Comprehensive Clinical Pathway

Your Surgical Care & Recovery Journey

Clear, step-by-step guidance curated by Dr. Feras Ya'ish from your initial diagnostic evaluation through robotic-assisted or patient-specific joint replacement and structured post-operative rehabilitation. Appointments and surgery are arranged at Healthpoint Hospital, Zayed Sports City.

Structured Clinical Path

The 5 Distinct Phases of Your Care

Structured around internationally recognized orthopaedic protocols designed for predictable surgical outcomes, minimal discomfort, and swift return to active life.

1 · Diagnostic & Planning

The Initial Clinical Assessment

Your journey begins with an exhaustive biomechanical consultation. Dr. Ya'ish conducts physical mobility exams, dynamic load analysis, and in-depth diagnostic imaging reviews.

What to bring to your consultation:

  • High-resolution MRI, CT, and dynamic weight-bearing X-rays (disc or cloud portal)
  • Comprehensive list of existing medications, supplements, and anticoagulant regimens
  • Loose, comfortable sportswear enabling unrestricted range-of-motion examination
  • Insurance card (Thiqa, Daman Enhanced, ADNIC) and Emirates ID

Precision Biomechanical Scan

Kinematic assessment evaluating pelvic tilt, limb alignment, joint contractures, and gait mechanics prior to surgical templating.

Shared Decision Making

Unrushed discussion reviewing surgical versus conservative alternatives, implant material biology, and personalized functional goals.

Medical Optimization

Cardiology clearance, glycemic stabilization, and hemoglobin optimization to minimize peri-operative infection risks.

Pre-habilitation Protocol

Targeted quadriceps and abductor conditioning prescribed 3 weeks prior to surgery to accelerate postoperative recovery.

2 · Home & Body Readiness

Pre-Operative Preparation

Thorough preparation at home and clinical pre-clearance guarantee smooth hospital admission and safe discharge back into your home environment.

  • • Chlorhexidine skin cleansing wash protocol the night before and morning of surgery
  • • Fasting: nil by mouth 6 hours for solids, 2 hours for clear water
  • • Home modification: clear throw rugs, secure stair railings, ground-floor recovery sleeping
Pre-Op Admission Coordinator800 77

Home Ergonomics & Recovery Setup Guide

Prepare your household at least 7 days before admission for independent, hazard-free mobility upon discharge.

Elevated Seating

Use chairs with firm armrests and seat height of 45–50cm to avoid deep hip flexion beyond 90 degrees.

Bathroom Modifications

Install temporary non-slip mats, raised toilet seat adapters, and non-permanent grab bars.

Cryotherapy & Ice Packs

Stock gel packs or arrange a recirculating knee cryo-cuff to regulate post-operative swelling.

Discharge Transportation

Designate a family member or Healthpoint concierge for a passenger-seat ride home.

Ultra-clean laminar air flow theatres at Healthpoint

Ultra-Clean Laminar Air Flow Theatres

Surgical suites configured with robotic Stryker Mako technology and HEPA air purification exceeding international standards.

3 · Surgical Execution

The Day of Surgery

From reception in the day admissions suite to your arrival in the sterile theatre, your comfort and security remain paramount.

  1. 01 · Pre-Op Anaesthetic Huddle

    Customized spinal anaesthesia paired with localized sensory-only nerve blocks (adductor canal / PENG) prevents grogginess while preserving motor strength.

  2. 02 · Robotic-Assisted Precision Implantation

    Haptic robotic boundaries align components within 0.5mm accuracy for minimal soft-tissue trauma when robotic assistance is selected.

  3. 03 · Day 0 Rapid Mobilization

    Within 3 to 4 hours, physiotherapists assist you in standing and walking your first steps, reducing DVT risk and accelerating recovery confidence.

4 · Post-Surgical Inpatient Care

In-Hospital Recovery

Inpatient recovery is arranged in a calm clinical environment with dedicated orthopaedic rehabilitation. Appointments and admission are coordinated at Healthpoint Hospital.

Private En-Suite Rooms

Acoustically isolated suites with panoramic skyline views of Zayed Sports City, ensuite walk-in showers, and dedicated family seating.

Round-The-Clock Specialist Care

Orthopaedic-certified nurses and resident physicians monitoring vitals, dressings, and pain scales 24 hours a day.

Nutritional Optimization

Chef-curated gourmet clinical meals enriched with high-protein and collagen precursors to optimize wound healing.

In-Room Physiotherapy Gym

Twice-daily bedside sessions featuring gait retraining, gentle stairs navigation, and progressive joint extension.

Average inpatient stay: 24 to 48 hours for total joint replacement.

Healthpoint Hospital, Zayed Sports City, Abu Dhabi

Healthpoint Hospital Abu Dhabi

Zayed Sports City, Abu Dhabi.

5 · Long-Term Restoration

Post-Operative Rehabilitation Milestones

Functional recovery is a phased progression as your reconstructed joint integrates with skeletal anatomy.

Weeks 1 – 2

Tissue Healing & Independent Walking

  • Staple / waterproof dressing removal at Day 12 to 14
  • Transition from bilateral crutches to single cane
  • Knee extension 0° and flexion 90°+
  • Unassisted walking around the house

Clinical Check: Day 14 Follow-up

Weeks 3 – 6

Endurance & Driving Resumption

  • Resumption of driving after emergency braking test
  • Return to sedentary office work
  • Stationary cycling on low resistance
  • Cessation of walking canes

Clinical Check: Week 6 X-Ray Review

Months 2 – 3

Strength & Active Recreation

  • Swimming once incision is sealed
  • Golf driving range and 3–5 km walks
  • Full restoration of proprioception
  • Discontinuation of routine analgesics

Clinical Check: Month 3 Gait Evaluation

Months 6 – 12

Unrestricted Functional Freedom

  • Padel, hiking, skiing with consultant approval
  • Complete osseointegration of the implant
  • Forgotten Joint Score reaching optimal thresholds
  • Annual surveillance imaging scheduled

Clinical Check: 1-Year Milestone Audit

Plain-Language Orthopaedic Glossary

Arthroplasty

Surgical Procedure

The surgical reconstruction or complete replacement of a diseased, degenerated, or arthritic joint using precision biocompatible synthetic components (implants).

Kinematic Alignment

Philosophy

A patient-specific surgical approach where the replacement joint is aligned to recreate your body's natural, pre-arthritic anatomical joint line rather than an arbitrary 90° mechanical axis.

Unicompartmental Knee

Partial Arthroplasty

Commonly referred to as a partial knee replacement. Only the damaged inner (medial) or outer (lateral) compartment is resurfaced, leaving your healthy cruciate ligaments untouched.

Knee Ligament Reconstruction

Knee Sports Injuries

Anatomical reconstruction of the ACL and associated knee ligaments after rupture, restoring stability for daily function and return to sport when appropriate.

Osteotomy

Joint Preservation

A joint-preserving procedure where bone is precisely reshaped or realigned to shift weight-bearing loads away from a damaged cartilage area onto healthier joint surfaces.

Biocompatibility

Material Science

The capability of surgical prosthetics (titanium alloy, cobalt chrome, oxinium ceramic) to coexist safely within human bone and tissue without triggering adverse immunogenic responses.

Next step

Ready to begin your care pathway?

Request a consultant evaluation and a nurse liaison will help coordinate imaging, insurance, and admission.