Orthopedic Surgery

Orthopedic surgeries—such as total hip, knee, ankle, and shoulder replacements—are performed to restore mobility, reduce pain, and improve your overall quality of life. These procedures are often recommended when other treatments, like medication or physical therapy, no longer provide relief.

Bone and joint problems can result from aging, injury, or underlying health conditions. Whatever the cause, our goal is to help you regain strength, movement, and independence. While you’re in our care, a dedicated team of Horizon professionals will support you every step of the way. Your care team may include surgeons, nurses, physiotherapists, and other healthcare specialists—all working together to ensure the best possible outcome for your recovery.

What to Know About Total Hip, Knee, Ankle, and Shoulder Replacement Surgeries

Undergoing hip, knee, ankle or shoulder replacement surgery is a major step toward improving your mobility and quality of life. Whether you’re preparing for your first surgery or supporting a loved one through the process, it’s natural to have questions and concerns. This page is here to guide you every step of the way. From preparation before your procedure to your recovery at home, we’ve outlined everything you need to know to feel informed, confident, and ready. You’ll find practical tips, important checklists, and trusted resources to help you through each phase of your surgical journey—before, during, and after your hospital stay.

Your care team is here to support you. With the right planning and the right tools, you’ll be on the path to a safe recovery and improved movement.

Pre-Operation Preparation:

• Active Participation: Review the educational materials, practice the exercises, and prepare your home. Arrange transportation to and from the hospital and select a partner in care to assist with personal tasks at home.
• Medical Health: Ensure you’re in optimal health. See specialists for any medical conditions or dental concerns. Notify your surgeon of any unhealed skin issues.
• Smoking Cessation: If you smoke, it’s vital to quit or reduce smoking before surgery. Nicotine slows healing and increases the risk of infection. Resources are available to help you quit, such as Go Smoke-Free NB – Smoke & Vape Free NB and our smoking cessation Nurse Associate (648-7030).
• Pre-Op Exercises: Patients should preoperatively practise the anticipated weight bearing restrictions on the operated leg. This would be best done by visiting a physiotherapist prior to surgery.
• Hand Hygiene: Wash your hands regularly and encourage those around you to do the same to minimize the risk of infection.
• Pre-Op Assessment: Attend the pre-op clinic to review your health history, undergo tests (blood work, x-rays), and bring all medications (including over the counter) to this appointment.
• What to Pack: Pack loose-fitting clothing, personal care items, and supportive footwear. Bring any essential items like dentures or CPAP devices. Avoid bringing valuables.
• Pre-Surgery Instructions: Follow any medication instructions provided by your surgeon and bring all home medications with you on the day of surgery.

By following these guidelines, you’ll be well-prepared for your surgery and recovery journey.

Surgical Process:

On the day of your surgery, here’s what to expect:

• Anesthesia: Your anesthesiologist will discuss your options for anesthesia, including spinal, general, or nerve block anesthesia, to ensure you’re comfortable during the procedure.
• Surgery: The surgery typically lasts 2-4 hours, depending on the complexity of your case. You’ll be monitored throughout the process by a skilled team, including the surgeon, anesthesiologist, and nurses.
• Recovery Room: After the surgery, you’ll be moved to the recovery room where you’ll be closely monitored as you wake up from anesthesia.
• Inpatient Care: Once stabilized, you’ll be transferred to the inpatient unit where your care team will assist you with mobility and pain management. You’ll be encouraged to start moving with assistance.

Post-Operations Care:

After surgery, these steps will support your recovery:

• Pain Management: Managing pain is crucial for your recovery. Your team will monitor your pain levels and adjust medications as needed. Always communicate your discomfort to ensure timely relief.
• Wound Care: Your dressing will be monitored by nurses. At home, keep your incision clean and dry, and follow instructions for care until your follow-up appointment.
• Physical Therapy: Rehabilitation is essential for recovery. Start physical therapy as directed to regain strength and mobility. You’ll be given exercises to help with your recovery. Physiotherapy exercises are shown in each video, PDF format can be found in our supporting resources.
• Mobility & Restrictions: You’ll need assistance with mobility, especially in the first few days. if you had a hip, knee or ankle replacement, avoid putting weight on your operative foot until cleared by your doctor (typically 4 weeks post-op). Follow safety protocols to prevent falls.
• Discharge & Home Care: When you’re ready to leave the hospital, ensure you have a ride home and support for daily activities like meal prep and errands. Make arrangements for any necessary home care before your surgery.

Videos

If you are experiencing a medical emergency, please call 911 or proceed to your local Emergency Department. If you are unsure if your medical condition is urgent, please call Tele-Care 811 to discuss the type of medical attention needed.

Supporting Resources

Links to helpful materials such as:

• Orthopedic Surgery
• Physiotherapy Exercises:
  • Ankle replacement surgery (PDF)
  • Hip replacement surgery (PDF)
  • Knee replacement surgery (PDF)
• Smoking cessation resources:
  • Go Smoke-Free NB – Smoke & Vape Free NB
  • Horizon’s Smoking cessation Nurse Associate: (506-648-7030)
• Occupational therapy
• Clinical nutrition