Category Archives: Post Op Recovery

Hip Resurfacing questions and answers about post-op recovery.

FAQ Post Op Questions

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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

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

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

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

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

When do the stitches or staples have to be removed?

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Dr. De Smet

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.

 
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Why Do I Have Groin Pain?

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See Webpage about Groin Page by clicking here

Features information from patients and doctors

Psoas tendinitis is an important reason for groin pain in resurfacing surgery. This is peculiar to resurfacing as the cup for resurfacing is a very large profile ie half a sphere. Nearly all THR cups are only portions (arc) of a hemisphere.

Hence if the antero-posterior orientation i.e., version of the cup is marginally off the ideal, it would not be a problem with THR. However in resurfacing, due to the very large profile, if the version is less than ideal the ant edge of the cup will protrude out of the bony front wall of the acetabulum. The psoas tendon will rub on this and patients will typically complain of … Read the rest

How Soon Can I Run After Hip Resurfacing?

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Mr. McMinn

 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 % played sport and 62 % played impact sport. The ladies were not quite as active, but you can see from the publication that they still had an impressive activity level. In the total group their 10 year implant survival is 99.8 % showing that high activity introduced at a sensible

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What Kind of Physical Therapy Do You Recommend?

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Dr. De Smet

What kind of physical therapy do you recommend for your resurfacing patients and for how long ?

Everything like they feel. For general rehab you could take 6 weeks, 3 months. If patients want to progress harder they can have longer or more frequent physiotherapy, but this would then be more like fitness training ! Physiotherapy in resurfacing is more guiding the patients then making them to work out exercises too fast and too hard. Passive forced flexion of the hip should not be done. It will often lead to groin pain.

Dr. MontWhen do you recommend water therapy and what do you recommend?Various surgeons differ but I allow pool exercises after sutures are out (10-12 days). Remember the water reduces
… Read the rest

Will My Doctor Use Radiation Therapy for My Hip Resurfacing?

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Dr. Balasubramanian

The radiation therapy is used by some surgeons to prevent heterotropic bone formation following total hip replacement. In cemented total hip replacement this does not cause much problem. However in Hip Resurfacing (Acetabular side) and uncemented total Hip Replacement the fixation of prosthesis is by the natural bone growing on the prosthesis. When radiation is used this natural bone growth is also affected which may lead to failure of fixation. The inventors of Birmingham hip resurfacing do not advise radiation. We follow this and we never had any heterotropic bone growth following hip resurfacing.

Dr. G. Balasubramanian India

 

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Should I Use Ice or Heat for Post Op Pain by Dr. De Smet

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Dr. De SmetShould I use a heating pad or ice packs?

We prefer ice packs, although both are effective to relieve pain. Both can be harmful in direct contact with the skin. It can damage the skin and even cause a severe burn. Never sleep with a heating pad on your hip. Ice can be used several times a day. Twenty minutes on, 20 minutes off, is the usual regime. In the first postoperative weeks heat is not recommended.

 

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Do I have to Take Antibiotics before dental procedures after hip resurfacing?

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Dr. Mont

I like antibiotics for up to two years after any joint
replacement. After two years only for procedures
that lead to blood like endodontic surgery. This
is also a controversial topic. We wrote two
papers on this topic and only found possible
dental related infections in patients that had
oral procedures that were greater than 1 hour
with blood loss that did not get antibiotics.
The problem is that sometimes patients don’t
know what they are getting from their dentist

 

Dr. David:

My wife and I are general
dentists in Buffalo, NY, with a busy private
practice; also, she is a part time clinical
instructor at the U. of Buffalo Dental School,
and I am dental director for an HMO and I … Read the rest