The aim of this website is to provide information about your journey while receiving an elective knee or hip joint replacement at the Queen Elizabeth University Hospital or Gartnavel General Hospital. The following information and associated links will help ensure you are as prepared as you can be for your surgery and recovery.
Pre-operative Assessment
Please click here to find more information on your pre-operative assessment.
Please click the links below to find more information on Physiotherapy and Occupational Therapy input during your knee or hip replacement. Please also refer to the Physiotherapy and Occupational Therapy section of the Knee and Hip Joint School Video below.
We have transitioned our ‘Joint Replacement School’ into a digital service and this video is available for you to view below. Our Joint School is a service specifically for people who are about to undergo an elective hip or knee replacement. It focuses on patient education and lets you know what to expect through the various steps you will experience, from preparing for admission through to recovery at home. You will meet one of our orthopaedic surgeons, consultant anaesthetists, physiotherapists and occupational therapists within the video.
Transitioning Joint School to a digital platform means that not only will the service user have access to vital pre-operative and post-operative information, but family members and carers will also be able to use this online tool.
If you cannot access the Joint School video, please contact the team to arrange an alternative session. Contact information can be found on the Contact Information Sheet.
Preparing for Surgery
There are many benefits to preparing for surgery by promoting healthy behaviours and taking part in healthy lifestyle choices such as physical activity, good nutrition and promoting a positive mental health and wellbeing. Please use the following resources below, alongside the Joint School service, as guides to assist you with your preparation.
Are there alternative options for non-digital information?
Please contact our team and we will provide non-digital options either through mailed hardcopies, telephone discussion or one-to-one education sessions.
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What do I do if I need an interpreter?
If your English is limited or if you need the services of a sign-language interpreter please contact the Orthopaedic Team as soon as possible so that an interpreter can be arranged.
Contact Information
If you have any questions about the content on this page or receiving additional information, please email: othipschoolqeuh@ggc.scot.nhs.uk
12 Weeks Before Surgery
Information Gathering
We have two electronic forms for you to fill out before coming into hospital.
Please do not fill out these forms any more thank three months before admission date.
These forms will give the Physiotherapists and Occupational Therapists a better understanding of your baseline and home environment.
If you have any challenges accessing these forms, please contact a member of the Orthopaedic Team via the email above.
Having a child in hospital as an inpatient or an outpatient can be a worrying time. Having the right information and support at the right time is important. The Family Support and Information Service offer a friendly, comfortable and safe space. Here there is time to ask questions & receive support on any matter that is important to you or your family.
We work with a wide range of partners and our experienced team provide support, information and direct referrals to services that include:
Young Person’s Family Fund and other financial support
Caring for relatives and friends
Money advice
Complaints and concerns about the NHS
Anxiety, stress and depression
Stopping smoking
Alcohol and drugs
Physical activity
Weight management
Pet fostering
Support groups and services
Hospital outpatient appointments
We are unable to directly rearrange or cancel a hospital appointment. To do so, please use the contact telephone number on your appointment letter, or contact the Switchboard of the hospital you will be attending and ask for the Appointments Helpline.
Who can use the service?
Inpatient and families of inpatients at the Royal Hospital for Children.
Who we are and where to find us
We are an NHS Greater Glasgow and Clyde (NHSGGC) service based at the Royal Hospital for Children.
Royal Hospital for Children
Opening Hours: Monday to Friday, 10:00am to 4:00pm.
The North East sector has 2 general Nuclear Medicine departments located at Glasgow Royal Infirmary and Stobhill Ambulatory Care Hospital. These departments are responsible for referrals from Glasgow Royal Infirmary, Stobhill Ambulatory Care Hospital, Inverclyde Royal Hospital, Lightburn Hospital and the Dental Hospital.
DEXA (bone mineral assessment) service at Glasgow Royal Infirmary is located in the Nuclear Medicine department. A copy of the DEXA information leaflet can be found here.
Information on each of these departments can be found by clicking the relevant links below.
Glasgow Royal Infirmary and Stobhill Ambulatory Care Hospital Site Information – click to open
If for any reason you are unable to attend your appointment, please inform us by telephoning as soon as possible during office hours. We will make you another appointment and this will allow someone else to use the one you cannot.
Location
Information on the location of each department within the hospital can be found via the links below.
Glasgow Royal Infirmary and Stobhill Ambulatory Care Hospital Patient Information Leaflets – click to open
Most of the patient information leaflets can be found here on the main Nuclear Medicine pages. Separate information leaflets specific to tests performed in the North East Sector can be accessed by clicking the relevant links below.
Being in hospital as an inpatient, outpatient, carer, family member or visitor can be a worrying time. Having the right information and support at the right time is important. The Support and Information Service offers a friendly, comfortable and safe space. Here there is time to ask questions & receive support on any matter that is important to you or your family.
