Hip Replacement - Everything you need to know
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- Опубліковано 26 чер 2024
- In this evidence-based educational video, Dr Hutchinson walks you through everything you need to know about hip replacement, including;
- what is a hip joint?
- what is hip arthritis?
- why does hip arthritis cause pain and stiffness?
- what is a hip replacement?
- what are the different methods of hip replacement?
- how long will a hip replacement last?
- recovery from hip replacement
- what are the risks of hip replacement?
- do I need a hip replacement?
Dr Hutchinson is an Australian and internationally-trained orthopaedic surgeon with a special interest in direct anterior hip replacement.
I just had my right hip done yesterday. I'm 62 and have been teaching and practicing martial arts for 45 years. My surgeon did the anterior approach. He took his time and explained everything in detail. I came out of surgery at 9:30 AM and was discharged at 1 PM. Today I was evaluated. Doing well and cleared to go without walker or cane. Very happy so far!
Thanks, this is just what I needed to read as I'm on waiting list for a hip replacement
what is your prognosis for returning to martial arts at the same level you were engaged prior to surgery?
What?
24 hours?
No therapy?
What doctor done this surgery ?
I’m 64 and I need both my hips replaced, but I have a back injury so I’m a bit nervous about getting both hips done…
I am 22 years old and had a hip replacement when I was 18. I have been boxing for over 2 years already and have a 2-0 record. I workout every day (sometimes multiple times a day). My workouts consist of squatting, running long distances, footwork drills, and much more. My hip feels great and last summer my orthopedic told me it looked like it was doing well! I’ve never let it stop me and hope this gives you some peace of mind :)
Is the surgery painful?
@@landking3742 All surgeries involve pain, the question you should be asking yourself is what level of pain you're willing to deal with on an ongoing basis now if you don't do anything. Every Ortho Doc I have seen always told me that I was a candidate for a joint replacement and that I would let him know when I was ready. What they meant was that you can go on dealing with daily pain and a degenerative joint or you can commit to getting it fixed and dealing with some pain initially but along with doing physical therapy your long term results are promising of little or no pain thereafter. Sooner or later you'll get tired of it hurting all of the time and limiting your life, like the Doc's say, you'll let them know. One thing is certain if you have a hip in bad enough shape to be a replacement candidate, then at some point you will probably decide to get it done and looking forward to recovering and getting your life back.
Is there any limitations you do have during your gym sessions
@@calebyemiagboola6605 no, just be careful with internal rotations. Strengthening it with hip mobility and band work is what’s helped me the most!
@@calebyemiagboola6605 Early on you want to avoid certain moves that could possibly lead to rolling out and dislocating the new joint, though as the months go on and the bones have grown and firmly attached themselves to the new artificial joint then the limitations are almost all eliminated.
Having it done by cutting through muscle is moronic. I had it done this way on my left side 5 years ago because I didn't know any better. 3 days in hospital, weeks of pain and walker use and took months to get back to normal and even years later I still have pain from the cutting, which wasnt done optimally. I had my right side done by anterior. No hospital time, I could drive on day 5, and 30 days later it's almost fully healed and feels amazing.
I am in constant pain. What can be done. My right hip is driving me crazy. All bones creak whenever I move
Really well done and comprehensive. I am 2 weeks post surgery and walking and doing all the PT everyday. This is my 2nd hip replacement which was initially 5 months prior and can say that the arthritic pain on both sides is gone. I am a tennis player and dancer and I will be returning to both in about 3 months. I am 69 and very active and want to give my body the maximum oppty to heal and be ready for more dynamic activity. Thank you for this great video!
The best video I have seen on this subject. Thank you from the U.K.
I just turned 35 Nov 2nd and had a total right posterior hip replacement. The pain is unreal omg. Good luck if you have to go this route. I did lots of sports and was a sponsored motocross rider. My hip started hurting lots when I joined Jiu Jitsu a couple of years ago. Thought it was a tight muscle. Nope, it wasn't. Osteoarthritis, labrum tear, femoral, acetabular impingement, bone spurs. The list keeps going. I did 6 weeks of PT and then finally got the injection and decided quickly that was a once-and-done thing. Prayers for a speedy recovery! In in lots of pain but I know it won't be like this forever.
