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Important FAQs

Quality of life means something different for each individual

For many, it means spending time with family, enjoying a round of golf, a bicycle ride or the pleasure of a simple walk. For everyone, being able to move and walk without pain is an important part of living well. As we age, doing the things we love to do without pain often becomes a challenge. Through high quality compassionate care, research, and surgical advances, we can help revitalize your quality of life.

Joint replacement surgery is the next logical progression in outpatient procedures. A program design has been launched that focuses on the partial knee arthroplasty (PKA), anterior supine intermuscular total hip replacement (ASI), and less invasive microplasty total knee replacement (TKR).

This shift from being a hospital “inpatient” to an “outpatient” where recovery takes place out of the hospital and in your home has already happened for procedures such as major ligament reconstruction and rotator cuff repair. Refinement of surgical techniques, anesthesia protocols, and patient selection has enabled this transformation. Our outpatient Arthroplasty system is based on the clinical evidence from over 50,000 joint replacements and hundreds of research publications of patient outcomes.

With an outpatient focus, we have an infection rate that is markedly less than that reported in large hospital inpatient settings.

Review these frequently asked questions to better familiarize yourself with the joint replacement process:


By requesting a consultation, your information will be giving to one of our world class surgeons. The surgeon and/or his assistant will contact you to gain information about your condition. We will coordinate receiving your x-rays for a free evaluation.


If it is determined that surgery is your best option, your surgery will be scheduled either over the phone or upon an office consultation. At that time, we will work with you to obtain. At that time, we will work with you to obtain preauthorization from your insurance company. This may take several days to accomplish.


White Fence Surgical Suites has an experienced and highly skilled team who will focus specifically on you. Each one of our team members is specially trained to help ensure a safe and successful recovery. They work together with you and your coach to ensure an excellent experience. Your White Fence Surgical Suites team includes:

Orthopaedic Surgeon:

Your orthopedic surgeon is the physician who will perform your joint replacement operation and will oversee your care throughout your experience at White Fence Surgical Suites.

Physician Assistant:

Your physician assistant will assist your orthopedic surgeon in the operating room and help manage your care and recovery processes. A physician’s assistant may also assist with your follow up in the office and/or communicate with you directly via phone or email.


Our skilled anesthesia staff including CRNAs will administer regional blocks and advances anesthetic techniques to keep you comfortable and relaxed during surgery. They will also assistant in your post-operative pain management.

Registered Nurse:

Throughout your experience, you can expect to meet several nurses who function in various roles. They will help prepare you for surgery and will be in the operating room during your surgery. After surgery, the post-operative team will carry out all orders given by your surgeon while keeping you comfortable and safe.

Physical Therapy Team:

Your physical therapy team is trained to help you gain strength and motion in your new joint and will help ensure that you do your exercises correctly. Your physical therapy team will also help teach you how to properly and safely use your walker or crutches after surgery. Most White Fence Surgical Suite joint replacement patients will want to visit with Physiotherapy Associates immediately following release from the suites.

X- Ray Technicians:

Medical imaging is important because they help your surgeons in planning your surgery. We perform x-ray images in the operating room that will confirm your new implants’ position prior to the end of the procedure.


The day of your surgery will be a busy one. Please remember not to eat or drink anything, including mints or gum, after midnight the evening before your surgery. There may be several hours that pass between the time you check into the Suites and the time that your surgery is completed. Your family should be prepared to wait several hours.

It is important that you arrive at the center with plenty of time to check in and prepare for surgery. You will be instructed on your expected arrival time. When you arrive, park in designated patient parking areas.


On the morning of surgery, your family member or friend will be able to stay with you until you are ready to be transported to the operating room. At this point, they will be escorted to a family waiting area where they will wait while you have your surgery.
When your joint replacement is complete, a member of the surgical team will contact your family member or friend. At this point, they will be able to speak with your surgeon to discuss your procedure.

Once you are awake and stable from an anesthesia and surgery standpoint, you will be transferred to one of our private recovery rooms. Here you will be reunited with your family member or friend to complete the recovery process prior to being released from the suites.


