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(608) 231-3410
2 Science Court, Suite 101
Madison, Wisconsin 53711

Preparing for Surgery

We want your surgery to be as comfortable as possible. Here’s what you’ll need to know to prepare for your procedure.

Birmingham Hip Resurfacing

Learn about preparation for your surgery.

Total Hip Replacement

Learn about preparation for your surgery.

Shoulder Arthroscopy

Learn about preparation for your surgery.

Knee Arthroscopy

Learn about preparation for your surgery.

Preparing for Birmingham Hip Resurfacing

You’re in great hands with Dr. Rogerson and the OrthoTeam. Dr. Rogerson and his team are with you every step of your BHR procedure. Here is an outline of how your Birmingham Hip Resurfacing procedure and recovery will proceed.

Before Surgery

Complete Physical Examination

Dr. Rogerson will ask that you have a physical examination and lab work with your family physician within 30 days of your surgery date. This will assist with optimization of medical records prior to the surgery and ensure that you are in the best physical condition possible on surgery day.

Pre-Op Discussion with a Physician Assistant at Dr. Rogerson’s Office

We take the time to walk you through all needed consent forms, discuss your inpatient hospital course, update x-rays if needed, take range of motion measurements, receive forearm crutches, receive prescriptions for post op use, as well as address any specific questions you may have about the surgery or the recovery process.

Ask About Your Medications

Ask Dr. Rogerson’s Physician Assistant at your pre-op discussion whether or not you should take your routine prescription medications the morning of your surgery.

If you are an out of town BHR patient, these prescriptions will be mailed to you prior to your discussion. You will meet Dr. Rogerson if you have not already and have all of your pre-operative questions answered.

hiphab

HipHab Rehabilitation Tour

You will receive forearm crutch instructions and tour the facility, including land/pool exercise departments. This is typically same day as pre-op discussion for out-of-town BHR patients. We will also discuss PT and OT post-op exercises.

Day of Surgery

Last Minute Questions

You will see Dr. Rogerson and have the opportunity to ask any last minute questions prior to going to the operating room.

We are with you every step of the way.

You will meet and talk with the surgical staff, including the surgical nurse and the anesthetist that will be caring for you during the surgery. You will discuss your anesthesia concerns. After all of your questions are answered, you will be taken to our special high volume air-flow operating room.

Your surgery will last 2.5 to 3 hours. Any friends or family with you will be notified when you are moved to the recovery room. Most patients spend approximately 1-2 hours in recovery room before transferring to the Medical/Surgical unit on the 3rd floor. You will spend the remainder of your hospital stay here.

After Surgery

If you are feeling up to it, you may get out of bed to use the restroom and sit in a chair for comfort. You can also begin basic, sitting PT exercises the same day as your surgery.

On Your Feet

Post-Op - Day 1

You will have PT twice daily. Once you are cleared by a therapist, you may walk the hallways in between therapy sessions, and are encouraged to be as mobile as possible.

Post-Op - Day 2

After your PT session, you will transfer to HipHab and continue therapy for 3-4 additional days. Your therapy will include land and water exercises. A two week wound check appointment with a Physician Assistant, and a five week post-op appointment with Dr. Rogerson will be made for you, where x-rays will be taken to show you your new prosthesis.

Post-Op - Day 3 to 5

Following hospital discharge, you will receive several days of land and aquatic therapy with Dr. Rogerson’s innovative HipHab rehabilitation program and stay in a private apartment at Capitol Lakes in downtown Madison. Dr. Rogerson utilizes a Prineo water resistant wound closure reinforced with a waterproof Tegaderm dressing to ensure wound sterility. This innovative approach to rehabilitation seamlessly moves you from hip resurfacing surgery to home. Our HipHab program is modeled after proven programs in Europe to ensure the best-possible outcomes.

Post-Op - Day 6

You will receive a 1-on-1, land-based, exercise session. Staff will review exercises you can continue at home, and provide recommendations for continued rehabilitation. Based on your PT progress and wound healing, you may be able to leave HipHab that day with Dr. Rogerson’s approval.

FAQ

How many resurfacings have you performed?

As of April 14th 2015, I have now performed 797 hip resurfacings since 2006. This number is not including surgeries I have observed or assisted with, or hemi-resurfacings.

