Our clinic at Burnaby Hospital provides a central intake and standardized referral process for patients who are potential candidates for elective total hip or knee replacement surgery, also known as arthroplasty. An intake team triages referrals based on appropriateness, medical fitness, and urgency.
A referring physician and patient can choose their preferred surgeon or the next available surgeon, which can help reduce the wait time for an appointment. Patients who are a surgical candidate are provided with pre-operative education and support to ensure they are in optimal health and to reduce the risk of complications.
A physician will need to complete the referral form and fax it to our clinic, along with a recent x-ray. Our intake team will review the referral and if you are eligible for a hip or knee replacement, you will be contacted by phone to set up an assessment with an intake nurse. The intake nurse will complete a health assessment and evaluate your symptoms to determine whether a surgical consult is necessary. If you are not a surgical candidate or do not want surgery within 6 months, you will be referred back to your physician with information about alternative methods of treatment. If you are a surgical candidate, the intake nurse will provide you with an appointment with the preferred surgeon or the next available surgeon at our clinic.
Our current team of orthopedic surgeons include:
- Dr. J. Dunwoody
- Dr. P. Grunau (Knee referrals only)
- Dr. P. Kokan
- Dr. T. Kostamo
- Dr. T. Stone
- Dr. D. Viskontas
Before deciding to have surgery, review the following resources to guide you in your decision and to get ready for surgery:
- Before, During and After Hip and Knee Replacement Surgery – A Patient’s Guide (Available in Punjabi, Persian, Traditional and Simplified Chinese upon request)
- Patient’s Guide DVD: Joint Replacement
- Check out this article related to our clinic and watch the videos about one of our knee replacement recipients (found at the end of the article.)
Surgical Wait Times
It may be helpful for you to review the BC Surgical Wait Times for hip or knee replacements to decide where and when you want surgery. Your wait time can vary, however most people are offered a surgical date within 6 months after you sign consent for surgery. You are notified approximately 4 weeks in advance with a surgical date. You are on the cancellation list unless you do not want to be contacted for last minute dates or have any scheduled travel plans. Please notify the staff if you have any plans that may delay surgery. There may be additional tests and appointments to attend prior to your surgery. Use the time while you are waiting to improve your health and fitness.
Being in optimal health and fitness prior to surgery can quicken your recovery. The exercise guides below can help you strengthen your muscles. You will be referencing these guides during your recovery in the hospital, at home, and at your out-patient physiotherapy appointments.
Please review the Commitment Letter to ensure that you have your appointments and surgery organized seamlessly.
The average length of stay in the hospital after a hip or knee replacement is between eight hours and two days. It is important to be mentally and physically prepared before you come into the hospital. If you feel that you may need additional help after surgery, refer to the Home Health Service Line or Community Resources Burnaby & Vancouver pamphlet.
Nurse Practitioners (NPs) are part of the joint replacement team here at Burnaby Hospital. NPs practice very similar to a general practitioner, they are licensed to autonomously diagnose, treat illness, prescribe medications, order tests, and consult specialists. They collaborate with the rest of the team (surgeons, nurses, physiotherapists, etc) to ensure you are receiving the highest quality of care during your stay. You will see the NPs daily until you are discharged.
Once you and your surgeon have decided on having surgery, please review the resources below to help you get prepared for a successful surgery. You will also be attending a Joint Replacement Education Class at Burnaby Hospital, where you will obtain a requisition for equipment and further prepare yourself mentally and physically for surgery.
- Preparing for Your Surgery
- Chlorhexidine Skin Cleaning Before Surgery
- Peripheral Nerve Block
- Take Part in Your Recovery
- Staying Safe While in Hospital
- How to Prevent a Thrombo-Embolism
- Nutrition Tips for Your Surgery
- Canada’s Food Guide
- Nicotine Replacement Therapy and Stop Smoking Medications
- Obstructive Sleep Apnea and Surgery
- The Arthritis Society – Hip and Knee Replacement Surgery
- Pain and Ways to Manage It
18 and over.
Physician referral required. Triage may include a telephone assessment by an intake nurse to confirm the need for surgery.