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
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
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
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
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
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.
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 … Read the rest
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
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
Dr. De Smet
Should 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
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 … Read the rest