Where did you train?

I trained with Dr. McMinn and Dr. Treacy in England in 2005, and also visited and scrubbed in with Dr. DeSmet in Belgium in 2005. Prior to going to Europe for my training, I visited Dr. Schmalzried, Dr. Mont, and Dr. Stachniw and scrubbed in for surgery with those physicians in 2003 and 2004. I also performed metal-on-metal big femoral head arthroplasty for approximately four years prior to starting to pursue metal-on-metal hip resurfacing.

How many complications have you had?

In my series I have seen one superficial and two deep infections. One deep infection started from a drain site, and we no longer use percutaneous drains postoperatively. The second deep infection occurred a year and a half after the hip resurfacing procedure from an infected hernia repair.

After starting surgery, what can lead you to switch from resurfacing to a THR? If you have to switch, what device would you use?

The reasons to switch would be inadequate bone quality under the femoral head or inadequate fixation at the time of surgery of the acetabular component, or a technical error with notching of the femoral neck, which would make the patient more susceptible for ultimate femoral neck fracture. At the present time, I would use the Smith & Nephew titanium Polar stem with an Oxinium head and a metal-on-polyethylene socket.

How many loose acetabular cups have you had?

In my series I have had no acetabular cup loosenings or loosening of femoral components. I have performed one revision of a resurfacing done in Belgium by Dr. DeSmet for a loose acetabular component.

Do you use cemented or uncemented and why?

I use an uncemented, acetabular component and a cemented, femoral head component, which is the standard for Birmingham hip resurfacing. At the time of surgery, one sees frequently many femoral heads that are deformed and very sclerotic, and do not have good cancellous bone on the superior flattened portion of the femoral head. I believe that these types of arthritic heads do better with a very thin cement mantle within the femoral head component that evens out the forces on the femoral neck and assures good fixation in bone that would otherwise be compromised because of its sclerotic nature. Please read my blog post http://www.orthoteam.com/blog-posts/hip-resurfacing-to-cement-or-not-to-cementthat-is-the-question/ for more information.

Will you perform my hip resurfacing personally or have an assistant do the surgery?

I perform all of the hip resurfacings personally, with one of my two PAs as the first assistant. We have a very well-trained team at Stoughton Hospital that also assist in the procedure.

What hip resurfacing device/prosthesis do you use? How long have you been using it, and why do you prefer it?

I have used the Smith & Nephew Birmingham hip resurfacing prosthesis since its FDA approval in 2006. Prior to it receiving FDA approval, I performed one Wright Medical hip resurfacing using a compassionate use permit from the FDA. I definitely prefer the Birmingham hip prosthesis compared to others that are presently on the market. This relates to the metallurgy of the prosthesis, particularly the acetabular component, which is an “as cast” metal with large block carbides and better wear characteristics than heat treated metals. The precise instrumentation and the line-to-line fit for the femoral component of the Birmingham is the best on the market, and Drs. McMinn and Treacy’s 16-year results with the BHR are very impressive when compared to total hip arthroplasty results in young, active individuals.

How many resurfacing failures with revision to THR have you experienced?

I have experienced three femoral neck fractures that went on to revision: two from excess, early high-impact activities against medical advice, and one later stress fracture well below the prosthesis. I have had one revision secondary to recurrent dislocation after the patient fell from a bleacher at six weeks post-op. I have had two deep infections, noted above, that required revision surgery. I have had one metal allergy reaction with pseudotumor that required revision. Overall, our failure rate is extremely low. In my series since 2006, I have a 98.3% survivorship of the prosthesis still functioning well.

How many times during resurfacing surgery have you had to switch to a THR, and why was the change made?

I have had one case, where the patient had significant cystic changes in the femoral head. Preoperatively, I informed the patient that they had a 20% chance of being a candidate for resurfacing. The patient requested to begin the surgery as a resurfacing, with the understanding that they may require a THR. During surgery, I determined that resurfacing was not a possibility, and performed a metal-on-metal, big femoral head arthroplasty for him with good results.

More Information

BHR Pre-Op Patient Information

A detailed description of your journey and what to expect.

