Is restriction bend only 90 degrees lifelong? Afraid I won't be able wipe my bottom. I'm very fat.

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Having THR in 4 days. I'm over 100 lbs. overweight, and have prezently need to bend forward much more than 90 degrees on toilet to reach to cleanse myself. This is no joke! I am really worried about this.

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  • Posted

    Hi Earthmother, 90 degrees rule is for 3 months initially to enable bone to grow around implant. But be guided by your surgeon. Only thing you can never do is cross leg over at knee. In regards to cleaning yourself there are aids that can assist you ( you may get them free or have to buy them) or stand up and do it. I was nearly 100kgs when i had my RTHR Sept 15, so appreciate where you are coming from, it was difficult standing up but not impossible. Start practicing now to see how you feel. Good luck with the op and remember we all progress and recover at different paces.
    • Posted

      Never cross leg over knee?  Where did you hear that?  I am doing it now and surgeon said no restrictions after 6 weeks.  Maybe your surgeon is confused or a special case 
    • Posted

      Steve I had a very good surgeon and I am not a special case, all restrictions were lifted at 6 weeks apart from crossing the knee right across (90 degree angle) My response was as a lady who doesn't wear trousers, i don't usually sit like that lol!  I had posterior uncemented in my 50's. 

    • Posted

      Auntie, if you were wearing Jeans, could you cross the knee 90 degrees?  😀

    • Posted

      I probably could but I would not, can cross over lower leg to cut toenails but that's as far as I would go, I don't want a revision Steve.

    • Posted

      Hi, Auntie beanie. I actually tried to reply to you same day you posted, but did something wrong and it didn't show. Thanks for the tips. Crossing legs not a problem for me, though - haven't been able to do that for 15 years, so I can definitely live without it!

  • Posted

    6 weeks for the posterior approach. Not sure about Anterior but maybe no restriction. Ask your doctor
    • Posted

      Thanks. Tried to reply day you posted, but did something wrong. I'm learning

  • Posted

    In a word ... no.

    Just the first few months, see my dislocation risk graph.  It may take you a little longer before THR restriction is lifted  depending on where you carry your weight.  I was lucky in being able to shed 77 pounds before my THR, but it's not easy is it.

    Best wishes

    Graham

    • Posted

      Rocketman, I really appreciate the graph. I like to be able to quantify things. Helped me understand risks, course of typical recovery better. Tried to reply day you ppdted, but failed. Think I know how to do it now
  • Posted

    Have you tried leaning back on the loo rather than forward?
    • Posted

      Yup, Jomary, have tried that. Doesn't work for me. Need longer arms or a better back. But thanks for the suggestion. I tried to send this reply day you posted, but didn't know how to do it right. Sorry

  • Posted

    If you can afford a bidet seat on your toilet it is a big help. I thankfully had one but never really used the bidet function before my surgery. After the surgery, I am a bit overweight but not too much, still it was difficult. The bidet seat helped greatly. We got it at Costco for $299.00. I know that is an expensive everyone cannot afford for a temporary condition, but if you are larger it would help indefinitely. I used to be larger and we bought it then, had not used it in a long while, but it was on the toilet and my easiest solution after two surgeries. You do need an electrical outlet near the toilet. We did not have one and paid an electrician $95 for putting one in. Just a thought, they are good to have. Hubby had already had an ADA toilet put in as he has had two back surgeries. We also put two grab bars, one on either side of toilet. We put one across and the other up and down. The up and down one has been the biggest help, wish we had done both that way, but the room is tiled and moving it would leave holes. We are both getting older and with our surgeries this has been very worthwhile for us. If this is not a possibility I did see that Amazon sells a bedside commode that has one arm that can be moved out of the way. Since you can raise the commodes to the needed height this may or may not help you. Our bathroom is not close to our bed, I used a regular bedside commode at night the first week so I did not have to wake up hubby to help me to bathroom. The arms of it always bothered me as it was built for a small person, but I was able to manage. After a week walking to the bathroom with my walker was no issue. It probably would have been okay sooner but my muscles were weaker because I had knee replacement on the same leg 7 months earlier and had not fully got my strength back before my hip replacement. Now 5 months post op LTHR I am still struggling with stamina and strength issues. Doctor reminds me it takes a year to fully recover so trying to be patient. I am age 70, slightly overweight, Type 2 Diabetic but well controlled with fibromyalgia. I am taking it day by day. I have no serious pain except my right knee that needs replacement and that month between when my steroid injections wears off and I can get another gets very bad. Surgeon said I could get it replaced 4 months after the hip, but I am so tired of recovery and am hoping I can stand to wait until left side and leg feels normal (if that ever comes!). Well I am rattling on about 5hings you did not ask. You will find a solution, just try to figure it out or get help to arrange it for you since your surgery is in 4 days. It is helpful to be prepared but the time will go by and restrictions will be lifted. My surgeon only gave me 8 weeks of restrictions. Be sure to ask as I have heard different times from many others. My surgeon said that some doctors have started not giving restrictions as dislocations are rare unless you fall. He said in 20 years of these his only patient that dislocated had fallen over and down on the bad side, so be very careful about that. Still I did follow restrictions for 8 weeks and started very carefully picking things up when they fell to floor. He told me to always reach between legs, not to one side and if you are near something to hold onto to put leg behind you and out as you reached to floor. Hope all goes well for you. I went on nutrisystem right before my surgery, not to lose weight but to keep from gaining during my inactivity, plus having frozen meals ready during recovery is easy. It has worked for me and I lost 10 pounds too. Now I am going back to some cooking and will probably gain it back. It’s the inactivity because of pain that puts the weight on. Good luck to you! You have a whole forum here that will answer all your questions, so don’t be afraid to ask. They have helped me tremendously. 

    • Posted

      Thank you for ALL your advice and your story. I am feeling more optimistic again. So many posts about complications and things go in wrong. Frightenened me even more. Packing my bag right now for surgery and hoping for the best while still fearing the worst.

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