Any update?
Too bad you didn't get the one where they cut you in front. It's a much better surgery and heals fast and no pain. Your doctor must not be trained in this newer technique. 😢
The surgeon said he was more comfortable doing posterior because later down the road it would be better. I had to go in for a clean out in January because it was squirting out gross stuff. So back to surgery I went. I’ve been having femoral pain and pain in my left adductors (the muscles that bring your legs together) . I have an appt next month so we shall see what they say.
@@jsderan4283 that’s anterior. Small cut and then they do lateral and then posterior. I have no idea why he couldn’t just have don’t anterior.. I think maybe because they had to access my IT band. They did cut my IT band.
My husband, in his sixties, had the posterior approach, and he is in great pain, and he is not one to complain and has a high threshold of pain. Granted, he just had this done on Tuesday and this is Sunday.
I had both hips done 3 months apart and never used a walker or a cane. It was so easy!
At the age of 68 I had a Total left hip replacement in England 18 months ago during the Covid lockdown crisis. I was out of hospital in two days and off painkillers in 14 days. I was walking unaided after 2 weeks and playing competitive golf after 10 weeks (walking the course not in a buggy). I did a you tube blog which documented my progress every week. Because of Covid I had no physio help whatsover. I just had to work at it on my own.
legend! 🙌🏽👏🏽
I had left anterior total hip replacement done November 22nd, 18 days ago at Hospital For Special Surgery! I was walking with a cane the next day. Only needed Tylenol for four days! Virtually no pain at all. I’m walking without the cane although my surgeon wants me to have it with me for three weeks! I could not be happier!
Good for you. What dr did it? Where?
thanks for sharing your re-assuring experience.
Thx mine is June 13th
Thank you! This has been the most comprehensive explanation that I’ve seen on UA-cam.
Thank you very much Dr. Hutchinson for one of the best videos I've seen on hip surgery! I got my hip replaced, anterior approach on June 19th, 2023. Doing much better now. Did run a fever of 102 for a few nights after immediate surgery with significant post op pain. I've been doing my PT daily but still have a long way to go. I'd be considered a 'slow-go recovery' patient. I use no cane now and am my early 60's. I know now it's a recovery process whereby I must work with my body, strengthen the tendons and support system surrounding my hip as it had started to decline for a yr pre-surgery date. This takes time, as you well know. I SO wish my Orthopedic surgeon would have given me a video like this. If anyone reading this is getting or has just got hip surgery, please know each person heals at their own rate. Don't compare your body with anyone else's. I made the mistake of talking to many people who were hip surgery patients and were playing tennis and golf 6-8 weeks after hip surgery. That's not a realistic goal, honestly. Just do your PT, get your rest, be patient and eventually your body will accept and embrace what you've done to enhance your own quality of life. Best Wishes to All!
What kind of pt did you do? Do you have tips . My mom is 71 and in a lot of pain.
Excellent video! Definitely the best source of information on the subject. Thank you
I really appreciated this video. It gave me questions to ask. I think I need to go surgeon shopping. My surgeon said if I didn't lose 100 lbs he wouldn't be able to do it. But in my mind, if he's doing an anterior, he won't be cutting my tendons, etc. It's hard to exercise to lose weight when you are in extreme pain and pain doctors won't give you much to help. It's a Catch22.
Having hip replacement 6-27-2023. This has been very helpful. My first surgery ever. Thank you
😢
I just had a total hip replacement yesterday so this comment comes less than 24 hours after the surgery. Thanks for putting this video up. This did answer and quite a few questions that I did already asked my orthopedic doctor but had forgot his answer. I am experiencing quite a bit of soreness and a little bit of aching, but I'm glad I went through with it because I'm looking forward to a future without that pesky hip pain that was causing me all sorts of problems.