BHR Pre-Op Patient Information

Surgical Pre-Op Instructions

Important information about what medicine and food to avoid prior to your surgery

Surgical Pre-Op Instructions

BHR Post-Op Instructions

Instructions to continue your journey to full recovery.

BHR Post-Op Instructions

BHR Post-Op Stretches

We have provided some printable exercise sheets for you.

BHR Post-Op Stretches

BHR Post-Op Exercises

We have provided some printable exercise sheets for you.

BHR Post-Op Exercises

BHR Post-Op Patient Satisfaction Survey

Please take the time to fill out our survey. Your satisfaction is very important to us and we appreciate your feedback.

BHR Post-Op Patient Satisfaction Survey

Smith and Nephew's Decision About BHR and Females

As of June 3rd, 2015, Smith and Nephew (the manufacturer of the BHR prosthesis) has declared that the BHR is now contraindicated for all female patients. For more information, read this letter sent to Dr. Rogerson. For Dr. Rogerson’s thoughts refer to his blog about this development.

BHR and Females

Surface Hippy - Patient to Patient Guide To Hip Resurfacing

Surface Hippy is a forum for sharing information and experiences among patients who have had hip resurfacing surgery. Anyone interested in learning about the procedure is welcome to participate.  A physician listing is included in the site, as well as an interview of Dr. Rogerson by Patricia Walter.

Surface Hippy

Hip Resurfacing - Returning patients to an active lifestyle.

This site serves as a patient-to-patient guide to hip resurfacing. A physician listing is included in the site, as well as an interview of Dr. Rogerson by patient advocate, the late Vicky Marlow.

Hip Resurfacing – Returning patients to an active lifestyle.

Analysis of wear of retrieved metal-on-metal hip resurfacing implants

Analysis of wear of retrieved metal-on-metal hip resurfacing implants revised due to pseudotumours. From the Journal of Bone and Joint Surgery, VOL. 92-B, No. 3, March 2010.

Wear of retrieved metal-on-metal hip resurfacing implants

Smith and Nephew’s response to the JBJS article

Read Smith and Nephew’s response to the JBJS article regarding pseudotumours and resurfacing.

Smith and Nephew’s response

FDA information on Metal-on-Metal hip implants

United States Food and Drug Administration information on Metal-on-Metal hip implants

FDA information on Metal-on-Metal hip implants

United Healthcare BHR Info

Information from United Healthcare on BHR

United Healthcare Medical Policy on Hip Resurfacing Arthroplasty

McMinn Clinic

The McMinn Clinic is a family of caregivers who work with our patients as partners to help them reach their maximum potential in mind, body, and spirit.

McMinn Clinic

American Academy of Orthopaedic Surgeons

Founded in 1933, the Academy is the preeminent provider of musculoskeletal education to orthopaedic surgeons and others in the world. Its continuing medical education activities include a world-renowned Annual Meeting, multiple CME courses held around the country and at the Orthopaedic Learning Center, and various medical and scientific publications and electronic media materials.

American Academy of Orthopaedic Surgeons

Arthroscopy Association of North America

Arthroscopy Association of North America exists to “promote, encourage, support and foster…the development and dissemination of knowledge… of arthroscopic surgery in order to improve upon the diagnosis and treatment of diseases and injuries of the musculo-skeletal system.

Arthroscopy Association of North America

Arthritis Foundation

The Arthritis Foundation is committed to raising awareness and reducing the unacceptable impact of arthritis, a disease which must be taken as seriously as other chronic diseases because of its devastating consequences. We are leading the way to conquer the nation’s leading cause of disability through increased education, outreach, research, advocacy and other vital programs and services. Our goal is to reduce by 20 percent the number of people suffering from arthritis-related physical activity limitations by 2030.

Arthritis Foundation

Since beginning Birmingham Hip Resurfacing in 2006, a high percentage of our patients have traveled long distance to Madison for their surgery.

If you are traveling by air, you will fly into Dane County Regional Airport.

Another option is to fly into Milwaukee’s General Mitchell International Airport, which is approximately 85 miles east of Madison.

For patients who would like to have their caregiver stay in Stoughton during the inpatient hospital stay:

They may sleep in the Stoughton Hospital inpatient room (no bed available – only recliner chair).

