No 90 degree restrictions

Posted , 15 users are following.

Seasons greetings one and all! I'm gearing up for my first THR on the 19th Jan.

So anyway, I went to hip school and was surprised to be told that I would have no restrictions after surgery, apart from 'if it hurts don't do it'. Apparently the risk of dislocation is so small it is no longer seen as necessary to put restrictions in place. Has anyone else been told this? Needless to say I plan on imposing restrictions anyway as no matter how small the risk I don't want to be in that percentile! 

I'm going to be having a cementless ceramic on ceramic using the posterior approach. 

Any advice would be much appreciated.

Jennifer, UK

 

1 like, 31 replies

31 Replies

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  • Posted

    Hi Jennifer,

    I think you are wise to stick to precautions for a while as I must admit I've never heard of anyone not having restrictions on a posterier approach. The restrictions are there for a reason. I would double check when you go in for the procedure just to be sure.

    Wish you all the best of luck with your op and hope you have a speedy recovery.

    Merry Christmas and a Happy New Year

    Cathy UK 

  • Posted

    I was reading there are restrictions at the beginning with posterior replacement such as not bending 90 degrees to sit down or bend forward.  You should confirm what you can do to save yourself from doing something which will jepodize your new hip. Anterior replacement has only the limitation of the pain of the muscles coming together again. Your body will tell you for sure what will work until you heal but take no chances.  
  • Posted

    Many thanks everyone for taking time to respond and offer help and advice, very much appreciated!

    Needless to say I will be taking care of my new hip and adhering to the usual restrictions associated with posterior.

    Having read the examples of dislocations discussed above I'm not sure that ignoring the 90 degree rule caused the dislocation, rather it could be an issue with the competence of the surgeon (in my opinion :-)? Particularly in the example Tweetz gives.

    I've also noted in other discussions that some people are so scared of dislocation that they don't exercise enough etc. Perhaps doctors are coming round to the fact that it's better people are more confident to use their new hip, thereby strengthening the muscles to avoid dislocation? Let's face it, very few of us will be breakdancing after the operation so  perhaps the messages of impending doom are a bit much? Unless you have a rubbish surgeon, in which case God help you :-)

    Thanks again everyone, hope you are enjoying a lovely restful Christmas.

    Jennifer, UK

     

  • Posted

    Good od for you Jennifer of the UK. 95% of recovery & rehab is a positive attitude..

    Hip school, LOL  Great way to put it. "When life gives u a set back don't step back , because God is preparing you for a come back".

    Wishing u have  the very best surgeon and a complete recovery. 

    If u ever need anything there is a lot of support for you here. 

    I have had both done and to be honest it will take u a year until u r really back to all the things u could do and with little pain and effort. 

    Remember this is major surgery and it takes time and rehab exercises to build up tendons and muscle to support the hip . The most important exercises are to keep the leg exercises moving, heel lifts and butt squeezes to prevent DVT & blood clots.

    U will have all the expected aches and pains this is good sign muscles r stregenth -ening. Rehab & diet 2200 calories a day to heal is what my nurse told me is requird after major surgery. And walking and not over doing is essential to continue mobility even in the hospital befor u go home the therapists will be sure u r able to sit properly and get up & down using the therapist system as well as going up & down stairs and using UR walker correctly. Take UR meds before u start to hurt...don't wait until UR pain becomes bad then it takes longer to recover. Pain meds taken properly will help UR recovery.

    If u have support at home for a couple of weeks that's great. Just following all the lists of rehab proceedures from UR doc and time will pass by in no time. This is a good time of year to have this done you'll be dancing the night away by summer.

    Here's a few tips to make recovery easier. Have the house ready ,no trip or falling traps...like area rugs...cords etc.  or pets to trip u. I wore all my clothes that went over my head. Stepping into pants for a month or more is tricky. Get a sock helper, walker, white throne lift and most importantly keep things u use regularity up high. Bending 

    is very tricky for months. 

    I 'm sure at hip school they went over everything. But really the bending over to get something off a bottom shelf and stepping into pants is the biggest issue. Elastic clothing long skirts over the head helps solve a lot of pain issues literally until UR thru rehab.....

    Lots of healing blessings sent UR way.confused

     

    • Posted

      Appreciate all your good advice and realistic expectations. Especially like your quotation! Need to put this on my door for the rough times. Three weeks until THR. Thank you 
    • Posted

      Yep lovely quote and message of hope :-) Thank you so much!

      Jennifer

  • Posted

    I had THR on the 9th Sept and doctors , nurses , and physio went on so much about keeping to the restrictions that I got almost to scared to move , so I would get a 2nd opinion on that. Rare maybe  but not unknown !! 
  • Posted

    Hi, I am very interested in this question! I had my THR in October and was given the usual list of restrictions - sleeping on back etc. I found all these restrictions really very hard indeed - sleeping was almost impossible  - and I thought I would be more likely to fall and dislocate my hip through exhaustion than by sleeping n my side or crossing my legs...I did find some research on the internet that said the restrictions were no longer necessary (as you are being advised) but most places/forums still seem to advise them....  Anyway if I ever have the other hip done, I would certainly opt for one of the hospitals that says 'do what you can as log as it doesn't hurt'
    • Posted

      I had the anterior approach by an experienced trauma surgeon in the U.S. I am a side sleeper and have not had to spend a night sleeping on my back. That would drive me nuts! Sorry to hear that is one of the posterior or lateral approach restrictions. Granted sleeping was a bit more challenging before the staples came out, but that was the only issue with sleeping. 
  • Posted

    Sorry I should have said what I wish I had taken into hospital with me was the pick-up stick - it would have been a huge help...Good luck!
    • Posted

      Hi Helen

      My hospital advised me to bring my "grabber" in to hospital and it was great

      Love

      Eileen    UK

  • Posted

    Jennifer- I had my first THR on the1st Dec - on two crutches for first week, one crutch for second week and none in the third. I followed the exercise advice and I am now walking pain free athough I am aware of the various restrictions until everything settles down. Proposing to swim after mid Jan and golf mid Feb. Trust that sounds positive for your forthcoming operation and best wishes
    • Posted

      Thank you so much Trevor, that really is awesome keep up the good work :-)

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