I can imagine, I had a ruptured appendix and went as an emergency surgery. Learned alot about my surgery after the fact.
I had both my hips replaced this year with the anterior approach , I had hip pain for years now I am pain free , it’s a amazing operation that will give you your life back 👍♥️
i'm waiting 2 years..cant wait to get to pain free...
@@pamelaellis3582 I hope you get there soon , I had the anterior approach and the operation went so smoothly and minimal pain , I still can’t believe how it changes everything 👍
@@curbshoppin thankyou xxx
I had left hip replacement by a surgeon using the anterior approach 10 years ago and its been great ever since. Because it is minimally invasive compared the posterior procedure whch requires seprating/cutting through muscle tissue just to get access to the joint. The anterior process goes between the muscle fiber clusters running theough the area, and recovery was less than half the time and had a much less chance of dislocation compared to the anterior approach..
I have to get both my hips replaced getting my right done next month I'm scared as shit I plan on getting the second one done next year because it's not as bad as the right what do you think
Had total hip replacement May 27th. Still have pain, limp, walking outside as much as I can, perhaps 20 minutes. Seems to be very slow progress. Must keep going. Coming downstairs is difficult/painful. Best wishes to everyone for full recovery and successful surgery.
How's it been now? Do you use crutches, cane, or walker?
@@DivinePudding133 Hello. Slow stubborn hip progress. I am improving and must be patient. I don't use any walking aid.
@@roisinwhite390 I hope your recovery meets you soon enough! I'm going to be having my left hip replaced at age 24 and I've been very curious as to what to expect.
Viewing invaluable. Clear, concise, thorough with supportive visuals for both the medical and nonmedical communities. Rewarding despite time listening/viewing, reviewing and sharing with others. Thank you Dr. Hutchinson.
Had bilateral full hip replacements at 35 years old. Im now 63 and the things are still going. They are just starting to wear out. ive given them a damned good hammering over the years, skating, climbing etc. If you need a replacement just go for it.
How long after your first surgery, did they do the second? My right is bone on bone, and the left is almost all bone on bone.
With upcoming hip surgery scheduled, I needed this. I have watched dozens of videos and the most thorough one I have seen.
Same for me. And I'm due next Monday.
Same for me,Aug. is my surgery
Hip surgery scheduled in 3 weeks. I have watched several videos and this one is by far the most informative and it clarified some of my questions. Thank you for taking time to make it.
How did it go, if you don’t mind me asking? How’s recovery going?
Just had my DAA THR today with Dr Pritchard in Hobart who is a very credentialed surgeon also. This presentation from Dr Hutchinson was a fantastic insight and covers the pre and post op points very well. Yes.. I had a little anxiety as a fit 52yo, but it could not have gone any better so far. Just make sure you get the advice which is right for you as every one has their own needs and concerns. I got two ortho opinions and decided DAA was the approach for me. But like he said… you will most likely know when you need it done. As an Exercise Physiologist I am know looking forward with working with my Physio partners for successful rehab outcomes.
I was at a surgical center for a foreign boy in my foot and found out people were WALKING out of there immediately after hip replacements. I could hardly believe it but I saw three of them do it, and used a walker frame. Amazing.
Excellent informational video! Had a hip pinning that may be failing and wanted to understand hip replacement better. Thank you for this video.
I am now into my 3rd week after my replacement. I am only 46, and I went home at the two day mark. I have just had 32 clips removed and it has gave me my life back. I have no pain and all my pain in my knee and ankle has gone as well. I feel absolutely amazing!!!. I am bruised and swollen but I need to slow down a bit as I’ve tried to do more than I should. I am in the UK and after 40 years of severe pain 99% of my pain has gone in a 2 hour op. I honestly cannot get over what I can do now as I was so restricted my entire life and now I can’t stop smiling!!. I am now looking forward to having my left hip done as well now, but I could cry I am so happy x
Very very informative ---- and COMFORTING for a person contemplating hip replacement.
