Category Archives: Post Op Issues

Hip Resurfacing post op issues

Post Op Issues After HR Articles

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Sports hernia – Tear of the Rectus Abdominus / Adductor Longusis is Problem for Matt, not His Hip Resurfacing 2015

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Sports hernia – tear of the rectus abdominus / adductor longus

Hi all. I have never seen anything on this topic anywhere in the forums and I wanted to share my story in hopes that it may help someone else. My story is very long, but for purposes here, I will keep my initial post brief and go into further detail if asked.

33 year old male
Hip problems all my life. Always stiff, terrible flexibility
Diagnosed with arthritis in both hips 2010.
2012- Bilateral arthroscopy at HSS by Dr. Struan Coleman
2014- Arthritis became bone on bone
2015 – Hip Resurfacing (BHR) by Dr. Su at HSS in March and December of 2015.
Never completely recovered from my right hip surgery of December of … 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 Living Alone can be Safely Discharged and Sent Home After Surgery

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Washington D.C. [USA], Jan. 20 : A study has recently revealed that patients who live alone can be safely discharged and sent home from a hospital to recover from hip or knee replacement surgery.

The results question the belief that patients who live alone should routinely be sent to an inpatient rehabilitation facility after total joint replacement surgery before going home.

Researchers said, “Patients living alone had a safe and manageable recovery when discharged directly home after total joint Arthroplasty.”

Andrew N. Fleischman and colleagues from The Rothman Institute, Thomas Jefferson University, Philadelphia, conducted the study.

The team examined 769 patients who were discharged and sent home after one-sided total hip or knee replacement. Of these, 138 patients were living alone for the first two … Read the rest

Mr. McMinn Responds to MHRA Guidelines July 2017

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Read Original Article at McMinn Center

Response to Telegraph Article – News Feed Monday 3rd July 2017

In response to the recent Telegraph article, Mr McMinn would like to reassure all of his patients that nothing has changed in the outcomes of our hip resurfacing and total hip replacement patients. Our results do not show anything different, but the MHRA guidelines have changed, probably because of some reports of small diameter metal-on-metal total hip replacements. We have not had an increase in our failure rates due to metal reactions. A small percentage of hips had to be revised to non-metal-on-metal total hip replacements, but the percentage of patients needing revision for all wear-related problems and metal-reactions is less than 1% in men, and less than … 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

Joint replacement surgery patients benefit from reduced opioid use

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Read Complete Article Here

March 6, 2016   Decreased opioid use prior to joint replacement surgery has been linked with improved patient satisfaction and outcomes, fewer complications and a reduced need for post-surgical opioids, according to two new studies.

They found nearly 59 percent of the patients (49,617) did not use opioids prior to surgery, while 41.4 percent did. The top three prescribed opioids were hydrocodone/acetaminophen, oxycodone/acetaminophen, and oxycodone.

In opioid users, the study showed that a 50 percent or greater preoperative reduction of opioid use leads to better patient outcomes,” said lead author Kevin Bozic from the University of Texas at Austin.

“We recommend that chronic opioid users who are considering hip or knee replacement work with their primary care physician or pain management team … Read the rest

FDA Approves Pradaxa for Hip Replacement Surgery

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Read Complete Press Release Here
RIDGEFIELD, Conn., November 23, 2015 – Boehringer Ingelheim Pharmaceuticals, Inc. today announced that the U.S. Food and Drug Administration (FDA) approved Pradaxa® (dabigatran etexilate mesylate) for the prophylaxis of deep venous thrombosis (DVT) and pulmonary embolism (PE) in patients who have undergone hip replacement surgery. There are an estimated 300,000 total hip replacement surgeries performed in the U.S. each year. Without preventive anticoagulant treatment, the incidence of DVT ranges from 40 to 60 percent for primary elective hip surgery patients.

