Category Archives: FAQ About Hip Resurfacing

Frequently Asked Questions about Hip Resurfacing. Many pre-op and post-op questions are answered by hip resurfacing doctors.

Frequently Asked Questions About HR Articles

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Asprin and Xarelto Provide Similar Protection Against Venous Thromboembolism

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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 … Read the rest

Recovery & Rehabilitation After Hip Resurfacing

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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

Questions to Ask Your Hip Resurfacing Surgeon

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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.

Download and print the Questions Here:

https://surfacehippy.info/pdf/Questions-to-ask-hip-resurfacing-surgeon.pdf

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 … Read the rest

Patients Who Live Alone Can Recover Effectively and Safely at Home

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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 … Read the rest

Exercises at 1 Month Post Op Hip Resurfacing Surgery

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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!!

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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 … Read the rest

Post Op Tips by Dr. Gross Patients

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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:

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

Clunking Noises after my Hip Resurfacing Surgery

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Dr. De Smet Discusses Clinking and Clicking after Hip Resurfacing Surgery

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 to be able to do a hip 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 … Read the rest

Will My Neck Capsule Be Preserved?

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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 … Read the rest

Will I Have Stitches or Staples?

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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 … Read the rest

How Long Will My Hip Continue to Swell and Hurt?

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Dr. De Smet

How long will my leg continue to swell and hurt?

The pain usually decreases rapidly during the first days, but discomfort can continue for a couple of months. The swelling is due to alterations in fluid return up the limb, and will gradually diminish, but may take a couple of months or longer. Mobilization, exercise, stockings and elevation helps.… Read the rest

Can I have a MIS hip resurfacing?

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Dr. Amstutz

1. If your BMI [(weight (in kg) / height (in m)) multiplied by 2] is less than 25, then the standard incision is so small that any benefit from a “mini incision” is questionable.

2. If your BMI is 25 or more (getting more obese), and your hip is stiff, the efficacy of the “mini incision” has
not been demonstrated.

Basically, if you want a small incision, you need to be thin.

Dr. Gross

What is the advantage of minimally invasive surgery?

 … Read the rest

What Precautions Should I Take Before Surgery?

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Dr. Bose

It is advisable to avoid smoking completely. Blood thinners like aspirin and oral contraceptives should also be stopped for a minimum period of a week prior to surgery. NSAIDs like ibuprofen cause bone softening and must be avoided to the maximum extent possible. Paracetmol (Tylenol) or Proxyvon (Darvocet)  can be taken as alternative medications for the pain. It is advisable to stay in good shape prior to surgery by good aerobic exercises. However, this is a balance and unaccustomed exertion which causes severe pain should be avoided as this will provoke inflammation.

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What Equipment Will I Need At Home After Surgery by Patricia Walter

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What Equipment Will I Need At Home After Surgery?

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.

Must Haves:

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 old fashioned under the arm crutches.  If you have to be on crutches for a long time, I would suggest getting a pair of elbow  crutches or at least a pair of the more modern underarm crutches available from many internet shopping stores.

Walker – some people that have bi-lateral … Read the rest

FAQ Post Op Questions

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What is done when a hip resurfacing fails?

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Dr. De SmetWhat will be done when a resurfacing fails?

A normal primary THR can be done. In rare cases a revision to another resurfacing is still possible. The procedure needed depends on the reason for revision. If the femural head requires a revision, due to wear, a large diameter modulair head on stem could be placed, with a perfect fitting into the existing cup. Even the cup can be revised with a new resurfacing cup with a one size larger diameter. We have done extensive research on this topic together with the manufacturers of the device.

Dr. Su

What will happen when the hip resurfacing wears out?

When a hip resurfacing wears out, it is generally because the femoral cap loosens from the
… Read the rest