Very well done. I had a Left Anterior Hip Replacement in 2008. It was a pinnacle metal on metal and unfortunately the ball had to be replaced and the Polyurethane gasket had to be added. In order to reduce the Chromium and Cobalt levels in my blood stream but I have been very happy with the Anterior Approach to help replacement. Thank you Dr. Toma of Walnut Creek and Concord California.
Very informative, looking forward to surgery, thanks Dr Hutchinson.
Your video was the most comprehensive and helpful that I have viewed. In the U.S. had CHR 5 weeks ago, and was well informed, however, you touched on a few topics that are really helpful, even after my surgery. Great information, very helpful. Thank You!
This was very informative. Thanks for putting this together. I'm going in for my hip replacement in about a month and this addressed all of my quality and concerns.
WoW! Dr Hutchinson you answered all the questions flickering in my thoughts. Comprehensive and well explained.
Best comprehensive video out there. Thanks! 😊
thank you for this video. I have suffered for 5 years needing a hip replacement. You explained it very well & now I know WHY my lower above my hips hurt and down my legs & to my knees. I have trouble getting in & out of my vehicle, problems bending over & walking hurts my lower back. Thank you
This is a very good explanation of the complete subject and well worth watching. Thank you for making such a excellent presentation.
This video makes me feel so much better! My only concern is that I hope my doctor don’t cut a major artery, that’s my only concern! My surgery is on the 23rd of this month!! I can’t wait!! So congratulations to everyone that has completed their journey, I wish you all the best!! And please pray for me as well 😊😊😊😊😊❤❤❤
Good luck mines is next month 🙏🏽🙏🏽
@@jesusiswithme247clr Thanks and back at cha
Thank you for this. Very informative and reassuring.
Thank you so much for such an informative video about joint replacement surgery - I appreciate it!
Thanks for reviewing the hip replacement approaches. Good to know there is an approach that doesn’t require cutting muscles or tendons!
i can't thank you enough for this video..I am about to visit with my surgeon about total hip replacement.. at this point I am bone on bone but did not know there were different procedures so Thanks to you I will have many questions.. Knowledge is power Thank you so very much Dr Hutchison
What a wonderful, comprehensive video!
Thank you Dr. Hutchinson for this informative vid! I was diagnosed with osteoarthritis in my right hip 5 years ago and I am now less than 2 weeks away from my first hip replacement surgery. I have been waiting long enough and feel the time is right but still have had reservations about whether I'm really doing the right thing as I'm only 56 y.o...The pain is most of the time manageable but this last year has been increasingly worse and range of motion more difficult. My surgeon is using your preferred anterior method and I'm happy about that. Hearing your views have given me even more piece of mind and confidence that I should indeed go through with it at this point to improve my quality of life. Cheers!
Hi there, just came across this video and notice your comment. By now your would have your hip replacement done and you should be feeling and doing your day to things without any issues. Although, you got diagnosed with osteoarthritis 5 years ago. You probably notice the pain was getting worse. I got diagnosed last September 2022…was told I’m a candidate for hip replacement. Told the doctor, I’m not doing that…not thinking the pain would be getting worse. Well, I’m now using a cane to walk with. My surgery will be in 22 days from now. And, I’m so happy. Plus, I’m happy, I came across Dr. Hutchinson well informative video…which, I’m saving. Again, hope you’re doing better now that you had your surgery🤗.
2❤@@oloksinxs
This was an AMAZING video!!! Thank you SO MUCH for making such an informative and thorough video. I feel more comfortable, getting ready for my surgery!
Hi Doretha, did you have your hip replacement done?
I like the calm, straightforward way that all questions for this type of surgery were addressed. No scare tactics to push for the surgery and no minimizing risks of taking it. This gave a clear picture making it very helpful to anyone considering this surgery.
I appreciate your great information and visuals. This was the most informative video on hip replacement I've found. Bravo!
This has been the best video by far in explaining hip replacement surgery
Excellent video . Extremely informative. Thank you
Very thorough and helpful information. Well done!
