hip replacement

[nadja66]

hmm..at the place where i work we also tell the patients that they can sleep on the good side with a pillow between the leg. to lie on the operated leg mostly really hurts them and is not possible during the first week..
but of course if they lie on the good side the chance that the leg goes in to adduction is much bigger..
most patients by us anyway prefer to sleep supine, even if they didnt befor surgery..

[morwenna]

hmm..at the place where i work we also tell the patients that they can sleep on the good side with a pillow between the leg. to lie on the operated leg mostly really hurts them and is not possible during the first week..
but of course if they lie on the good side the chance that the leg goes in to adduction is much bigger..
most patients by us anyway prefer to sleep supine, even if they didnt befor surgery..

Heh .... well, I used to find in the UK that patients just about got used to sleeping supine by about six weeks ... ie the time we told them they no longer had to!

[emad]

Hi Mawr :

I meant it preaucation .Unfortunately ,I have seen implants long time ago during my undergraduate study ,so that I can not remember how much range does it allow ,however it may be different from producation to another , just preacuation for dislocation . As for timing of keeping not flexing beoyend 90 degrees ,usually I tell them that but have not thought of long term .I do think mobility is central here .
Just interesting to me ,in your practice do they recommend hip protector fallowing hip replacment for prevention of hip fracture ?

cheers
Emad

[morwenna]

.
Just interesting to me ,in your practice do they recommend hip protector fallowing hip replacment for prevention of hip fracture ?

No. We recommend our patients try not to fall over though!

The hip would not fracture following a total hip replacement anyway, though I have seen periprosthetic fractures (femoral shaft), usually later down the line.

[emad]

Well , I began a hip-fracture prevention program however seems the prevention program is complex needs cooperation from all society and health professionals .
There is eveidence that people who experienced hip fracture are more liable to have hip fracture on sound side and be ridden patient or sidentry .Of course, I am talking about elder people .

cheers
Emad

[morwenna]

Well our patients are virtually all having cold joint replacement surgery for OA so most are not especially at risk of falls.

People who have fallen and undergone a hemiarthroplasty (or occasionally a THA) to fix a fractured hip are a different case of course.