1 The Decision
2 Before Surgery
3 Surgery Day
4 After Surgery

Interactive Timeline

For more than 28 years, Coordinated Health’s physicians have performed the most joint replacement surgeries in the Lehigh Valley. We’ve helped thousands of patients take their time back through total joint replacement surgery, and we’ve got the process down to a science. Learn more about what you can expect by exploring our interactive timeline.

1 The Decision

Are You a Candidate?

Take our short quiz to determine if you are a candidate for a joint replacement.

Take The Quiz

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2 Before Surgery

Pre-Admission Testing

Prior to most planned surgeries, you are required to have blood work done. Coordinated Health will schedule any necessary testing. Make sure you should arrive 15 minutes prior to the appointment with your insurance card and driver’s license. Allentown patients check in at the registration desk near the hospital entrance and Bethlehem patients at the registration desk on the first floor.Nurse image

Clearances

Before your joint replacement, you will need a primary care physician and cardiologist to sign off on whether you are healthy enough for surgery. Coordinated Health offers easy access to both primary care physicians and cardiologists to ensure that you get everything done quickly and efficiently. Clearances include, a complete history and physical as well as an EKG and echocardiogram.

Total Joint Class

In order to ensure that your joint replacement is as successful as possible, Coordinated Health offers a joint replacement class led by a licensed physical therapist. The one-time class takes you through the process of a joint replacement from beginning to end so you know what to expect every step of the way.

Fall Prevention at Home

If you’re planning to return home following a joint replacement, it’s important to make sure you and your house are prepared. In order to return home after a joint replacement, you will need to have a caregiver available to stay with you for at least three days, be able to negotiate stairs and not have any pre-existing medical conditions.

Make sure to get your house ready before your surgery so your return home and recovery can be seamless. Below are some things that will help you prevent falls or other injuries while you are recovering.

  • Wear shoes or socks with grips
  • Take extra care when bathing. Sit in the shower if possible and ask for assistance if you need help.
  • When going from a seated to standing position, don’t grab onto anything fragile or that may move, like a walker.
  • Try to limit the amount of trips up and down stairs.

It may be more comfortable for you to sleep in a recliner right after your surgery as opposed to a bed.

“I couldn’t believe how well I did. I literally went to my son’s basketball game the night of my surgery. I was in a wheelchair, but I was able to go and now I’m finally able to keep up with my three boys,” claims Debbie.

Read Debbie’s Story About Rapid Recovery After Knee Replacement Here

3 Surgery Day

Admissions

Anesthesia team imageOn the day of your surgery, make sure you arrive at least 15 minutes prior to the time given to you. Also, prepare to:

  • show a valid photo ID and a copy or your insurance card
  • Pay any estimated co-pays, co-insurance and deductibles during your stay
  • Sign consent forms for billing and provisions of care
  • Provide basic demographic information and any applicable insurance information
  • Receive an ID bracelet designed for your safety, to be worn throughout your stay
  • Arrange to have someone drive you home after you are discharged

Physical Therapy

Physical therapy begins the day of surgery and will continue for three to four months on an out-patient basis. Once you are released from the hospital, you will need someone to drive you to your physical therapy appointments two to three times a week until you are safely able to operate a vehicle and off all narcotic medications, which is usually three to six weeks.

Coordinated Health offers physical therapy at 11 convenient locations throughout the region with extended evening and weekend hours. We are also proud to employ physical therapists rated among the top 15% in the nation.

Go Home or Stay at CH

When it comes to getting a joint replacement at Coordinated Health, you have several options available including same day rapid recovery knee replacement, traditional joint replacement and extended stay at our Transitional Care Center.

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Rapid Recovery Same Day Knee Replacement

In order to be a candidate for the same day knee replacement you must be healthy, determined and have a good care partner or support waiting for them at home. Chronic medical conditions such as advanced heart disease, pulmonary disease, advanced sleep apnea, or diabetes may be causes for ineligibility. The average age for a Same-Day Total Knee candidate is between 45-55.

