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Preparação para a Cirurgia

Patients › Recovery

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General checklist for the days before upper-limb surgery — fasting, what to bring, medications.

Updated May 2026
Ilustração de um paciente preenchendo uma lista de verificação com um cirurgião antes de uma operação.
Preparando-se para sua cirurgia. Kieran Hirpara 4.0

Esta página foi traduzida automaticamente e ainda não foi verificada por um médico. A versão em inglês é a versão oficial.

O que você está sentindo

Você pode notar dor que se intensifica após mover a articulação ou ao final do dia. Muitas pessoas têm dificuldade para dormir do lado da articulação afetada. Você pode sentir rigidez ao acordar pela manhã. Tarefas simples, como alcançar as costas para fechar um sutiã ou guardar a camisa dentro da calça, podem se tornar difíceis.

Seu cirurgião sabe que esses sintomas vão além dos números em uma radiografia. Tratamos você como uma pessoa completa, não apenas com base nos seus achados radiográficos. Essa abordagem ajuda a construir confiança e melhora seus resultados. Embora alguns pacientes sintam que seu conhecimento sobre a substituição articular aumenta após uma aula, outros podem apresentar apenas uma mudança modesta na compreensão.

Queremos prepará-lo para o que vem a seguir. Um programa educacional formal pode ajudar a reduzir o tempo de internação hospitalar após a substituição do quadril ou do joelho. Utilizamos protocolos proativos para garantir que a alta no mesmo dia seja segura e bem-sucedida. Se você tiver dúvidas sobre a dor, podemos discutir o aconselhamento por vídeo para ajudar a reduzir sua necessidade de opioides na primeira semana após a cirurgia.

O que está realmente acontecendo

Sua articulação é como uma máquina que se desgastou com o tempo. No interior, o revestimento liso nas extremidades dos ossos, chamado cartilagem, atua como um amortecedor. Quando esse revestimento se desgasta, os ossos esfregam uns contra os outros. Isso causa dor e rigidez. Seu cirurgião observa isso nas radiografias, mas trata você como uma pessoa, não apenas como uma imagem.

Para ajudá-lo a se preparar, seu cirurgião pode usar ferramentas para explicar o que está acontecendo. Você pode assistir a um vídeo ou observar um modelo 3D do seu quadril. Essas ferramentas ajudam você a compreender o problema antes da cirurgia. Alguns pacientes descobrem que aprender com outros em uma aula os ajuda a se sentir mais preparados. Isso pode alterar a forma como você espera que seja sua recuperação.

Uma boa preparação também ajuda seu corpo a cicatrizar mais rapidamente. Se você aprender sobre medicamentos para a dor antes da cirurgia, pode precisar de menos opioides na primeira semana após a substituição do seu joelho. Um programa de educação formal também pode ajudá-lo a deixar o hospital mais cedo após uma operação de quadril ou joelho. Sua equipe de saúde utiliza esses planos para evitar problemas quando você retorna para casa no mesmo dia. Essa abordagem proativa mantém sua experiência segura e bem-sucedida.

O que podemos fazer a respeito

Você pode começar gerenciando sua própria dor e trabalhando com um fisioterapeuta. Essas etapas visam melhorar seu movimento e reduzir o desconforto antes de qualquer procedimento. Embora as evidências sobre a educação pré-operatória com opioides em cirurgia de mão mostrem alguns benefícios, os dados são limitados. Para substituição de quadril ou joelho, um programa educacional formal pode ajudar a reduzir o tempo de internação hospitalar. Sua equipe também utilizará protocolos proativos no consultório para garantir uma alta segura no mesmo dia, antecipando problemas potenciais.

O manejo médico envolve medicamentos para dor, anti-inflamatórios e injeções como cortisona, ácido hialurônico ou PRP. O aconselhamento pré-operatório por vídeo pode diminuir significativamente o consumo de opioides na primeira semana após a substituição total do joelho. As aulas também podem modificar suas expectativas de recuperação após a substituição total do quadril ou do joelho. No entanto, o conhecimento sobre a substituição articular aumentou apenas modestamente para pacientes com menos recursos em missões. O uso de modelos 3D do quadril para aconselhamento não parece melhorar sua compreensão ou satisfação em comparação com a imagem por TC padrão isoladamente.

A cirurgia é considerada quando o tratamento conservador atinge seu limite e a vida diária continua sendo difícil. Seu cirurgião discutirá essa opção se seus sintomas não melhorarem com as etapas acima. A operação substitui a articulação danificada para restaurar a função e aliviar a dor.