“This milestone represents the fourth FDA-approved indication for PRADAXA in five years — a testament to the company’s continued leadership in the evolution of anticoagulation care for patients and clinicians,” said Sabine Luik, MD, senior vice president, Medicine &

… Read the rest

Outpatient Procedures at International Level

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Outpatient orthopedic procedures gaining popularity on international level –  Read Full Article Here

It is known by several names: same-day surgery, day-case surgery, ambulatory surgery and outpatient surgery. Whatever the name, outpatient orthopaedic surgery is now considered by many to be safe and feasible across an ever-widening array of joints replacement. Proponents of these procedures say they have the potential to increase patient comfort and satisfaction while improving hospital efficiency and reducing health care costs. … 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

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

How to Use a cane after hip resurfacing surgery

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Proper Positioning

The top of your cane should reach to the crease in your wrist when you stand up straight. Your elbow should bend a bit when you hold your cane. Hold the cane in the hand opposite the side that needs support.

Walking

When you walk, the cane and your injured leg swing and strike the ground at the same time. To start, position your cane about one small stride ahead and step off on your injured leg. Finish the step with your normal leg.

Stairs

To climb stairs, grasp the handrail (if possible) and step up on your good leg first, with your cane in the hand opposite the injured leg. Then step up on the injured leg. To come down stairs, put … Read the rest

Exercises from the McMinn Center featuring an exercise video

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Exercises from the McMinn CenterMcMinn Centre Physio Brian demonstrates the exercises recommended following your Birmingham Hip Resurfacing, Mid Head Resection or Large Headed Total Hip Replacement operation.*NOTE: These exercises are NOT suitable for patients who have had small headed total hip replacements. Includes the following exercises:
  • Bed Exercises
  • Chair Exercises
  • Standing Exercises
  • Additional Post Op Exercises
Click here to visit the McMinn Center  
… Read the rest

Blood Thinners by Dr. Rubinstein

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By Dr. Scott Rubinstein  August 25, 2007

Hi All,

Here we are debating a question that has no clear cut answer. All
the anticoagulents have side effects. Bleeding and bruising are the
most common ones. There are advantages and disadvantages to each and
none is the clear cut winner. As far as effectiveness they all seem
to be about the same. Each surgeon has their opinions and all can be
supported by some data.

My advice is to go with whatever your surgeon is comfortable with.
If you are unsure ask questions such as why they choose a certain
drug protocol. And if you feel strongly about one discuss it with
your surgeon. They should be able to justify their choice.

Scott Rubinstein M.D.
www.hiportho.com

… Read the rest

Sports Activity After Total Hip Resurfacing Study

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Sports Activity After Total Hip Resurfacing Original Link http://www.ncbi.nlm.nih.gov/pubmed/20223940?dopt=Abstract

March 11, 2010

Banerjee M, Bouillon B, Banerjee C, Bäthis H, Lefering R, Nardini M, Schmidt J. Dreifaltigkeits-Krankenhaus and Cologne Merheim Medical Center. BACKGROUND: Little is known about sports activity after total hip resurfacing.

HYPOTHESIS: Patients undergoing total hip resurfacing can have a high level of sports activity. STUDY DESIGN: Case series; Level of evidence, 4.

METHODS: The authors evaluated the level of sports activities with a standardized questionnaire in 138 consecutive patients (152 hips) 2 years after total hip resurfacing. Range of motion, Harris hip score, and Oxford score were assessed, and radiological analysis was performed.

RESULTS:  Preoperatively, 98% of all patients participated in sports activities. Two years postoperatively, 98% of the patients

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Hip Resurfacing Information about Sex after Hip Replacement

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Thank You to Dr. Wallskog for the following information. Visit Dr. Wallskog’s Website for further information.

The suggested sexual positions explained below may help you avoid dislocating your new hip after hip resurfacing surgery.

It is always best to ask your own surgeon for specific information about when you are allowed to resume sexual activities and what specific activities are allowed after your hip resurfacing.

Patient on bottom/partner on top This position works well for both male and female patients. This is usually the most comfortable position to use right after surgery. When using this position, make sure to:
  • avoid bending your new hip more than 90 degrees
  • keep your affected leg out to the side
  • make sure your toes don’t point inward
  • place a
… Read the rest