Our experienced team, working with a wide range of partners, provide support, information and direct referrals to services that include:
Caring for relatives and friends
Money advice
Complaints and concerns about the NHS
Anxiety, stress and depression
Stopping smoking
Alcohol and drugs
Physical activity
Weight management
Pet fostering
Support groups and services
Hospital outpatient appointments
We are unable to directly rearrange or cancel a hospital appointment. To do so, please use the contact telephone number on your appointment letter or contact the Switchboard of the hospital you will be attending and ask for the Appointments Helpline.
Who can use the service?
Inpatient or outpatients at any NHS Greater Glasgow and Clyde (NHSGGC) acute hospital, carers, family members or a member of staff,
Who we are and where to find us
We are an NHSGGC service based in some adult acute hospitals. You can contact us for advice from any NHSGGC hospital.
Queen Elizabeth University Hospital
1345 Govan Road, Glasgow G51 4TF
Opening Hours: Monday to Thursday, 10.00am to 4.00pm; Friday, 10.00am to 3.45pm
Lloyd SK, Baguley DM. A patient with tinnitus. Clin Otolaryngol. 2008. 33; 25-8.
Nagala S, Wilson J. Chronic cough. Clin Otolaryngol. 2008. 33; 94-96.
Broomfield SJ et al. The dizzy patient. Clin Otolaryngol. 2008. 33; 223-7
Geyer M, Nilssen E. Evidence-based management of a patient with anosmia. Clin Otolaryngol. 2008. 33; 466-9.
Cathcart R, Wilson J. Catarrh: an evidence-based approach to the 12 min consultation. Clin Otolaryngol. 2008. 33; 352-3.
Syed I et al. Hoarse voice in adults: an evidence-based approach to the 12 minute consultation. Clin Otolaryngol. 2009. 34; 54-8
Fraser L, Kelly G. An evidence-based approach to the management of the adult with nasal obstruction. Clin Otolaryngol. 2009. 34; 151-5.
Little SA et al. An evidence-based approach to the child who drools saliva. Clin otolaryngol. 2009. 34; 236-9
Glore RJ et al. A patient with dry mouth. Clin Otolaryngol. 2009. 34; 358-63
Isa AY, Hilmi OJ. An evidence based approach to the management of salivary masses. Clin Otolaryngol. 2009. 34; 470-3.
Yaneza MM et al. 12 minute consultation: a patient with nasal crusting. Clin Otolaryngol. 2010. 35; 313-20.
Visvanathan V, Kelly G. 12 minute consultation: an evidence-based management of referred otalgia. Clin Otolaryngol. 2010. 35; 409-14.
Kamani T, Jones NS. 12 minute consultation: evidence based management of patient with facial pain. Clin otolaryngol. 2012. 37(3); 207-212.
Malik V et al. An evidence based approach to the 12 minute consultation for a child with downs syndrome. Clinical otolaryngol. 37(4); 291-296.
Lawrence R, Bateman N. 12 minute consultation: an evidence based approach to the management of a child with a speech and language delay. Clinical Otolaryngol. 2013. 38 (2) 148-153.
Al-Hussaini A et al. 12 minute consultation: an evidence based approach to the management of dysphagia. Clin Otolaryngol. 2013. 38(3); 237-243
Other recommended literature
Sullivan FM et al. Early treatment with Prednisolone or Acyclovir in Bell’s Palsy. NEJM 2007. 357; 1598-1607. Full text available for download on the net.
Phillips JS et al. Evidence review and ENT-UK consensus report for the use of aminoglycoside-containing ear drops in the presence of an open middle ear. Clin Otolaryngol. 2007. 32; 330-6
Thomas M, et al. EPOS Primary Care Guidelines: European position paper on the primary care Diagnosis and management of Rhinosinusitis and nasal polyps 2007-a summary. Primary care respire J. 2008. 17(2): 79-89 Full text available for download on the net.
Jones N. Classification and diagnosis of facial pain. Hospital Medicine 2001. Vol62(10);598-606
List compiled by: Mr A Tsikoudas, Consultant ENT surgeon, January 2016
If your concerned about your family history of Breast cancer, you may be eligible for a family history risk assessment. If appropriate, your GP can refer you to the Clinical Genetics service. This assessment will be able to tell you, based on your family history what your risk of developing breast cancer may be.
Who should be referred for assessment
One first degree relative has had breast cancer before the age of 40
One first degree male relative has had breast cancer at any age
One first degree relative has had breast cancer in both breasts at any age
One first degree or second degree relative has had breast cancer at any age and one first degree or second degree relative has had ovarian cancer at any age
Three or more first degree or second degree relatives have had breast cancer at any age
First degree relatives: mother, father, brothers, sisters and your children
Second degree relatives: aunts, uncles, gran parents, nieces and nephews
Dealing with: Queen Elizabeth University Hospital, Institute of Neurological Sciences, New Victoria Hospital, Royal Alexandra Hospital, Inverclyde Royal Hospital, Dykebar Hospital.