We recommend the Stoughton House Inn Bed and Breakfast; a fantastic B & B only minutes away from the Hospital.

Preparing for Total Hip Replacement

You’re in great hands with Dr. Rogerson and the OrthoTeam
Dr. Rogerson and his team are with you every step of your Total Hip Replacement procedure. Here is an outline of how your THR procedure and recovery will proceed.

Before Surgery

Complete Physical Examination

Dr. Rogerson will ask that you have a physical examination and lab work with your family physician within 30 days of your surgery date. This will assist with optimization of medical records prior to the surgery and ensure that you are in the best physical condition possible on surgery day.

Pre-Op Discussion with a Physician Assistant at Dr. Rogerson’s Office

We take the time to walk you through all needed consent forms, discuss your inpatient hospital course, update x-rays if needed, receive forearm crutches, receive prescriptions for post op use, as well as address any specific questions you may have about the surgery or the recovery process.

Ask About Your Medications

Ask Dr. Rogerson’s Physician Assistant at your pre-op discussion whether or not you should take your routine prescription medications the morning of your surgery.

Physical Therapy

If deemed necessary, we will begin instruction on your exercise program prior to the surgery. We will also give an overview of the rehabilitation process after surgery. This will better prepare you for postoperative care.

Personal Preparation

Loose-fitting clothing is recommended. Please bring the following three pieces of information with you to the hospital:
1) Insurance
2) A list of all your medications and dosages
3) A list of all your drug allergies

Evening Before Surgery

Do not eat or drink after midnight the night before surgery. You may also be asked to take some of your routine prescription medications with only a small sip of water.

Day of Surgery

  You will check in at patient registration in Stoughton Hospital.

  Your vital signs, such as blood pressure and temperature, will be measured.

  A clean hospital gown will be provided.

  All jewelry, dentures, contact lenses, and nail polish must be removed.

  An IV will be started to give you fluids and medication during and after the procedure.

  Dr. Rogerson or a team member will meet you before your surgery just to say “Hi” and to answer your last minute questions.Dr. Rogerson will also initial the correct surgical hip.

  Your hip will be scrubbed and shaved in preparation for surgery.

  An anesthesiologist will discuss the type of anesthesia that will be used during your surgery.

On Your Feet

After Surgery

Most patients will be allowed and encouraged to get out of bed the afternoon of surgery or the next morning. The increased activity in the upright position of sitting encourages the lungs to expand fully and helps eliminate any fever. You may be given an incentive spirometer device to help expand your lungs every 2 hours during the day if indicated.

On the first postoperative day, you will begin the important rehabilitation process. The success of this program depends greatly on the cooperation and enthusiasm of the patient. The goals of therapy are to increase hip range of motion, increase strength in the hip and thigh muscles, learning to walk with crutches and become independent with daily activities such as climbing stairs and using the bathroom.

The muscle strengthening exercises include attempts to tighten the thigh muscle (quad sets), as well as tighten your gluteal muscles (glute sets), and then lifting your leg off the bed with the knee straight (straight leg raise). These exercises should eventually be done in sets of 10, at least 6 to 10 times daily, if possible.

Your nurses, therapists, and doctor can help you with these exercises. Don’t be discouraged. It takes most patients several days before they are able to independently lift the operative leg off the bed. Physical therapists will instruct you and assist you in walking with crutches or walker. The therapist will also direct you as to how much weight you can put on the operative leg. Most patients start with a walker and then progress to crutches. By the time you are discharged from the hospital, you should be able to walk with the walker or crutches without assistance. You should also be able to handle a few stairs. Your therapist will work with you at least twice daily on these activities.

Several other important points about your hospital stay should be noted. Following major lower extremity surgery, there is a risk of blood clots forming in the leg. To minimize the risk of this occurrence, most patients are placed on oral blood thinners and also placed in special sequential compression stockings that continually assist in externally pumping the blood through the legs while in the hospital, as well as thigh high compression stockings for three weeks following the surgery.

The oral blood thinner is usually continued for 3 weeks after surgery followed by one bay aspirin (81mg) per day for an additional 4 weeks depending on your risk factors.

