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Information about Orthopedics
How we can help
We offer surgical and non-surgical options to help relieve pain and get you moving again. Each of our doctors and physician assistants specializes in a certain area of the body: hips, knees, spine, or upper extremity.
Typical surgery types
Our surgeons perform many different types of surgeries including:
- ACL reconstruction
- Carpal tunnel
- Disk replacements
- Fracture reductions
- Ligament repair
- Rotator cuff repair
- Spinal fusions
- Total joint surgeries on shoulders, knees, and hips
- Trigger finger release
Do I need a referral to be seen in Orthopedics?
A physician referral is not required. We accept patients who self-refer to the Orthopedics Department. However, your insurance may require a referral to provide coverage.
Will I need surgery?
Patient care is highly individualized. Just because you see a surgeon it doesn’t mean that surgery is necessary. The physician who performs the type of surgery being considered can go over the pros and cons with you, including the typical recovery time and any rehabilitation needs. It’s important for you to be fully informed before you opt for a surgical solution.
Where do surgeries occur?
Our surgeons perform procedures at Vancouver Clinic’s Ambulatory Surgery Center, at Legacy Salmon Creek Medical Center and at PeaceHealth Southwest Medical Center. If your provider recommends surgery, our surgery schedulers will contact your insurance to obtain authorization. They will schedule at the medical center that is most suited for your procedure. All of our surgery sites are local:
- Ambulatory Surgery Center: 700 NE 87th Ave. Suite 320, Vancouver, WA 98664
- Legacy Salmon Creek Medical Center: 2211 NE 139th St., Vancouver, WA 98686
- PeaceHealth SW Washington Medical Center: 400 NE Mother Joseph Place, Vancouver, WA 98664
How do I receive follow-up lab or imaging work?
Most lab tests and imaging that your provider orders can be done at Vancouver Clinic. Many lab tests can be performed after your appointment on a walk-in basis at one of our clinical laboratories. For imaging, your provider will put in a referral, and a scheduler from Radiology will contact you to arrange an appointment. A follow-up visit will be scheduled with your provider after your imaging appointment is complete so that you can get your results. If you have set up MyChart@TVC, your results will be sent to you. If you have questions, you can discuss them during your follow-up visit with your provider.
Once I know I need surgery, what happens next?
In order to help our patients have a successful and safe surgery and recovery, we guide them through several steps. These include:
- Education: Every patient attends the Total Joint Program, a free service offered at both hospitals that helps you prepare your home, care team, and yourself for surgery.
- Medical clearance: A nurse practitioner reviews your history and current medications, and requests lab tests and an EKG to ensure you are in good health before your operation.
- Dental clearance: To minimize the risk of infection, all patients must have a clean bill of oral health and a dental clearance form signed by their dentist.
- Imaging: MRI, CT and/or X-ray images may be required, depending on the type of surgery. Once your insurance has authorized a request for imaging, a scheduler from the Radiology Department reaches out.
- Pre-op appointment: The prep-op appointment is the last stop prior to surgery and an opportunity to raise any lingering questions or concerns.
- Surgery: In the time leading up to your procedure, it’s particularly important to follow all medication instructions and to not drink any foods or liquids after midnight (unless otherwise directed). After surgery, most patients stay in the hospital one to three days.
- PT and rehabilitation: To enable the best recovery, physical therapy is usually required after most joint-replacement surgeries. Depending on need and eligibility, some patients enter a rehabilitation facility.
- Post-operation care: Once you’ve started physical therapy, your provider sees you periodically to ensure your recovery is going well.
When will I know my surgery start time?
Many factors influence our hospitals’ operating room availability, so we request that you remain flexible and understanding of changes or delays on the day of surgery. On the day before your planned joint-replacement surgery, the hospital will contact you with the surgery time and the time you are needed to check-in by.
How much will my surgery cost?
Each surgery is unique and medical insurance coverage varies widely. The best way to determine the cost of a procedure is to contact your insurance carrier for an estimate. Look on the back of your insurance card for your carrier’s customer service number.
The Total Joint Program
Our providers have partnered with Legacy Salmon Creek Medical Center and PeaceHealth SW Medical Center to offer The Total Joint Program. This free, two-hour class answers your surgery questions and concerns, educates you on how to best prepare your house and yourself for surgery, and explains your provider’s surgery plan in detail.
If you are having your surgery at Legacy, the surgery coordinator will have the Pre-op Assessment Department contact you to schedule both your joint class and the pre-operation appointment. The joint class will be held on the sixth floor of the main hospital. Learn more about joint replacement at Legacy.
If you are having your surgery at PeaceHealth, the surgery coordinator will contact you and enroll you into a planned joint class. Classes are held in the hospital’s Physician’s Pavilion. Learn more about joint replacement at PeaceHealth.