Total Ankle Replacement Surgical Clearance Requirements
When a patient is scheduled for total ankle replacement surgery, a medical clearance is required by all facilities to ensure a safe outcome. It’s important for the patient’s primary care physician to send completed clearance to the surgical facility prior to the procedure.
- History and Physical Exam and Labs are valid for 30 days.
- EKG’s that are normal are valid for 90 days.
ALL PATIENTS require at minimum the following:
- History & Physical Exam
- MRSA/MSSA Nasal Swab (must be done at INOVA Pre-Surgical Services: 8503 Arlington Blvd Fairfax, Virginia 22031)
Patients who are 50 years and older or who have diabetes, hypertension or a BMI greater than 35 requires the following:
- History & Physical Exam Form
Patients with Cardiac Disease (excluding HTN) require the following:
- H/P form
- Cardiac clearance
These tests meet the minimum requirements for surgical clearance; further testing is at your discretion.
*Please note patients with a BMI greater than 40 may be required to have an airway evaluation prior to surgery*