- Asprin and Xarelto Provide Similar Protection Against Venous Thromboembolism
- Recovery & Rehabilitation After Hip Resurfacing
- Patients Who Live Alone Can Recover Effectively and Safely at Home
- Exercises at 1 Month Post Op Hip Resurfacing Surgery
- Post Op Tips by Dr. Gross Patients
- About Clunking Noises in my new hip
- How Long Will My Hip Continue to Swell and Hurt?
- What Equipment Will I Need At Home After Surgery by Patricia Walter
- FAQ Post Op Questions
- When do the stitches or staples have to be removed?
- When Can I Go Up and Down Stairs After Hip Resurfacing?
- Why Do I Have Groin Pain?
- How Soon Can I Run After Hip Resurfacing?
- What Kind of Physical Therapy Do You Recommend?
- When Can Full Weight Bearing Start after Hip Resurfacing Surgery?
- Will My Doctor Use Radiation Therapy for My Hip Resurfacing?
- Should I Use Ice or Heat for Post Op Pain by Dr.
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.
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.
…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
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!)
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.
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.
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
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?
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 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 surgery or special hip problems are required to use a walker. Whether you use crutches or a walker is up to your orthopedic surgeon.
Dr. De Smet
When can I go up and down stairs?
You should learn to walk stairs with the physiotherapist at the hospital a few days after the operation on ndividual basis.<… Read the rest
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 pain when attempting to lift their leg in a standing position.
For this reason we now take extra care to get the version right and … Read the rest