knee Clinic<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]You and your primary clinician will make the decision when it\u2019s time to be referred to a surgeon This is why it\u2019s important to make sure your primary clinician understands your priorities, needs, expectations, values, and preferences when talking about surgical options. Your primary clinician will let you know that there are both Risks and Benefits to Hip<\/a> and Knee<\/a> surgery. However, it\u2019s the surgeon who will go into more detail about these risks and benefits.<\/p>\n Once you agree to be referred, you\u2019ll be guided through the process. There are 11 Hip and Knee Clinics in Alberta that follow the same Hip and Knee Surgical Care Path. You\u2019ll be referred to the clinic closest to where you live.<\/p>\n Your primary clinician will send in the referral form with your medical history. Give your primary clinician a copy of your log with the history of the conservative treatments<\/a> you\u2019ve tried so far so they can attach it to the referral form (Standard 3<\/a>).<\/p>\n If you haven\u2019t had any x-rays of your affected joints in the last year, you\u2019ll have x-rays done so they can be sent with the referral (Standard 1<\/a>). Once all this is done, the information is sent to the Hip and Knee Clinic closest to you.<\/p>\n Your primary clinician should hear about a week later what the wait time will be. Wait times can change, which can be frustrating. This is why we\u2019ve created a Common Question document<\/a> that explains why this may happen.<\/p>\n The Hip and Knee Clinic will assess whether you\u2019re a candidate for surgery<\/a>. At some clinics this means you might have 2 appointments before you help make the decision that surgery is the best option for you. Make sure you talk to all the doctors that you\u2019ll see at the Hip and Knee Clinic about your other health diagnoses too.<\/p>\n Since your health or joint status can change, it\u2019s important that your clinicians (including the screening specialist and\/or surgeon) know if your osteoarthritis symptoms or your quality of life changes. It\u2019s also important to keep your care plan up to date.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” text_line_height_tablet=”” text_line_height_phone=”1em” text_line_height_last_edited=”on|phone” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n Waiting for Surgery<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]Once your surgeon approves you for surgery, you\u2019ll be assigned a Case Manager. Your Case Manager will guide you through the blood tests, x-rays, and anything else you need to have done before surgery. The Case Manager is there to answer your questions while you wait for surgery.<\/p>\n You\u2019ll also go to a pre-surgery teaching class, where you\u2019ll be given helpful education booklets (Alberta Hip<\/a> or Knee<\/a> Surgery booklets) that describe the surgical journey. The booklets also have the pre-surgery exercises you can do to get ready. The pre-surgery teaching class isn\u2019t the same as the osteoarthritis conservative education.<\/p>\n Note: Don\u2019t have a steroid injection within 6 weeks of your surgery date.<\/strong>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” background_color=”rgba(12,113,195,0.08)” background_image=”https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/2020\/11\/Background2@1.5x.png” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n After Surgery<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” global_colors_info=”{}”]You\u2019ll be helped to walk 10 steps on your new joint a few hours after surgery, a very important step to starting your recovery. The surgical pain should get a little better every day. You\u2019ll also be monitored by your hospital care team while in the hospital and then by your Case Manager from the Hip and Knee Clinic from when you leave the hospital up to when you have your 2 week appointment. <\/p>\n Your staples are taken out about 2 weeks after surgery. It\u2019s around that time that you may really notice that your walking starts to improve. This is because before then, your leg movement was likely stiff, and you may not have been putting your full weight on your leg yet. <\/p>\n You can expect the pain to improve starting 6 weeks after surgery. You should be moving much better after 3 months. While your joints will likely start to feel stronger, they can take up to 1\u202fyear to be at their strongest. You may still have some pain in the affected joint, but you\u2019ll be able to manage it. <\/p>\n Everyone heals differently. Healing takes time, patience, and a lot of rehabilitation work on your part before you see a change (or improvement) in your function, mobility, and pain in your affected joint. <\/p>\n Exercise and physical activity are important for building your muscle strength while healing from surgery\u2014and it helps you feel better overall. Your Case Management team will speak with you about the type of exercise that\u2019s best for you. You\u2019ll likely be able to return to most of the activities you did before your OA symptoms stopped you, such as golfing, biking, swimming, or dancing. Your surgeon may ask you not to do things that put a lot of stress on the new joint, like running or playing tennis. Your Hip or Knee Surgery booklet tells you more about exercise and activity after a joint replacement. <\/p>\n Surgery usually works well for most people. You\u2019ll likely have much less pain and be able to do most of your daily activities more easily. But recovery does take time and patience. The Alberta Hip and Knee Program has over 10 years of feedback from other