Thigh high elastic stockings (TED hose) are also used to minimize risks of blood clots and control swelling in the lower leg and foot. If possible, we like these stockings worn during the day but they may be removed at night for comfort for a total of 3 weeks following your surgery.

A sub-cuticular stitch reinforced with Prineo tape and Dermabond is used for skin closure. This tape should be left in place for 2-3 weeks post-op and then peeled off as it starts to loosen.

Hip Precautions

It is important for several weeks following total hip replacement surgery that care be taken to keep from dislocating the hip prosthesis. For six weeks following surgery, the patient should not bend at the hip past a 90° position. A pillow may need to be placed in a soft chair to add support so that bending does not pass 90°. For at least six-eight weeks following surgery, the patient should not cross his or her legs. It is important that the hip is not internally rotated while in a flexed position. The abduction splint or a pillow should be placed between the legs while sleeping for the first 6 weeks after the time of surgery.

Hospital Discharge

Most patients are discharged from the hospital either directly home or to a short term rehab facility 3-4 days after surgery. To go home, we expect you to be able to walk independently with crutches (or walker), get in and out of a chair or bed and to lift your leg with the knee extended straight. The following instructions are intended to make your return home as comfortable as possible. Please read them carefully and ask either my Physician Assistants or myself if you have any further questions.

Exercises

We encourage you to be as active as possible. You should not spend much time in bed other than at night to sleep. You should walk several times daily. These walks are by far the most important exercise you can do. As your recovery progresses, you should be able to walk longer distances and with less fatigue. Be careful not to push yourself too hard, too quickly. Conversely, remember not to sit for extended periods of time, as this tends to retard the venous drainage from your leg. It is better to get up and move around, walking every 30 to 45 minutes. Exercise as noted previously. Walking is the most important exercise. You should also continue to do straight leg raises. Try to lift your leg with the knee straight and hold it up for 10 seconds (do this 10 repetitions, 6 to 10 times a day).

Bathing

You may begin to shower as soon as you return home. Bathing in a tub is difficult and should be avoided for the first two months.

Incision

Usually the incision does not require any special care at home. If the incision becomes excessively swollen, red or begins to drain, you should call us. It is not unusual for the thigh and hip to remain swollen and feel warm for several months after surgery.

Elastic Stockings (TEDS)

Please continue to wear the elastic stockings while you are awake for the first 3 weeks after discharge.

Return Appointment

Your first return examination in our office will occur after about 2 weeks for a wound check with one of the Physician Assistants. This appointment time and date will be included in your hospital discharge paperwork. If you are unsure of this appointment time please call our office during the normal office hours to verify. (608-231-3410).

Driving

We do not recommend that you drive a car until after your first office appointment after surgery or until you can walk well without crutches.

Traveling

It is reasonable to travel by car or plane soon after leaving the hospital, however you will need a pillow under your buttocks so that you do not sink down and flex the hip greater than 90°. When traveling long distances, you will be more comfortable if you stop and walk a little every hour. Standard airport security metal detectors are generally set off by these artificial joints. Let the TSA agent know you have a total hip and request to go through a body scanner if available.

Medications

Most patients still require the use of pain medication for a period of time following discharge from the hospital. We will provide a prescription for an appropriate medication. In addition, you should resume any other medication you were taking prior to hospitalization unless otherwise instructed by a physician.

Dental or Urologic Care

If you require dental work (including regular cleaning) or any urologic evaluation after surgery, you should take a short course of antibiotics. Many of the bacteria in the mouth are susceptible to Penicillin. There may be a number that are resistant, so at the present time I am utilizing Amoxicillin 500 mg 4 tablets 1 hour prior to dental work. If the patient is allergic to Penicillin, Clindamycin 600 mg orally 1 hour prior to dental work would be substituted.

Precautions

It is extremely important after total joint replacement to be very careful regarding infections. There have been reports of infections elsewhere in the body that have shed bacteria into the blood stream which then infect the joint replacement, even years after the initial procedure. Therefore, it is imperative after a total joint replacement that infections are treated aggressively. This includes pneumonias, bronchitis, urinary tract infection or external skin sores that may become infected. The usual sore throat associated with some nasal drainage is frequently a viral infection and of no major concern. However, if you develop marked sore throat or fever, suggestive of a strep throat, you should see your family doctor immediately to be tested for strep throat and placed on antibiotics if your culture is positive. In general, if you have questions as to whether or not you may have an infection that should be treated, please call my office so that we can discuss this with you.