Quando procurar ajuda médica

Consulte o seu médico de família se tiver dor persistente que não melhora com o repouso. Solicite uma avaliação especializada se notar fraqueza, instabilidade, bloqueio articular ou sensação de falência articular. Procure ajuda se os sintomas interferirem no seu sono ou trabalho, ou se houver piora súbita. O seu cirurgião pode utilizar aconselhamento pré-operatório por vídeo para ajudar a reduzir o uso de opioides na primeira semana após a cirurgia. Programas de educação formal também podem ajudar a reduzir a duração da internação hospitalar em caso de artroplastia do quadril ou do joelho. Estas medidas apoiam uma recuperação segura e uma melhor compreensão dos seus cuidados de saúde.

Reviewed by Dr Kieran Hirpara · 10 June 2026.

Want the clinical detail? Read the clinician version.

Talk to your treating clinician for advice specific to you.

For an appointment with the CQ Hand + Upper Limb team, ask your GP about a referral or visit www.cqupperlimb.com.

Evidence & references

Overview

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].

Anatomy & Pathophysiology

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with the unique 'ripple effects' of same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Classification

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Clinical Presentation

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Investigations

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial is evaluating the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Treatment

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Complications

  • Preoperative opioid education showed some indication of favourable outcomes, though the number of studies was small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial is evaluating the feasibility and satisfaction of the PREPS program for individuals undergoing shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction regarding femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Recovery

  • Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies was small, evidence quality was poor, and data were limited [1].
  • A formal preoperative educational program can help lower a patient's length of stay following hip or knee arthroplasty [2].
  • Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
  • Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
  • Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
  • Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
  • A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
  • Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
  • Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Key Evidence

  • [L1] There was some indication of favourable outcomes following preoperative opioid education; however, the number of studies were small, the evidence quality was poor, and data were limited. [1] (10.1177/17589983241301449)
  • [L3] A formal preoperative educational program can indeed help to lower a patient's length of stay. [2] (10.1016/j.arth.2009.03.012)
  • [L5] Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with the unique 'ripple effects' of same-day discharge. [3] (10.1016/j.arth.2019.01.001)
  • [L1] Patients' preoperative expectations of their recovery from THA or TKA can be modified by preoperative educational classes. [4] (10.1007/s11999-007-0052-z)
  • [L5] The author emphasizes that maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust. [5] (10.2106/jbjs.24.01274)
  • [L4] On this surgical mission trip, underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class. [6] (10.1016/j.arth.2020.04.084)
  • [L2] This pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement. [7] (10.1177/17589983251345393)
  • [L2] Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to FAI when compared with the use of CT imaging alone. [8] (10.1177/2325967118794645)
  • [L1] This study found significantly decreased opioid consumption within the first week after TKA in patients who received preoperative video counseling. [9] (10.1016/j.arth.2024.02.027)

References

[1] The effect of preoperative interventions on postoperative outcomes following elective hand surgery: A systematic review. Hand Therapy. 2024. DOI: 10.1177/17589983241301449 [2] Patient Education Before Hip or Knee Arthroplasty Lowers Length of Stay. The Journal of Arthroplasty. 2010. DOI: 10.1016/j.arth.2009.03.012 [3] Considerations for Office and Staff Protocols for Outpatient Joint Replacement. The Journal of Arthroplasty. 2019. DOI: 10.1016/j.arth.2019.01.001 [4] Randomized Trials to Modify Patients' Preoperative Expectations of Hip and Knee Arthroplasties. Clinical Orthopaedics & Related Research. 2008. DOI: 10.1007/s11999-007-0052-z [5] What’s Important: Treat the Patient Instead of the Disease. Journal of Bone and Joint Surgery. 2025. DOI: 10.2106/jbjs.24.01274 [6] Preoperative Patient Education Class During an Orthopedic Mission Trip: Effects on Knowledge, Anxiety, and Informed Consent. The Journal of Arthroplasty. 2020. DOI: 10.1016/j.arth.2020.04.084 [7] Preoperative rehabilitation and education program for surgery (PREPS): A pilot randomized control trial protocol. Hand Therapy. 2025. DOI: 10.1177/17589983251345393 [8] Patient-Specific 3-Dimensional Modeling and Its Use for Preoperative Counseling of Patients Undergoing Hip Arthroscopy. Orthopaedic Journal of Sports Medicine. 2018. DOI: 10.1177/2325967118794645 [9] The Efficacy of Preoperative Video-Based Opioid Counseling on Postoperative Opioid Consumption After Total Knee Arthroplasty: A Prospective Randomized Controlled Trial. The Journal of Arthroplasty. 2024. DOI: 10.1016/j.arth.2024.02.027

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