Surgery and Post-operative Care
Orthopaedic surgery is a diverse field and the majority of surgeons in medium to large size cities in Canada have a focused sub-specialty practice. Please see our Physicians page for full biographies.
  • Mark McConkey: Complex soft tissue knee reconstruction (ACL, PCL, knee dislocations), osteotomies around the knee, hip arthroscopy and impingement surgery, shoulder arthroscopy and soft tissue reconstruction, sports medicine, trauma
  • Victor Jando: primary and complex total hip and knee arthroplasty, knee arthroscopy and ACL surgery, sports medicine, trauma
  • Alan Baggoo: foot & ankle surgery, total knee arthroplasty, knee arthroscopy, sports medicine, trauma
  • Kostas Panagiotopoulos: primary and complex total hip and knee arthroplasty, knee arthroscopy and ACL surgery, sports medicine, trauma
  • Shannon Samler: Shoulder arthroscopic surgery, soft tissue reconstruction and total shoulder arthroplasty, knee arthroscopy and ACL surgery, sports medicine, trauma
  • Adam Sidky: primary and complex total hip and knee arthroplasty, knee arthroscopy and ACL surgery, sports medicine, trauma
  • Peter Zarkadas: Shoulder arthroscopic surgery, soft tissue reconstruction and total shoulder arthroplasty, elbow arthroscopy and reconstruction, knee arthroscopy and ACL reconstruction, sports medicine, trauma
Arthroscopic surgery is a procedure done through small 4-5 millimeter portals in your skin. This ‘keyhole’ surgery allows the surgeon to insert a camera into the joint and using special instruments can diagnose and treat a large number of conditions. Examples of arthroscopic surgery done by POSM surgeons include ACL reconstruction, meniscal surgery, rotator cuff repair, shoulder dislocation reconstruction, ankle arthroscopy and hip arthroscopy for labral tears and impingement.
When a joint has significant arthritis and the patient is disabled with pain, surgeons can excise the diseased joint and insert a new joint made of synthetic material (usually metal and plastic). Joint replacement surgery is very common especially in the hip and knee.
  1. Most commonly, total joint replacements (or arthroplasties) are made of metals such as cobalt chrome and titanium, and very hard, durable plastic called polyethylene.
  2. There are different options that you may have heard of or read about on the internet. These options are limited to hip replacements at this time. These include ‘metal-on-metal’ hip replacements which have come and gone in popularity several times over the decades. There are also ceramic hip replacement which involve either a ceramic ball and socket or a ceramic ball with a plastic socket. Please ask your surgeon if you have questions about these types of surgeries.
Total hip and knee replacement surgeries are currently not available at any private facilities in BC. Partial knee replacements and total shoulder replacements surgeries are the only forms of major joint replacement currently available privately in BC.
No. In the past patients were provided information cards to give to security officers at the airport indicating the presence of an orthopedic device. These are generally no longer accepted so they are not provided.
Each surgeon runs their office in different ways. However, any requirement for pain medication on a chronic basis (typically greater than 2-6 weeks post op) will require you to visit your family physician. Most orthopedic specialists will provide you with pain medication for the early post-operative period but then require you to visit your family physician for long term care and medication.
Physiotherapy is often required after orthopedic surgery. When to start physiotherapy will depend on your condition and will be discussed with you by your surgeon. Please note that BC medical generally doesn't cover physiotherapy costs.
This depends entirely on your condition, please discuss this with your surgeon. In the event of motor vehicle accident, please be aware that you may face challenges in proving that you were not impaired in any significant way as a result of pain or the side effects of medication. There are some general statements that apply to everyone:
  • You may not drive the day of your surgery. You also cannot take a taxi home. You must have someone to drive you home.
  • You may not drive while taking significant narcotic medications for pain management.
  • You may not drive with a cast or orthopedic boot or brace on your leg.
This depends entirely on your condition and your work requirements. Please discuss this with your surgeon at a follow-up visit.
  • A cryocuff is an automated continuous cooling unit that circulates cold water from a cooler to a special pad secured over a dressing or other skin protective barrier. This unit provides excellent cooling and compression which helps with post-operative swelling and pain. Access to a cryocuff is very helpful for patients in the postoperative period and if available you should take advantage of it. However, there are costs associated with these devices and a similar effect can be achieved with diligent use of ice packs.
  • BC medical will not cover these devices but most 3rd party insurance companies (e.g. extended benefits) do cover them. Please ask the medical office assistant to provide you with information so you can ask your insurance company prior to surgery.
  • The hospital will provide you with a nylon sling after surgery. Most shoulder procedures will require you to wear a sling for 6 weeks. These nylon slings are not particularly comfortable and often start to break down before the 6 week mark.
  • There are higher quality slings available which are more comfortable and more durable. These slings may be a good option for you. Please ask your surgeon's office for recommendations.
  • For certain patients, especially patients with large rotator cuff tears, a special post-operative sling is not just a luxury but may help decrease the risk of re-tear after surgery. Ask your surgeon or their office if this sling is appropriate for you.
  • These slings are not covered by BC medical and cost anywhere from 40-160 dollars. The majority of 3rd party insurers (e.g. extended benefits) will cover a large part of the cost.