Category Archives: FAQ About HR

Frequently Asked Questions About HR Articles

Surface Hippy Guide to Hip Resurfacing Posted on by
… Read the rest

Asprin and Xarelto Provide Similar Protection Against Venous Thromboembolism

Surface Hippy Guide to Hip Resurfacing Posted on by

Read Full Study Here

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 undergoing either THA or TKA to continue rivaroxaban or switch to aspirin for an additional 9 days after TKA or for 30 days after THA. The primary effectiveness outcome was symptomatic venous thromboembolism 90 days after randomization and the primary safety outcome was bleeding complications, including major or clinically relevant nonmajor bleeding.

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Recovery & Rehabilitation After Hip Resurfacing

Surface Hippy Guide to Hip Resurfacing Posted on by

Published on Dec 15, 2017

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.

Please visit www.asiamedicalspecialists.hk if you would like to get more information on hip problems or BHR.… Read the rest

Patients Who Live Alone Can Recover Effectively and Safely at Home

Surface Hippy Guide to Hip Resurfacing Posted on by

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…a new study to be presented Thursday, March 16, at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that even patients who live alone can recover effectively and safely at home…

…(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. The patients who lived alone were more likely to stay an additional night in the hospital prior to discharge and utilize more home health services, especially older patients. Limited support without weekly visits was reported by 37.2 percent of patients living alone, although nearly 80 percent had a friend or relative living within 15 miles who could provide help if needed…

…There was no increase in complications or unplanned clinical events for patients living alone … Read the rest

Exercises at 1 Month Post Op Hip Resurfacing Surgery

Surface Hippy Guide to Hip Resurfacing Posted on by

Clamshell Exercise at 1 Month Post Op Surgery

 

Figure 4 stretch Exercise at 1 Month Post Op Surgery

 

Dangle stretch Exercise at 1 Month Post Op Surgery

 

Child’s pose stretch Exercise at 1 Month Post Op Surgery

 

Jackknife stretch Exercise at 1 Month Post Op Surgery

Video demonstration of 1 month exercises (thanks to Dynamic Sports Physical Therapy in NYC!)

Video demonstration of 1 month exercises (thanks to Dynamic Sports Physical Therapy in NYC!) Visit http://www.edwinsu.com/hip-resurfacin… for more information… Read the rest

Two4One 2 Years after my BHR Revisions I’m HEALED!!

Surface Hippy Guide to Hip Resurfacing Posted on by

Read Two4One’s Full Story Here

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.  Those of you who have followed my journey KNOW how amazing this is.

I ended up doing a round of PT for my knees, which did not work.  Then, I researched and found the amazing DIY “Beating Patellar Tendonits” by a Physical Therapist and used it to do an additional 2 months of knee work with a Personal Trainer.  My knees are great now! https://www.amazon.com/Beating-Patellar-Tendonitis-Treatment-Pain-free/dp/1491049731/ref=sr_1_1?s=books&ie=UTF8&qid=1473896232&sr=1-1&keywords=beating+patellar+tendonitis

Recently though, I strained all my chest muscles from overdoing … Read the rest

Post Op Tips by Dr. Gross Patients

Surface Hippy Guide to Hip Resurfacing Posted on by

Patients often rely on information from other patients that have already had surgery.  Of course, you should always ask you own surgeon what pre op and post op information they can supply.

Dr. Gross patients have posted suggestions for others after their surgery:

https://surfacehippy.info/hiptalk/index.php/topic,736.0.html

https://surfacehippy.info/hiptalk/index.php/topic,5083.msg48702.html#msg48702

https://surfacehippy.info/hiptalk/index.php/topic,1512.msg9517.html#msg9517

and some generic suggestions for post op exercises, of course you should follow your own surgeons suggestions first.

Typical Post-Op Exercises done after hip surgery.

I also included water exercises by Evelyne from Dr. De Smet.  They are excellent exercises if your surgeon approves their use for your personal recovery.

Evelyne’s Water Exercises for Dr. De Smet Patients

 

 … Read the rest

Questions to Ask Your Hip Resurfacing Surgeon

Surface Hippy Guide to Hip Resurfacing Posted on by
You should ask your 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.  If he isn’t, I would try to find a doctor that is open and helpful. There are many wonderful hip resurfacing surgeons that will answer any question you have. Having all your questions answered will give you peace of mind and will make your surgery much less stressful. 
Will you perform my hip resurfacing personally or have an assistant do the surgery?
How many resurfacings have you done? (not observed or assisted with or including hemi-resurfacings)
Where did you train?
How many complications have you had?
How many resurfacing failures with revision to THR have you had?
How many loose acetabular cups have you had? Did they require a second surgery to repair or a revision to
… Read the rest

About Clunking Noises in my new hip

Surface Hippy Guide to Hip Resurfacing Posted on by

Dr. De Smet

The clunking noises and clicking feeling in the first 6 months after 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 this gives no wear of the prosthesis and will not destroy anything. Because of the release of the capsule around the hip to be able to do a resurfacing procedure without sawing the head of, the hip joint is looser at the beginning. This is even more because of the badly trained muscles of the preoperative condition and all the fluid around the newly placed joint.

The clunking is painless and subsides once the capsule and muscles around the hip are fully healed. It occurs in the first 6 months after surgery and disappears progressively.

The incidence can be around 20% of all patients!

This finding … Read the rest

Will My Neck Capsule Be Preserved?

Surface Hippy Guide to Hip Resurfacing Posted on by

Dr. Bose
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 needs a large number of cases followed up carefully for a long time and have an opposite approach as a control group. This would be very difficult in a clinical setting.

Therefore, the best option would be to adopt a common sense path based on some consensus that has already emerged in the resurfacing fraternity.

It is now more or less accepted that the anterior, anterolat or post approach really has no influence as regards … Read the rest

Will I Have Stitches or Staples?

Surface Hippy Guide to Hip Resurfacing Posted on by

Dr. De Smet

Normally staples are closing the wound. In young patients (ladies!) and on request the wound is getting closed
intracutaneously.

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
special device.

In case of an intracutaneous suture, one only has to cut off one end of the suture. It is not the purpose to remove the complete suture because it is resorbable.

Dr. Mont

Do you use stitches, staples or glue?

I usually use staples – lead to great looking wounds – though some patients want me to use sutures so these are done per request – we try to be accommodating – especially when it really doesn’t … Read the rest