You should ask your hip resurfacing doctor as many of the questions that seem appropriate for your situation. Your doctor should be patient, willing to talk about what to expect and answer your questions. Having all your questions answered will give you peace of mind and will make your surgery much less stressful.
Everyone has slightly different needs. There are some basic items almost everyone needs and then there are things that some people want and others just don’t need.
Crutches – Normally crutches are supplied by the hospital. I used elbow crutches and they are much easier to use than normal under the arm crutches. Overseas hospitals use elbow crutches while US hospital still normally use … Read the rest
The clunking noises and clicking feeling in the first 6 months after hip resurfacing surgery is a temporary decoaptation of both components. This means that the two big metal parts of the prosthesis come apart and come together again. Having a large diameter gives no wear of the prosthesis and will not destroy anything. Because of the release of the capsule around the hip … Read the rest
There are of course many views and opinions amongst surgeons regarding the best approach and what to preserve during the surgical approach. Failures in resurfacing which occurs due to faulty approaches and vascularity issue, do so at the 3-6 yrs mark ( slow varus collapse with loosening of femoral component ie AVN of the entire head). Hence, it is difficult to prove or disprove any concept regarding this issue with statistical proof. One … Read the rest
The NCP (Neck Capsule Preserving) Approach which is increasingly being adopted by surgeons world wide was developed at ARCH by Dr. Bose. This facilitates a faster recovery due to the repair of the capsule. The vascularity of the critical regions of the head and neck is also preserved in the NCP Approach.
Dr. De Smet
Do you preserve the hip capsule during your hip resurfacing surgeries?
I advise patients not to return to
impact sport for 1 year after surgery. For those
patients who want to road run, I get them
running on a treadmill at 10 months post-op and
they resume road running at 12 months post-op.
My unit published on activity level after
resurfacing some years ago in a group of
patients who followed those rules. In young men
with a single osteoarthritic hip resurfaced, 92
Metal-metal bearings have advantages for
active patients because their wear resistance is much greater
than that of polyethylene, they do not fracture and they perform
better with larger diameter balls. It has been known for three
decades that the serum and urine levels of cobalt and chromium
(the main elements in a metal-metal hip bearing) are increased
in patients with a metal-metal bearing. The health
Aspirin, Xarelto show no difference in preventing venous thromboembolism after TJA.
Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism.
After patients received once-daily oral Xarelto (rivaroxaban, Bayer Pharma) until postoperative day 5, Michael Dunbar, MD, FRCSC, PhD, and colleagues then randomly assigned 3,424 patients … Read the rest
Do I need any rehabilitation or physiotherapy after the surgery? Can I return to sports? Patients who received BHR surgery will share the post-operation rehabilitation process and how they benefit from the surgery.
…(The Study) involved 769 patients undergoing primary THR or TKR. Of these, 138 patients lived alone and 631 lived with other people. In both groups, patients age 75 and older were well represented. … Read the rest
September 15, 2016 – First, I want to correct that I had my last ceramic and titanium bilateral hip revisions (to a failed bilateral Birmingham Hip Resurfacing) completed in November 2014 – not Nov 2105.
Secondly, after an almost 2 year recovery, I can most happily report that both hips AND knees do not hurt!! At most, my hips get stiff after prolonged use and I can’t squat as easily. … Read the rest
Normally staples are closing the wound. In young patients (ladies!) and on request the wound is getting closed
When do the stitches or staples have to be removed?
Half of the stitches or staples are normally removed after 14 days. The remaining half is removed after 16 days. Depending on the individual patient, one can decide to remove the staples later on. Staples are removed with a