Summary

Don’t forget that you have a new hip but it is not a completely normal hip. Your healing pattern will be somewhat cyclical. It is common for you to feel very good for several days, overdo it and then have the leg swell or stiffen up slightly. This will improve and go through a number of cycles until you are finally healed. Don’t look at your progress on a day by day basis, but more on a week to week basis. Don’t get too excited or depressed by the cyclical variations.

If you find when you go home that there is something new or different that you have a question about, please feel free to contact me. I am concerned about you as a person as well as a patient and would be happy to answer any questions that you may have.

Good luck with your new hip!

More Information

Surgical Pre-Op Instructions

Description of what medicine and food to avoid prior your total hip replacement.

Surgical Pre-Op Instructions

THR Post-Op Instructions

Instructions to continue your journey to full recovery.

THR Post-Op Instructions

THR Pre-Op Exerscises

An easy to follow instruction of exercises you should perform to get back to your daily activity fast and safely.

THR Pre-Op Exerscises

Femoroacetabular Impingement (FAI)

Femoroacetabular impingement (FAI) is a condition where the bones of the hip are abnormally shaped. Because they do not fit together perfectly, the hip bones rub against each other and cause damage to the joint.

Femoroacetabular Impingement

Snapping Hip

Snapping hip is a condition in which you feel a snapping sensation or hear a popping sound in your hip when you walk, get up from a chair, or swing your leg around.

Snapping Hip

Hip Bursae

Bursae, are small, jelly-like sacs that are located throughout the body, including around the shoulder, elbow, hip, knee, and heel. They contain a small amount of fluid, and are positioned between bones and soft tissues, acting as cushions to help reduce friction.

Bursitis is inflammation of the bursa.
Hip Bursae

Osteoarthritis of the Hip

Sometimes called “wear-and-tear” arthritis, osteoarthritis is a common condition that many people develop during middle age or older. In 2011, more than 28 million people in the United States were estimated to have osteoarthritis.

Osteoarthritis of the Hip

Developmental Dislocation (Dyplasia) of the Hip (DDH)

The hip is a “ball-and-socket” joint. In a normal hip, the ball at the upper end of the thighbone (femur) fits firmly into the socket, which is part of the large pelvis bone. In babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally. The ball is loose in the socket and may be easy to dislocate.

Hip Dysplasia

Osteonecrosis of the Hip

Osteonecrosis of the hip is a painful condition that occurs when the blood supply to the bone is disrupted. Because bone cells die without a blood supply, osteonecrosis can ultimately lead to destruction of the hip joint and arthritis.

Osteonecrosis of the Hip

Perthes Disease

Perthes is a condition in children characterized by a temporary loss of blood supply to the hip. Without an adequate blood supply, the rounded head of the femur (the ” ball ” of the ” ball and socket ” joint of the hip) dies. The area becomes intensely inflamed and irritated.

Perthes Disease

Preparing for Shoulder Arthroscopy

Before Surgery

Complete Physical Examination

Dr. Rogerson will ask that you have a physical examination and lab work with your family physician within 30 days of your surgery date. This will assist with optimization of medical records prior to the surgery and ensure that you are in the best physical condition possible on surgery day.

Pre-Op Discussion with a Physician Assistant at Dr. Rogerson’s Office

We take the time to walk you through all needed consent forms, discuss your inpatient hospital course, update x-rays if needed, receive forearm crutches, receive prescriptions for post op use, as well as address any specific questions you may have about the surgery or the recovery process.

Ask About Your Medications

Ask Dr. Rogerson’s PA at your pre-op discussion whether or not you should take your routine prescription medications the morning of your surgery.

Physical Therapy

If deemed necessary, we will begin instruction on your exercise program prior to the surgery. We will also give an overview of the rehabilitation process after surgery. This will better prepare you for postoperative care.

Personal Preparation

Loose-fitting clothing is recommended. Please bring the following three pieces of information with you to the hospital: 1) Insurance, 2) A list of all your medications and dosages, and 3) a list of all your drug allergies.

