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← Return to Newly replaced hip dislocated after 4 weeks.
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Newly replaced hip dislocated after 4 weeks.
Joint Replacements | Last Active: Sep 28 11:52am | Replies (47)Comment receiving replies
Thanks Sue, I'm glad you're working on your quads!
One easy exercise is to sit straight up in a chair, preferably on a firm surface, extend one leg and contract the quad. Hold this for 30 to 45 seconds, enough so that it gets uncomfortable, starts to burn a little, and then switch legs. Three sets of these each day will keep your quads alert.
A variation on this is to extend your leg and, engage quads, and for your right hip, extend your leg out to the right away from your body and bring it back in - and reverse for the left - each time for 30 to 45 seconds with continuous motion, away from the body and back in, rinse and repeat. This will strengthen the quad and some muscles, mostly glutes, that keep the hip stable.
I got the ok from my surgeon to return to spinning after the hip dislocation last week! The only rule, don't bend over the handlebars. That one is easy because I always spin upright, with a slight forward lean - mostly to keep my lumbar spine in its correct position and to engage core muscles.
Sue have you heard of the SuperPATH method for hip replacement mentioned by Steve? It sounds too good to be true - smaller incision than anterior and no post-op restrictions on hip movement, bending, tying shoes, and on. I never heard of it but plan to ask my surgeon on my second post-op visit next week. Well for what that's worth, the surgery is done......
The surgeon who came up with this has patented the method. So I wonder if Drs and hospitals have to pay a licensing fee every time they use the procedure. I have a very good knee/hip surgeon, Cleveland Clinic experience, and I'm sure he would have mentioned this - unless the hospital is unwilling to pay licensing fees.
It looks to be a far better procedure than the anterior approach, which itself is a vast improvement over posterior and lateral methods. Just curious.
Replies to "Thanks Sue, I'm glad you're working on your quads! One easy exercise is to sit straight..."
Re Superpath.
There are patents out there so there might be some licensing fees. I doubt they are a reason to use Superpath or not.
Even though my surgeon (Jimmy chow) is the primary inventor of that approach, he and I both agree that if the choice is between someone who does Superpath but has only done a handful of them and someone who has done hundreds or thousands of posterior replacements (the oldest method), go for the experienced surgeon. Muscle memory and surgical skill are critical.
There may be more but I am aware of five current methods: posterior, anterior, superpath, supercap and STAR. The last three are all somewhat variants of each other.
I would not go to a surgeon who uses multiple methods. Even with robots (mine exclusively uses a robot) I would want someone whose extensive successful experience is with a particular method.
It would be interesting, however, to ask your surgeon. I asked mine when we were chatting one day about Jiffy Knee (a friend of mine is scheduled for a Jiffy Knee replacement in December) and he said that Jiffy Knee was fine but everything depended upon the surgeon. He asked me who my friend's surgeon was. I told him it was Timothy Kavanaugh. He said that he has not seen any problems with Kavanaugh's work. My point is that my surgeon is confident enough of his own work to be willing to praise another. If your surgeon went into a lengthy discussion of the various approaches and advantages and disadvantages, that would be good.
Here is some information on Superpath:
https://pmc.ncbi.nlm.nih.gov/articles/PMC10759432/#:~:text=of%20the%20study.-,Conclusion,the%20impact%20of%20its%20shortcomings.
This is the most recent study I have found. Note that there is no indication that the ultimate outcome is better or worse using Superpath. The advantage over more traditional methods is the speed of recovery and pain during recovery.
If you are able to find someone who is very experienced in Superpath, I would recommend going to that surgeon. But if the choice is between someone who has just started doing Superpath and someone who does and is very experienced in the Anterior approach, I would recommend going with the latter.
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HeyJoe,
Please consider updating on progress, perhaps in a month or two. I'm curious about outcomes, ability to do activities and sports, pain, additional dislocation, and if/when surgeons recommend revision after dislocation.
A Danish study reviewed outcomes after several years, patients tended to have better outcomes if dislocation was avoided, compared to those with dislocation, and lower outcome scores yet with dislocation and revision.
For me, about 1.5 weeks after 2nd dislocation bending down, not doing that again for at least the summer. Pain free, walking a mile or so a day. Proposing to get CT scans and Xrays to evaluate further (need for revision or not).
Best wishes