The Orthopaedic Research Department is the main site for a number of clinical trials and we work alongside the Glasgow Clinical Research Facility (GCRF) to manage patient data for these trials. Additionally, we collaborate closely with the University of Strathclyde and the Gait Lab located in the GCRF to understand the biomechanics of gait following knee replacements. Click on the links below for more information on the on-going trials.
Patient and Public Involvement & Engagement
The Orthopaedic Research Department will be recruiting patient representatives to help us shape our research portfolio. Please check back here in future for more information. Please contact Dr James Doonan at iii-ortho-research@glasgow.ac.uk if you would like more information on the research activities currently on-going in the Department, to discuss participating in an on-going clinical trial or to be considered as a patient representative.
TRUCK
Study Title: Explanatory comparative study of conventional Total Knee Arthroplasty versus Robotic assisted Bi-UniCompartmental Knee Arthroplasty
Trial Participants: Patients with osteoarthritis of the knee affecting both the inside and outside compartments of the joint that require total knee replacement surgery.
Recruitment: Closed
Overview: This randomised controlled trial will compare the novel robotic assisted Bi-Unicompartmental knee replacement surgical techniques which replaces the only damaged components of the knee joint against the standard total knee replacement surgical technique. The rationale for this study is that patients will have a more natural feeling knee joint by only removing the damaged bone tissue and preserving the joint space as appose to using the standard surgical implant.
Objectives:
To provide evidence of the efficacy and safety of using robotic assisted Bi-Unicompartmental knee replacements.
To determine the biomechanical benefit of using robotic assisted Bi-Unicompartmental knee replacements to patients gait, surgical and functional outcomes and patient satisfaction.
iNAV
Study Title: To compare the results of total knee surgery using conventional instrumentation versus the iNav electromagnetic computer navigated system
Trial Participants: Patients with osteoarthritis of the knee that require total knee replacement surgery.
Recruitment: Closed
Overview: This randomised controlled trial will compare the standard total knee replacement surgery with a new surgical assisted iNav system. The rationale for this study is that by using computer navigated surgical assistance there will be reduced variation between surgeries and improved placement of implants which might improve patient outcomes and satisfaction.
Objectives:
The alignment and knee implant placement will be verified and compared in conventional and iNav surgical groups
The influence of both treatments on the surgical and functional outcomes, and patient satisfaction will be evaluated
KINESPRING
Study Title: Clinical Evaluation of the MOXIMED KineSpring® Knee Implant System
Trial Participants: Patients with osteoarthritis of the knee who would require unicompartmental knee replacement or high tibial osteotomy.
Recruitment: Closed
Overview: This study is aimed at evaluating the long term safety and clinical efficacy of the MOXIMED KineSpring® knee implant. All patients recruited to this study received a Kinespring implant and are being followed up for up to 10 years.
Objectives:
The functional and clinical outcome scores of all patients 1 year after surgery
A number of additional outcomes will be monitored over a 10 year period including patient satisfaction, pain levels, and functional outcomes.
MAKO
Study Title: MAKOplasty unicondylar knee arthroplasty using MAKOplasty® and the MAKO RIO System versus OXFORD Partial Knee Arthroplasty
Trial Participants: Patients with osteoarthritis who require a unicondylar knee replacement
Recruitment: Closed
Overview: This randomised controlled trial will compare standard OXFORD Unicompartmental knee arthroplasty with the novel MAKO unicondylar knee arthroplasty which requires the robotic arm surgical assistance. The rationale for this study is that the robotic assisted surgery will target only diseased bone tissue for removal. This provides increased accuracy for implant fixation in addition to the use unicondylar knee arthroplasty compared to standard treatment which might improve patient outcomes as less of the joint is removed.
Objectives:
To compare the alignment of implants and knee joints in both groups of patients.
The clinical and functional outcomes of both patients will be compared between both treatment groups.
SUN Study
Study Title: Negative pressure dressing versus non-negative pressure dressing for soft tissue sarcoma excision
Trial Participants: Patients diagnosed with soft tissue sarcoma that are scheduled for surgical removal.
Recruitment: We are aiming to recruit 160 patients in Glasgow Royal Infirmary.
Overview: This randomised controlled clinical trial will compare two types of wound dressing which are applied to the wound after closure with stitches. Either standard wound dressings are applied, or negative pressure wound dressings are applied for the duration of your recovery in hospital. Both treatments are used clinically but have not been directly compared in patients undergoing cancer removal operations.
Objectives:
The incidence of surgical site infections will be compared between the two groups
The time for wound healing and surgical drain volumes will be recorded and compared between both treatment groups
The functional assessment of each wound will be clinical assessed and compared between treatment groups.
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