Learn More About Rapid Recovery

Traditional Joint Replacement

A traditional joint replacement is most common. The mainstream procedure would require you to stay in the hospital for two to three days and you would still need to have a caretaker once you return home. If you don’t have a caretaker at home, you can stay at Coordinated Health’s Transitional Care Center until it’s safe for you to return home.

“Dr. Scarpino is truly an artist,” Peter Goldman, MD says. “He did an amazing job. I feel like I have the hips of a 20-year-old. I can do the things I wasn’t able to do before, like ride my bike, go for walks, and just move around without pain.”

Read About How Dr. Scarpino Allowed Peter to Gain Mobility Again

Transitional Care Center

The recovery process can take up to 12 weeks, and during that time most people will need help around their home, rides to and from physical therapy and other doctor appointments, and assistance with daily activities.

If you have joint replacement surgery at Coordinated Health, you’ll meet with a case manager prior to your surgery to go over your recovery plans. At that time, you can decide whether you have the means to recover at home or if you’d like some additional help.

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If you choose to stay at the Transitional Care Center, you’ll receive a tour prior to your stay. The Transitional Care Center is designed to provide a homelike atmosphere with private rooms and bathrooms, flat-screen televisions, couches that pull out into beds, and a full menu.

The Transitional Care Center is also equipped with a fully staged kitchen, laundry room, and bathroom so that skilled professionals can help prepare patients for the most common tasks in their own home.

“I didn’t want to be a burden to my family, because they have jobs and families and their schedules are tight,” says Transitional Care Center patient Shirley Edwards, who had a total knee replacement. “And I wanted to be in a place where I would be trained how to handle getting around my own home.”

Learn How Shirley Gained Independence After A Stay At Our Transitional Care Center.

4 After Surgery

Your Hospital Stay

If you decide to stay in the hospital, you will be treated to 5-star care that includes:

  • A private room with hotel-like amenities
  • Gourmet meals custom created to your preferences
  • Low patient-to-nurse ratio
  • Physical therapists specializing in in-patient rehabilitation

Both of Coordinated Health’s hospitals are recipients of the 2016 Healthgrades Outstanding Patient Experience Award. This ranks them among the top 15% of hospitals in the nation in patient satisfaction.

Going Home

Before you are discharged, you will be expected to accomplish basic activities such as walking with an assistive device and getting into and out of bed independently.

When you are discharged, you will be assigned a care team that will follow up with you frequently until you have fully recovered. Your care team will include hospitalists, social workers, case managers, nurses and physical therapists. You may not be capable of performing certain functions like driving a car, so it will be important to have a loved one at home with the ability to assist you in your daily living activities.

“I’m very grateful to Dr. Ferrante for his help. I couldn’t have asked for a better outcome,” says Walter Emery.

Dr. Ferrante Insured A Seamless Recovery After Water’s Double Knee Replacement. Ready More Here.

Follow Up Appointments

Your care team will determine the frequency and types of appointments you need. Your orthopedic surgeon will be readily available to answer any questions you have via the Follow My Health patient portal, and you can also use one of CH’s 6 Care on Demand walk-in centers for immediate care.

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Physical Therapy

The key to a successful recovery is your dedication to physical therapy. CH’s more than 100 physical therapists specialize specifically in orthopedic care, with joint replacement patients compromising the majority of their work. The more effort you put into your therapy, the faster you will heal and the easier it will be for you to get back to your everyday life.

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“By day two they already had me in physical therapy moving my arm and keeping my shoulder limber,” Pam Miller says. “There was never any down time.”

Read How Physical Therapy Eliminated Downtime For Pam

When Are You Officially Recovered?

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Your recovery can last anywhere between 7 to 12 weeks. During this time, you will be expected to increase your strength and flexibility through physical therapy as you continue adding independent activities to you daily living routine. You are considered fully recovered when you are able to exercise and enjoy normal life activities, pain-free.

“I was able to facilitate a golf swing, whereas before I wasn’t. This is a true solution. My game is better now than it was 20 years ago,” claims George Petrole.

Read About How George Got Back to the Game After Ankle Replacement.