Evening Before Surgery

Do not eat or drink after midnight the night before surgery. You may also be asked to take some of your routine prescription medications with only a small sip of water.

Day of Surgery

  You may take your morning medications with a small sip of water only if you have been instructed to do so by Dr. Rogerson’s Physician Assistant. You will check in at patient registration in Stoughton Hospital.

  Your vital signs, such as blood pressure and temperature, will be measured.

  A clean hospital gown will be provided.

  All jewelry, dentures, contact lenses, and nail polish must be removed.

  An IV will be started to give you fluids and medication during and after the procedure.

  Dr. Rogerson will meet you to sign his initials on the operative site and to answer any questions.

  Your shoulder will be scrubbed and shaved in preparation for surgery.

  An anesthetist will discuss the type of anesthesia that will be used during your surgery.

On the Road to Your Recovery

Rehabilitation

When you leave the hospital, your arm may be placed in an immobilizer. The immobilizer should be worn for the amount of time recommended by Dr. Rogerson. Steps for rehabilitation following rotator cuff surgery and instability repair vary depending on the procedure. Dr. Rogerson will inform you of the activities that will be involved in your own rehabilitation.

More Information

Surgical Pre-Op Instructions

Description of what medicine and food to avoid prior your total hip replacement.

Surgical Pre-Op Instructions

Post-Op Shoulder Scope Stabilization

Dr. Rogerson’s Post-Op Arthroscopy shoulder stabilization instructions.

Shoulder Stabilization Instructions

Post-Op Decompression and/or Clavicle Resection Instructions

Dr. Rogerson’s Post-Op Shoulder Arthroscopy Decompression and/or Clavcle Resection (Mumford) instructions.

Decompression and/or Clavicle Resection Instructions

Post-Op Rotator Cuff Repair Instructions

Dr. Rogerson’s Post-Op Shoulder Arthroscopy Decompression and/or Clavcle Resection (Mumford) instructions.

Rotator Cuff Repair Instructions

Shoulder Pain and Common Shoulder Problems

What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm — from scratching your back to throwing the perfect pitch.t.

Shoulder Pain Information

Shoulder Impingement/Rotator Cuff Tendinitis

One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints combined with tendons and muscles that allow a great range of motion in your arm.

Shoulder Impingement/Rotator Cuff Tendinitis

Biceps Tendonitis

Long head of biceps tendonitis is an inflammation or irritation of the upper biceps tendon. This strong, cord-like structure connects the upper end of the biceps muscle to the bones in the shoulder.

Bursitis is inflammation of the bursa.
Biceps Tendonitis

Frozen Shoulder

Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move.

Frozen Shoulder

SLAP Tears

A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint.

SLAP Tears

Shoulder Arthroscopy

Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint.

Shoulder Arthroscopy

Preparing for Knee Arthroscopy

Before Surgery

Complete Physical Examination

Dr. Rogerson will ask that you have a physical examination and lab work with your family physician within 30 days of your surgery date. This will assist with optimization of medical records prior to the surgery and ensure that you are in the best physical condition possible on surgery day.

Pre-Op Discussion with a Physician Assistant at Dr. Rogerson’s Office

We take the time to walk you through all needed consent forms, discuss your outpatient hospital stay, update x-rays (if needed), receive an outline of your specific rehab course, receive prescriptions for post op use, as well as address any specific questions you may have about the surgery or the recovery process.

Ask About Your Medications

Ask Dr. Rogerson’s Physician Assistant at your pre-op discussion whether or not you should take your routine prescription medications the morning of your surgery.

Physical Therapy

If deemed necessary, we will begin instruction on your knee exercise program or refer you to a qualified physical therapist prior to the surgery. We will also give an overview of the rehabilitation process after surgery. This will better prepare you for post-operative care.

Personal Preparation

Loose-fitting clothing is recommended. Please bring the following three pieces of information with you to the hospital: 1) Insurance, 2) A list of all your medications and dosages, and 3) a list of all your drug allergies.

Evening Before Surgery

Do not eat or drink after midnight the night before surgery.

Day of Surgery

  You may take your morning medications with a small sip of water only if you have been instructed to do so by Dr. Rogerson’s PA. You will check in at patient registration in Stoughton Hospital.