Terrific presentation. Thank you.
Very professional production!
This was a very clear and informative video. I am scheduled to have surgery and am
so grateful to you.
I greatly appreciated this video! The thoughtful and thorough manner in which you explained the hip replacement process really helped alleviate my concerns about getting this procedure done. Thank you Dr. Hutchinson!
Thank you for this. I've just had my second one done. This was really helpful.
Great video! Thanks so much for spending the time.
Very informative - thank you.
Great video! I’m having an anterior approach replacement soon. This video has made me feel much more comfortable about my decision. Thank you!
Thanks for the information too clear.
Thank you good to know the different techniques.
This was completely comprehensive. Thank you very much.
Absolute fantastic information video, I myself currently due to discuss and to confirm a hip operation . I have been very worried I am only at the age of 55 yrs, After watching Dr Matthew Hutchinson video information ,it has help to know both the benefits and and the contra-indications of surgery . Although I am an Osteopath we do not know the up to date data of the fantastic operations carried out by are Surgeons , this has help myself considerably . Thankyou Dr Matthew Hutchinson.
Very informative! Thank you!!😊😊
Excellent, informative video! My gratitude❗️
Thank you for this video I receive so much good information to prepare me for my coming anterior hip replacement I couldn't get all this information directly from my doctor and completely understand it so this video brought me peace of mind and comfort I'm so grateful I wish you was doing my surgery but since I'm in the United States I just got to pray that my surgeon is just as good as you are
One of the best explanation I've heard about hip replacement. More power to you.
Thank you Dr for your time and effort . 👌
This has the best information I have watched and read. Thank you!!!
Thanks for this excellent presentation. Very easy to hear and understand....much more so than others I have listened to.
Thanks Doc. Heading in, in two days. Glad I saw this prior to. Very comforting going into it now. Thank you again
Thank you. This video really helped me
Dr, This was very informative and perfectly presented. Thank You.
Very informative. Thanks for sharing.
You have answered my questions. May God bless you. I just had a hip replacement yesterday. Thank you
I love my new hip I had a wee wonderfull.Dr . I went home the same day and been up carefully walking .and no pain pills just Tylenol and I take aspirin twice a day and do my exercises I have a walker and crush my goal is to hang up the crutches and put the Walker back in the garage amen and thanks to all who have had prayers for me I appreciate it
I've just had my 2nd one done last week. The thing I really can't wait for is to get rid of the crutches, which I've been on since about a month after having my 1st one done in January. I'd managed to get onto 2 sticks after the surgery but then the other one got too bad.
congratulation to you was it this doctor that did it for u ?because I'm passing through a lot I want to do my own but I have no money for now
I too had a wonderful start to recovery on my first surgery. 9/20/22 then on Oct. 3rd I went to ER with a fracture I did not fall rare as it is 5 percent or less now I am recovering almost 6 weeks later. I have been in a Re Hab, to be safe and get. PT and OT. Hope to be home. By 11/18/22.
6
Thakyoufor the information op 28 th april
Great Video. Addressed points clearly and comprehensively!
Great information!
Very concise informative presentation …. Thank You Dr 😊 Lots of questions answered.
very good video.Thanks Doctor.
Great video!
Watched this after my anterior hip arthroplasty
Great info!!
What a great and helpful video - many thanks.
Just the right kind of quality video I needed a week from my hip replacement. Thank you from Delaware, US.
Very informative and well explained. Thank you
Thank You so very much for the great information.
Thank you very much for this video presentation.
It has been very comforting and reassuring for me.
For the last few years I have suspected that I may required a hip replacement in due time.
Looking back over the years, I believe the biggest contribution to wear and tear of the cartilage in my hip joint would be due to the following;
Doing the triple jump in high school, for which is the beginning of doing the worse things for your ankles, knees and hips.
Carry heavy tool bags causing a leaning to one side of the body and carrying heavy loads over uneven ground and terrain.