After surgery, you will be transported to an area called the Post Anesthesia Care Unit (PACU) or recovery room. Your stay in the PACU will depend upon your rate of recovery from the effects of the anesthesia. Following joint replacement, your PACU stay is typically four hours.

Nurses will check your vital signs; blood pressure, respiratory rate, and heart rate – and monitor your progress. They will also start your ice therapy.

Pain medications will be provided through your IV as needed. Our goal is to use preoperative medications and special medication injections during the surgery that will reduce your pain and therefore the need for postoperative narcotic medications. Nurses will check your bandages, check drainage from your surgical site, and encourage you to cough and take deep breaths. They will also apply leg compression devices to help with circulation.

You will be able to take this home with you. A self- addressed box will be provided to return the compression unit to the manufacturer.
Once you are awake and ready for your first walk, your family member or “coach” will be able to join you and assist our team with your recovery.


The following is a list of common equipment used after a joint replacement. Your therapists will assist you in evaluating the type of equipment you will need following your surgery. Equipment recommendations are based on the individual needs of each patient.

Ice Machine

Front-Wheeled Walker/Cane/Crutches

Raised toilet seat/Bedside commode


Reducing Risks of Infection in Your New Joint

To reduce your risk of infection, antibiotics may need to be administered prior to any invasive test, procedure or surgery. The physician or surgeon performing the test, procedure, or surgery should prescribe antibiotics if indicated.



Some of the exercises, like ankle pumps, can also be performed should you need to sit for long periods of time. If travelling within 2 weeks of your surgery, you should wear your calf compression pumps.

Because your new artificial joint contains metal components, you will likely set off the security systems at airports or shopping malls. This is normal and should not cause concern. We will provide you with a Domestic Medical Tourism Card to minimize your inconvenience.


Exercises and Activity

Exercise and maintaining an active lifestyle are important parts of health. Most patients with artificial joints are able to enjoy many activities, though some should be avoided. In general, high impact exercises, like running, jumping, heavy weight lifting, or contact sports, are not recommended. Participating in these activities, or activities like them, may damage your joint or cause it to wear down much more quickly. Low impact activities like swimming, walking, gardening, and golf are encouraged. You may kneel on your new knee without damaging it; however, it will likely feel uncomfortable.


When Can I Drive After Outpatient Joint Replacement?

Following most routine outpatient left lower leg (hip or knee) replacements, patients can drive when they are off narcotics during the day and when they feel comfortable getting in and out of the car. For right lower extremity (hip or knee) replacements, patients are discouraged from driving for up to six weeks.


When Can I Do Stairs?

You will be able to do stairs prior to being released from the suites. We routinely would recommend doing one flight of stairs a day until your strength and stamina returns back to where you feel like doing more than flight.


Will I Need Someone to Stay With Me At Home?

Yes, at least for the first 24-48 hours after you return to your home. It is always considered best to have someone their helping you. After that point, you should be independent enough to allow your family or friends to not be with you throughout the day.


Dental Care

Following your joint replacement surgery, it is important to notify your dentist that you have a joint implant. It is essential that you obtain a prescription from your dentist for a prophylactic antibiotic to be taken PRIOR to any dental cleaning or procedure for the rest of your life. You will need to remind your dentist before every scheduled appointment in the future of this requirement in order to reduce the risk of developing an infection in your joint.


If you have traveled to White Fence Surgical Suites to have your procedure performed, you will be instructed to contact your surgeon at three weeks and six weeks after your procedure with an update. This will be done via telephone call or email. If you have questions

If you live locally you will see the physician assistant for a follow up appointment six weeks after surgery. Joint replacements are monitored at six weeks, one year, two years, five years, and every five years after.


Yes, in fact White Fence Surgical Suites is the most experienced center in the United States in performing outpatient anterior hip replacement.  Anterior hip replacement, in most cases, can afford a pain-free recovery experience, can afford limited pain during the recovery while allowing the patient to be mobile without breaching hip precautions.


Partial knee replacement has been in existence for several decades. It is not new or experimental.  How long these last has been reported to be as good as or even better than a total knee replacement.  The concept with partial knee replacement is to do the least amount of surgery necessary to eliminate or reduce your pain.

Learn more about Partial Knee Replacement.