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Plano Orthopedic & Sports Medicine Center

What to expect when having surgery at Plano Orthopedic

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What to expect when having surgery

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Scheduling your surgery will be done through our surgery coordinator, who will make every effort to accommodate your scheduling request.  It’s important to note, however, that we will not schedule the exact time for your surgery until the day prior to the surgery date.  Also, children and patients with certain health problems may need to have their surgery early in the day.
Preoperative appointment and instructions

At your preoperative appointment, our medical staff will obtain a medical history and perform a physical examination.  Please bring an updated and complete list of all prescriptions and over-the-counter medications you’re taking to the appointment.

We’ll need to know about any allergies you have, including latex – and also any metal allergies, especially if your surgery requires the use of pins, plates, or screws.

If you’re in need of any preoperative lab tests, we’ll help arrange to have them completed at least three days prior to your surgery.  Please have copies of any x-rays and blood work done in the past six months faxed to your scheduler.

It’s also important not to schedule elective surgery – including any type of dental work – to be done 72 hours prior to your surgery, or two weeks after to avoid infection.

Prescriptions and medications

If you’re currently taking heart, blood pressure, gastric reflux or thyroid medication, and you normally take them in the morning, take your usual dosage the morning of the surgery with a small sip of water.

The anesthesiologist will typically try to contact you the night before surgery to discuss your medical and medication history.  If you’re diabetic, the anesthesiologist will explain what medication, if any, you can take the morning prior to surgery.

If you take blood thinning medications due to cardiac or vascular problems, we must be informed of this prior to the surgery day.

You’ll be given a prescription for a narcotic pain medication on the day of surgery. There’s often a refill allowed for this medication.

Preparation and precautions for your surgery 

Prior to your surgery, there are several precautions we require for your safety and comfort, including the removal of artificial fingernail tips or polish.  Also, many times, our postoperative dressings and splints are bulky, so we ask that you wear clothes with large sleeves.  For the surgery itself, you’ll be required to wear a hospital gown.

You will not be allowed to wear any jewelry during surgery, including any body piercings.

Do not shave or use hair remover on the area being operating on, as this can irritate your skin, which increases your chance for postoperative infection.

We normally tell our patients not to eat, drink or smoke after midnight the night before surgery. If a patient is scheduled for a later time in the day, the anesthesiologist will decide the time when the patient should stop eating and drinking clear liquids.

Since smoking decreases your body’s ability to deal with your anesthesia and your body’s ability to heal after surgery, we ask you to avoid smoking both prior to and after your surgical procedure.

After Surgery

Dressing and splints

We normally place people in a postoperative plaster splint to allow for swelling rather than a traditional cast. Do not remove the dressing or splint, or allow it to get wet until we see you for the first postoperative visit.  If the dressing becomes too tight due to swelling, contact us and we’ll tell you how to relieve this.

Instructions for home and recovery

During the first 48 to 72 hours, you must elevate your extremity above the level of your heart. If you’re in a reclining position, you need to place your extremity above the level of your chest. If you’re standing, place the surgical site as high up on your chest as possible.

Use ice packs for prevention of swelling during the first 48 to 72 hours following surgery – and protect your splint from unnecessary moisture or leaks produced by the ice packs.

Occasionally following general anesthesia, people develop a low grade fever, normally below 102 degrees.  Continue to take the pain medication as prescribed.  This medicine usually has a large quantity of the medication that’s in Tylenol, which will help lower your fever.

Also, because the medication prescribed for use following surgery is a narcotic, we want you to discontinue it as soon as possible following surgery. It was prescribed as a postoperative medication only to help you deal with the pain.

Returning to normal activities

Normally you should be able to return to work within two to five days following surgery. If your job is physically intensive, we ask that you speak with your employer about finding a reduced labor-intensive position for a given period of time.

Texas State law determines when you’ll be able to return to driving. The law states that the operator of a vehicle must have the use of both arms and both legs in order to safely operate a vehicle.

Postoperative visit

After scheduling your surgery, you’ll be scheduled a date and time for your first postoperative appointment. This visit may consist of removing dressings, removing sutures and applying a splint or cast. If you have a fracture, repeat x-rays may be needed.

Our Patients’ Voice

"I wish every single doctor office ran like Plano Orthopedic. Efficient, on schedule, knowledgeable and friendly. I recommend this place to everyone."
"I wish every single doctor office ran like Plano Orthopedic. Efficient, on schedule, knowledgeable and friendly. I recommend this place to everyone."

Our Patients’ Voice

"The best part of the visit was the friendly family attitude that older people value -- no cold professional hurried treatment. I highly recommend Plano Orthopedic."
"The best part of the visit was the friendly family attitude that older people value -- no cold professional hurried treatment. I highly recommend Plano Orthopedic."

Our Patients’ Voice

"Everyone is great at what they do and they compliment each other's jobs and positions. Great office."
"Everyone is great at what they do and they compliment each other's jobs and positions. Great office."

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MBS Today

COVID-19 Update

Updated May 11, 2020

Plano Orthopedic, in unison with the CDC and other governmental agencies is committed to providing our patients with the highest quality care while supporting social distancing and protective measures to help prevent the spread of COVID-19.  The health and safety of our patients, employees and their families are our highest priority.

Dr. Richard Evanson spoke with Good Morning Texas about Plano Orthopedic’s  mission to continue treating patients in a safe environment during this pandemic. Click here to watch the video!

Office Schedule

Our office is open and operating from 8 a.m. until 5 p.m. Monday through Friday.  These are the same hours of operation Plano Orthopedic had prior to the pandemic. Following the Texas Medical Board minimum COVID-19 standards of safe practice,  Plano Orthopedic is requesting all patients wear a mask when visiting with the physicians.

Safety Screenings

Plano Orthopedic will continue to screen patients for potential symptoms of COVID-19 prior to their visit.  For those patients with urgent needs, we are asking you NOT to present yourself in our office if you are feeling unwell, have a fever, cough, shortness of breath or have come in contact with a person who has tested positive for the COVID-19 virus. Please contact us to reschedule your appointment. We will also be screening all patients upon entry and are asking that patients over age 18 do not bring a visitor with them. Please also wash your hands upon entering and exiting our facility and practice social distancing in the lobby.

Elective Surgeries

In accordance with governmental recommendations, Plano Orthopedic surgeons will continue to perform elective surgical procedures.  Patients with urgent needs, may be scheduled sooner, but only after consultation with their provider. Please anticipate a call from our clinical teams. 

Telehealth Visits

Telehealth visits allow a patient to be cared for by our physicians and providers through video and audio technology.  You will then receive a link that you can utilize from either a computer (with video and audio capability), smart devices, or tablet.

We Appreciate your Cooperation and Understanding

We sincerely appreciate your understanding and cooperation as we work together to protect our patients and staff. We hope you are confident in Plano Orthopedics as we expand our health and safety measures during this time, while continuing to provide care to our patients.

The COVID-19 situation is fluid and we will be updating this page as the situation continues to evolve.

If you have any questions, please feel free to contact us at 972-250-5700


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