Another classic is jumping out of trucks, or off forklifts, or vehicles with high steps, such as military vehicles such as the Uni Mog.
Anyway, I found this video to be very helpful.
One particular question I do have, and that is with the dislocations of the ball joints after surgery.
Perhaps there is a better technique of securing the ball into the joint which can be held in by a small screw or bolt into the bone and metal plate.
By having a half sphere into the metal plate, which then can be covered by the other half of the other semi sphere to go over it.
Thanks again Dr Hutchinson.
Sincerely,
Matthew Hawkins Townsville QLD.
I have postponed hip replacement surgery do to waking up right when surgery on my knee was finished , paralyzed, I heard and felt everything. It told anesthetist, he stated lots of patients think so, but I repeated the conversation I heard. Needless to say, it took over two yrs to shower and I have extreme case of clostiphobia. after watching this video, I feel I can move forward. Thank you.
Thank you for doing this video and explanation. I am just 51 and I am due for a left hip replacement. I thought I could manage with painkillers and exercise but the pain has increased so much in last 6 months I have decided I need the surgery. Your video puts me at ease and answers everything. Thank you!
Same. I’m 51 and ready. I need my life back. I’d love to know how you’re doing. :)
Same age and also need a hip replacement.
Same here. I’ve been in pain for about a year and I’m tired of the ongoing constant pain, fatigue, lost of sleep and motion. I cry when I God for my life back now. I believe it cost me my job of 3 years being fired and being forced to unemployment. I’ve tried everything shots, NSAID, PT it’s still there my family encouraged me & prayers Thank God, He’s got me thru this 🤲🙏🏽❤️🩹!!
Wonderful video
Excellent information. Thank you, Doctor!
very informative. I underwent THR then revisions....
Awesome video doctor!! Love it
Great video! You covered everything that concerned me. Having had hip replacement surgery four days ago this was very helpful.
Jim Oyler you should have already been told on what you can do and not to do.
@@robertbutler8004 huh q
@@robertbutler8004 😊😊
I jnjured the left femur neck (connector between my left hip and thigh). I underwent therapy and have recovered well. This video covered a lot of the similar things I went through, but I haven't needed a total hip replacement (yet). I don't like running as I need to watch for uneven surfaces. 😊
Thank you ….. I will be doing out patient …. Very good insight ….
very informative. thank you.
Thanks heaps for a very informative video as I am about to commence this journey
This was so very very helpful. Thank you so much!
Well done video! You addressed many questions and buttressed my surgeons discussion. While we aren’t doing the anterior approach he stated he will not cut my muscles which of course mean a longer recovery.
Very well explained video I had a total hip replacement 6 weeks ago the pain and restrictions l had are gone.my knees have to be done next but I wouldn't have breezed through this as well as I have if I hadn't have prepared myself by going to the gym with a personal trainer 3times a week 2years before surgery, also i had a healthy diet loss weight etc.just to mention I was due to have the anterior method from the front but the surgeon decided at the last minute that it be better to do the op the older way from the rear or posterior if anyone who is waiting out there I hope this helps
I’ve had both replaced, one in 2018 in Wisconsin and the other five weeks ago here in Maryland;So far no issues. Overnight stay in hospital for the first one and same day surgery and home for the second one. The first one was posterior and the second one was anterior. The anterior seems to be healing faster with less restrictions.
How come you was out of hospital so quickly
I’m about to have my hip replacement on Feb 8th and I am scared…..but I know I till have a good outcome like you. 😊
I had one dec 19, 2019. My leg is numb and my buttocks. Ask ur dr about this. No one will give me an explanation. I was n hospital 4 days n they wanted me to stay one more day, I lost a lot of blood.
@@losSanchezCastillo How did it go?
If osteoporosis, does this impact success of surgery?
Great video!
Dr. Hutchinson, I was well pleased with ur presentation and settled information video. I appreciate ur time and teaching on this decision!
Best video out there regarding hip replacement. Thank you.
Fantastic video
Excellent Video & Explanation.