  Your vital signs, such as blood pressure and temperature, will be measured.

  A clean hospital gown will be provided.

  All jewelry, dentures, contact lenses, and nail polish must be removed.

  An IV will be started to give you fluids and medication during and after the procedure.

  Dr. Rogerson will meet you to sign his initials on the operative site and to answer any questions.

  Your knee will be scrubbed and shaved in preparation for surgery.

  An anesthetist will discuss the type of anesthesia that will be used during your surgery.

On the Road to Your Recovery

Rehabilitation

Unless you have had a ligament reconstruction, you should be able to return to most physical activities after 6 to 8 weeks, or sometimes much sooner. Higher impact activities may need to be avoided for a longer time. You will need to talk with your doctor before returning to intense physical activities. If your job involves heavy work, it may be longer before you can return to your job. Discuss when you can safely return to work with your doctor. The final outcome of your surgery will likely be determined by the degree of damage to your knee. For example, if the articular cartilage in your knee has worn away completely, then full recovery may not be possible.You may need to change your lifestyle. This might mean limiting your activities and finding low-impact exercise alternative.

Swelling

Keep your leg elevated as much as possible for the first few days after surgery. Apply ice as recommended by your doctor to relieve swelling and pain.

Dressing Care

You will leave the hospital with a dressing covering your knee. Keep your incisions clean and dry. Your surgeon will tell you when you can shower or bathe, and when you should change the dressing.

Your surgeon will see you in the office a few days after surgery to check your progress, review the surgical findings, and begin your postoperative treatment program

Bearing Weight

Most patients need crutches or other assistance after arthroscopic surgery. Your surgeon will tell you when it is safe to put weight on your foot and leg. If you have any questions about bearing weight, call your surgeon.

Driving

Your doctor will discuss with you when you may drive. This decision is based on a number of factors. Typically, patients are able to drive from 1 to 3 weeks after the procedure.

Medications

Your doctor will prescribe pain medication to help relieve discomfort following your surgery. He or she may also recommend medication such as aspirin to lessen the risk of blood clots.

Exercises to Strengthen Your Knee

You should exercise your knee regularly for several weeks after surgery. This will restore motion and strengthen the muscles of your leg and knee. Therapeutic exercise will play an important role in how well you recover. A formal physical therapy program may improve your final result.

More Information

Surgical Pre-Op Instructions

Description of what medicine and food to avoid prior your total hip replacement.

Surgical Pre-Op Instructions

Post-Op Knee Arthroscopy Instructions

Post-op instructions to continue your journey to full recovery following your knee scope

Post-Op Knee Arthroscopy Instructions

Meniscal Tears

Meniscal tears are among the most common knee injuries. Athletes, particularly those who play contact sports, are at risk for meniscal tears. However, anyone at any age can tear a meniscus. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus.

Meniscal Tears

Runner's Knee (Patellofemoral Pain)

Runners, jumpers, and other athletes such as skiers, cyclists, and soccer players put heavy stress on their knees. Runner’s knee is a term used to refer to a number of medical conditions that cause pain around the front of the knee (patellofemoral pain).

Runner’s Knee

Patellofemoral Arthritis

Arthritis of the knee is a leading cause of disability in the United States. Patellofemoral arthritis affects your kneecap (patella bone). It causes pain in the front of your knee and can make it difficult to kneel and climb stairs.

Patellofemoral Arthritis

Pes Anserine (Knee Tendon) Bursitis

Bursae are small, jelly-like sacs that are located throughout the body, including around the shoulder, elbow, hip, knee, and heel. They contain a small amount of fluid, and are positioned between bones and soft tissues, acting as cushions to help reduce friction.

Pes anserine bursitis is an inflammation of the bursa located between the shinbone (tibia) and three tendons of the hamstring muscle at the inside of the knee.

Knee Tendon Bursitis

Viscosupplementation Treatment for Arthritis

Although there is no cure for osteoarthritis of the knee, there are many treatment options available. The primary goals of treatment are to relieve pain and restore function.

Viscosupplementation Treatment for Arthritis

Arthritis of the Knee

Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

Arthritis of the Knee