Hospitalization for any kind of surgery requires preliminary examination. You can undergo it in your local polyclinic or any medical center (the only difference is the period of results issue). If any deviations are found, inform your orthopedic surgeon of them in advance.
Tests for any kind of surgery:
- General urine test and complete blood count + thrombocytes (2 weeks)
- Fasting blood glucose test
- Biochemical blood analysis (total protein, glucose, urea, creatinine, bilirubin, ALT, AST, alkaline phosphatase, electrolytes) – 1 month
- Coagulogram (APPT, PI, INR,fibrinogen) – (1 month)
- Blood group, Rh-factor – on a stamped form (a passport stamp cannot be submitted) – (permanently)
- HIV, Wassermann reaction – (3 months)
- HBs, HCV – (3 months)* – In case you are Hepatitis B or C positive, it is necessary to undergo a consultation with an infectiologist in order to state the ability to stay in a general inpatient department
- Venous Doppler ultrasound examination of lower extremities – (1 month). Upon detection of pathologic disturbances, a medical report from a vascular surgeon on the possibility of surgery and sometimes on the use of anticoagulants is required
- X-ray examination of chest organs or fluorography (only a medical report) – (1 year)
- ECG – (2 weeks)
- Consultation with an endocrinologist (in case you have an endocrine disease, recommendations are needed)
- If you are diabetic, it is necessary to state whether short acting insulin is needed)
- Consultation with a GP (with all test results)
- There must be a medical diagnosis and information about any contraindications to the surgery in the medical report
- X-ray examination of feet (in direct and lateral projections under weight (while standing)!)
Additional tests for endoprosthetic replacement surgeries:
- Kell antigen – on a stamped form (a passport stamp cannot be submitted) – (permanently)
- Consultation with a dentist (oral cavity sanation)
- Consultation with a gynecologist (obligatory for women over 45)
- X-ray pictures (depending on the type of a surgery):
- Coxofemoral joints (both the joints up to the mid part of hips on one plate)
- Right/left (direct projection while standing)
- CT and MRI scanning (decided individually)
Terms of Hospitalization in City Clinical Hospital №31
Hospitalization for Moscow residents in accord with an appointment card from Moscow polyclinics is conducted upon submission of the medical card of City Clinic Hospital № 31 (it is registered on the first visit to the Clinical Diagnostic Department; your passport, Moscow insurance policy and an appointment card for a consultation with an orthopedist of City Clinic Hospital № 31 submitted by the surgeon from your local polyclinic are required; appointment cards submitted by any other clinic are invalid). The Clinical Diagnostic Department is on the ground floor of the first building.
Before the surgery, all patients must be examined by our anesthesiologist in accord with other examination results.
With all the test results you must undergo a commission which takes place on the nearest Friday before surgery in the conference room of the second building at 12 pm. Don’t forget to take your X-ray pictures, test results and appointment card from the polyclinic (for Moscow residents).
Patients who want to undergo a paid surgery must go to the commercial center where all necessary documentation will be prepared.
Terms of Hospitalization in Clinical Hospital №83
Hospitalization in accord with an appointment card from the Federal Medical Biological Agency is conducted upon submission of the medical card of City Clinical Hospital № 83 (it is registered on the first visit to the Clinical Diagnostic Department; your passport, Moscow city insurance policy and an appointment card for a consultation with an orthopedist of City Clinic Hospital № 31 submitted by the surgeon from your local polyclinic are required; appointment cards submitted by any other clinic are invalid). The Clinical Diagnostic Department is on the ground floor of the first building.
Patients that are going to have a paid surgery must go to the hospital reception where all necessary documents will be prepared.
As a rule patients are hospitalized on the day before surgery. The anesthesiologist will examine you on the surgery day. All test results are to be taken to the hospital reception where your medical history card will be registered. You must also have your passport and X-ray pictures. People from other countries must also have a temporary Russian residence permit.
- Take a shower.
- Make sure that you don’t have any cuts, callosities in the region of the operated extremity. If you have them, inform your surgeon about it.
- Cut your nails 3-4 days before the surgery. You must remove lacquer from the toes and fingers.
- No evening meal before the surgery. On the morning of the surgery don’t eat or drink anything and don’t smoke.
- Patients are usually hospitalized on the day of surgery. You must have your passport, medical insurance (if sent by a polyclinic) and person hygiene items.
- By 8.30 you must arrive at the hospital reception which is on the ground floor of Building 1.
- Before surgery you must take off your clothes except for underwear and put on a T-shirt or nightie for surgery.
- Usually surgeries are performed under subarachnoid (local) block. The analgesic effect lasts about 6-8 hours.
- During the first two hours icing is essential for prevention of swelling; there is ice in the fridge of every ward.
- Strong pain is possible on the first day after surgery. If you feel it, ask someone from the staff to give you a painkiller shot. The pain decreases when the extremity is in a higher position and ice is applied.
- First several days after surgery bandages can get wet with blood but don’t worry, this means that the postoperative hematoma is going away. Put the extremity in a higher position – this will decrease bleeding.
- After surgery you won’t need any special attendance as you will be able to move and do everything yourself.
- Your stay in the clinic depends on the hospitalization policy. Commercial patients stay 3-5 days. Patients with appointment cards from Moscow polyclinics stay for minimum 7 days.
- Walking is allowed only in special footwear. It is allowed to walk already on the surgery day when the anesthetic effect goes away.
- It is important to remember that after surgery feet swell a lot that’s why it is not recommended to walk a lot. Within one hour you are allowed to dangle feet or walk, at other time your feet must be put in a high position, higher than the level of your heart.
- Don’t wet or take off the bandages!
- Bandages are changed when necessary; it is decided by your attending doctor.
- When the wounds stop bleeding, special fixating bandages are applied.
- Stitches are removed on the 13th or 14th day after surgery.
- Postoperative footwear must be worn for 4-6 weeks after surgery.
- In 4-6 weeks next examination is conducted, individual orthotics are made; you must bring a pair of shoes with a heel not higher than 2 cm to the examination.
- Orthotics can be used in several pairs of shoes, they are universal for any type of shoes with a similar heel.
- Every rehabilitation period is individual and it depends on the initial type of deformity, complexity of surgery, age, occupation and patients’ activity.
- During the postoperative period you must do exercises for development of the first toe.
- The disability period and sick leave last from 4 to 8 weeks on average.
- Further medical examinations are conducted in 6 and 12 months after surgery.