Albertans who\u2019ve had surgery, have less pain, and are able to do many more of their everyday activities. <\/p>\n Most artificial hip joints will last for 10 to 20 years, sometimes even longer. It depends on things you can control, like how well you continue to manage your OA, the Core and Adjunct Treatments you choose, and how much stress you put on the joint. It also depends on things that you can\u2019t control, like your age and how well your new joint and bones heal. [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_class=”heading” _builder_version=”4.17.4″ _module_preset=”default” text_font=”|600||on|||||” text_text_color=”#000000″ text_font_size=”40px” header_2_font=”Source Sans Pro|600|||||||” header_2_text_align=”center” header_2_text_color=”#ffc212″ header_2_line_height=”1.4em” custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” text_line_height_tablet=”” text_line_height_phone=”1em” text_line_height_last_edited=”on|phone” header_2_text_shadow_style=”preset1″ global_colors_info=”{}”]<\/p>\n Managing Your Osteoarthiritis<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” global_colors_info=”{}”]Throughout your surgery journey, it\u2019s important to keep managing your osteoarthiritis<\/a> symptoms with the treatments you and your primary clinician chose for you.<\/p>\n Continuing your Core and Adjunct Treatments will:[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ icon_color=”#6d125c” icon_width=”50px” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” text_orientation=”center” global_colors_info=”{}”]help you get back to your best level of health and wellness before surgery [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ icon_color=”#6d125c” icon_width=”50px” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” text_orientation=”center” global_colors_info=”{}”]improve your chances for greater functional recovery after surgery [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ icon_color=”#6d125c” icon_width=”50px” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_text_color=”#000000″ text_font_size=”18px” text_orientation=”center” global_colors_info=”{}”]improve your general health and joint care long after the surgery. Joint care includes caring for the replaced joints as well as your other affected joints. [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][el_modal_popup modal_id=”surgery” trigger_element_type=”element_class” trigger_element_class=”surgery” modal_title=”Being a Candidate for Surgery” show_footer=”off” modal_header_custom_padding=”10px|10px|10px|10px|true|true” _builder_version=”4.17.4″ _module_preset=”default” modal_title_text_font=”|600||||on|||” modal_title_text_font_size=”18px” modal_body_text_font_size=”16px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n You are not a good candidate for surgery if:<\/strong><\/p>\n <\/ul style=”list-style:circle”><\/p>\n<\/li>\n Surgeons usually won\u2019t recommend elective joint replacement surgery for people that have unmanaged health conditions that make the surgery too high-risk. These include:<\/p>\n If you\u2019re managing your risk factors, the surgeon will speak with you to decide if surgery is an option for you. If you have a health conditions that\u2019s not well-managed, you\u2019ll likely have to work on managing it before you\u2019re a candidate for surgery, either through the Hip and Knee Clinic or with your primary clinician. If you\u2019re able to manage your other medical conditions and reduce your risk for joint replacement surgery, then you may be able to become a good candidate for surgery.<\/p>\n The surgeon will talk to you about their recommendations for non-surgical OA treatments. They will also write a letter to your primary clinician with their recommendations Your clinician will then work with you to review your non-surgical OA care plan, choose new treatments, and keep supporting you to meet your OA goals.<\/p>\n<\/div>\n [\/el_modal_popup][el_modal_popup modal_id=”managingyouroa” trigger_element_type=”element_class” trigger_element_class=”managingyouroa” modal_title=”Ongoing OA Management” show_footer=”off” modal_header_custom_padding=”10px|10px|10px|10px|true|true” _builder_version=”4.17.4″ _module_preset=”default” modal_title_text_font=”|600||||on|||” modal_title_text_font_size=”18px” modal_body_text_font_size=”16px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n The 12-week (3 month) trial of OA treatment supports the success of your surgical outcomes if you do go on to have surgery.<\/p>\n [\/el_modal_popup][el_modal_popup _builder_version=”4.17.4″ _module_preset=”53caf29a-4a36-4ae7-87c8-8f5426974980″ modal_id=”candidacy” trigger_element_type=”element_class” trigger_element_class=”candidcay” hover_enabled=”0″ sticky_enabled=”0″ modal_title=”Surgical Candidacy”]<\/p>\n Note that the \u2018pre-operative teaching class\u2019 is not equivalent but complementary to conservative non-surgical OA education, for the appropriate audience of confirmed surgical candidates.<\/li>\n Note: capture of formal PROMs varies across the province and may represent some administrative obstacles to a clinic\/clinician. With the full implementation of these standards these obstacles will be overcome with time through the support of the Bone and Joint Health Strategic Clinical Network (BJH SCN) and its collaborators (Standard 9).\n<\/p><\/div>\n [\/el_modal_popup][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”30px||0px||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”]VIEW NEXT<\/span><\/a>[\/et_pb_text][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\nKEY RESOURCES<\/strong><\/span><\/span><\/h3>\n
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