We tend to advise our patients to avoid high impact activities following hip and knee arthroplasty procedures. So we do not want people running or jumping if it can be avoided. There really is no consensus opinion about activities following hip and knee replacement. Different surgeons will allow different amounts of activity. If a patient of mine wants to do some weight training I tend to advise them to avoid really heavy weights and focus more on "reps". I also tend to tell my patients to try to maintain exercise as they can because I certainly feel that the benefit gained from the exercise likely outweighs the wear seen by the implant. It is certain that you will have less wear if you do not exercise at at all but that will likely come at the expense of your overall health.View Thread
There are times that people have trouble regaining motion after total knee arthroplasty. Ther are numerous studies that have looked at this and it appears that it can occur from anywhere to 1 or 2 percent of the time and even up to 7 percent of the time. This can be very frustrating for the patient and in truth the surgeon. It seems like the most predictive factor is the patient's range of motion before surgery. If someone is having trouble with motion after surgery we will discuss the possibility of a procedure called a manipulation under anesthesia. Some surgeons will consider this if a patient has trouble bending to 90 degrees at the time of the six week follow up. If the decision is made to do this the patient undergoes anesthesia and then the surgeon carefully bends the knee to break up the scar tissue. The procedure is not without risk and is undertaken in hopes of optimizing the patient's final result. Some surgeons will admit the patient overnight and some will do the procedure as an outpatient procedure. The patient should go right back in to physical therapy to try to maintain any range of motion that is gained with the manipulation.View Thread
It sounds like your surgeon is going to do your hip replacement via an anterior approach on a special operative table that allows the surgeon to control the position of the operative leg. It would be hard for me to give you the specific does and do nots as this varies from surgeon to surgeon. I think you should realize that most people do really well after total hip replacement. It is a great operation for most patients and allows people to return to a wide array of activities. I allow people to hike, swim, ride a bike, use an elliptical machine, stairmaster, downhill ski, and play doubles tennis among other activities. Talk to your surgeon about restrictions and expected activities.View Thread
It is clear that all patients recover differently after surgery. If you think about it that really makes sense as we are so very different to start with. The timeline of recovery and restrictions varies from surgeon to surgeon but her are some general thoughts:[br /] [br /]We usually advise 6-8 weeks off from work but depending on your profession you may not need anywhere near that much time.[br /] [br /]I tend to have patients only place about 50 percent of their weight on the operative side for the first two weeks and then advance to full weight bearing. some surgeons allow full weight bearing from day 1. Most people start on a walker and graduate to crutches or a cane. I say drop the cane when your limp goes away. We have a decent walk from the from of the front of our clinic building to our actual clinic at our institution and I think it is great when a patient can make that walk without an assistive aid at the time of their 6 week follow up appointment (but I am not upset if they have the cane with them as it is really a long walk!)).[br /] [br /]At that appointment (six weeks) I hope people are ready to hit golf balls if they are a golfer or start to increase the lengths of walks if they are an avid walker. It really depends on what the patient wants to get back to. I think people are about 75% recovered at 6 weeks but obviously can be very functional. I tell everyone that they can likely make continued further (perhaps subtle) improvements out to one year post operatively. [br /] [br /]We have a lot of patients fly in to our institution for care and have had patients fly home as early as the third day after surgery and commonly in the first several weeks after the procedure. Patients are also very often to get in a car for a ride home after the operation.[br /] [br /]I hope this post makes it clear that the recovery will vary from patient to patient. It is important to think about what you have scheduled or are committed to over the course of the year as you decide when to have surgery. For every patient that looks like they are back to normal in 2 weeks there are just as many that can take two or three times as long as the schedule I thave "outlined" above.View Thread
There are different ways to perform knee replacment with "less invasive" surgical exposures that try to avoid incising the quadricep tendon (the large tendon above your knee cap). Most of the data that has been reported does only show improvement in the recovery in the short term. This can be very important for some patients and less so for others. There is no doubt that numerous factors play a role in recovery (anesthesia type, early initiation of physical therapy, compliance with therapy, and even patient motivation). There is certainly mixed opinion about the true benefit of these techniques among surgeons.View Thread
Hello to all of the knee and hip replacement message board users! I am delighted to be apart of the WebMD message board. I want to introduce myself and let you know that I will be actively taking part in discussions and answering your questions. I am looking forward to being a part of this board. Please feel free to let me know if you have any difficulties.
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