What is important for speedy hip replacement/recovery?

[THAIPHUKET]

Would like to hear good examples of a hip replacement. What is crucial?

-Operating doc?

- material of new hip ?

- steps from surgery to normal walking, what was instrumental for speedy recovery?

[uptheos]

http://www.thaivisa.com/forum/topic/726028-hip-replacement-in-chiang-mai/page-2?hl=%2Bhip+%2Breplacement#entry7840872

http://www.thaivisa.com/forum/topic/713121-hipfemur-replacement-surgery/?p=7802299&hl=%2Bhip+%2Breplacement

[THAIPHUKET]

Thank you Utheos, that was already very helpful.

So the question of material is relevant , what is the latest ?

I guess, the doctor will know best.

And it takes about 3 months to be up and running again.

[rodknock]

physical therapy!!!!!!!!

[moe666]

How many replacements does your Dr. do a month, when researching Knee replacement most sites recommended the Dr. should do at least 20 a month to be good at it. I would think the hip replacement number of surgeries a Dr. does would also be important

[Sheryl]

Yes, training and experience of the surgeon is critical. You want someone who specializes in knee replacements.

Physio after is important but tends to be a weak aspect if care in Thailand so be prepared to take some initiative there.

[Utley]

Review their surgical procedures to ensure no bacterial infection. Also, daily exercise after surgery is critical.

[wilgoster]

My best advice: a google search will reveal aspect of the operation - partial replacement as well as full. Beware the Birmingham. (I'm 15 years on teflon and metal.)

[Pollywaffle]

The best thing you can do for a quick recovery after this operation is be in excellent health. There are many possible complications post surgery, but you can lessen these by having good muscle strength, not smoking, and eating well. Heart and lung complications are reasonably common due to the fact that you are bed ridden for a number of days. Infections are a possibility if you are slightly debilitated and the longer your stay in hospital the more chance of picking up an infection. So go in prepared, well nourished and in as good health as possible to minimise hospitalisation time.

[merlen10002]

I had hip replacement 2004 in Sydney Australia, before getting the replacement it is important to get very fit, I did a three months fitness training before having the operation, had a very easy time compared to the unfit people, a good doctor is very important , the doctor I had did a lot of professional sports people, knees and hips, knees are much more painful than hips, I was up walking two days after the operation, did one week at the hospital then one week at a special rehabilitation hospital, took six months to fully recover, the replacement prosthesis was titanium and ceramic, very new at that time, should last for thirty years, can walk 18 holes for golf , can walk ten kms no trouble now, no one would know I have a new hip. can tell you a lot more if you want, be ready for some pain.

[thaisky2]

For all it's worth, see the below links, mate:

Anti-inflammatory drugs following hip replacement surgery could harm rather than help

http://www.naturalnews.com/020945_surgery_anti-inflammatory_hip_replacement.html

Exercise prior to hip and knee replacement reduces need for inpatient rehabilitation
http://www.naturalnews.com/021088_exercise_patients_strength.html

Exposed: Johnson & Johnson hid data showing 40 percent failure rate of hip implants
http://www.naturalnews.com/038903_johnson_&_hip_implants_failure.html

Several articles at this link: http://www.naturalnews.com/osteoporosis.html

[uptheos]

If you're in Chiang Mai do some research on Dr Chanakarn, he's got a good reputation. Operates at Rajavej and their physios are quite good. Cost around 175,000 baht,

Present Status Instructor, Sports medicine and Trauma unit, Department of

Orthopedics, Faculty of Medicine, Chiangmai University,

Chiangmai, Thailand

Chief of Sports medicine unit, Department of orthopaedics

Faculty of Medicine, Chiangmai University

http://www.my-arthroscopy.com/Conf/AASMC2013/facultyCVs/CV-Eng%20Dr%20%20Chanakarn%20Smith&Nephew.pdf

Edited May 21, 2014 by uptheos

[ThaiTerry]

Thank you Utheos, that was already very helpful.

So the question of material is relevant , what is the latest ?

I guess, the doctor will know best.

And it takes about 3 months to be up and running again.

Best way to get on your feet is to get off your ASS.

[arjunadawn]

There are a number of factors that you simply can't put on TV that will influence your response to this procedure: Age, past med/surg Hx and any complications, underlying medical conditions, athleticism, diet, and determination. Assuming all things about your past med/surg history are unremarkable you are left with some areas where your approach really makes a world of difference.

Diet? Changes now if necessary; then life choices to support your healing later.

Exercise? This doesn't have to be gym like bod mod of the young kids, but some aerobic butt kicking movement at least every day for 20 minutes, can be walking or bicycle. Listen to other posters here about Physical recovery Therapy. People who do it have markedly better results.

PostOp= you WILL be motivated to get ambulating quickly: Wanna heal safely, I have an unorthodox suggestion; go online or drug store and get an incentive spirometer!

https://www.google.de/search?q=incentive+spirometer&client=firefox-a&rls=org.mozilla:en-US:official&channel=sb&source=lnms&tbm=isch&sa=X&ei=kHN8U6HeEImM4gSsroAg&ved=0CAgQ_AUoAQ&biw=1333&bih=613&dpr=1.2

Yep! This simply device allows you to play with, expand, and increase your breathing tidal volume considerably within short period of time. If you are not asthmatic or contraindicated, do this now, after and occasionally. You significantly increase your energy, o2 saturation, sex stamina, well being, and healing time.You will also require less anesthesia to keep you down. If you are smart, it will change your life.

Lastly, and I maintain mostly, your mental worldview to your condition and care will mostly affect your recovery. See yourself healed before you begin. Really!

(I have had 15 orthopedic surgeries from trauma, the last being laminectomy last year- and I am young!)

Edited May 21, 2014 by arjunadawn

[F4UCorsair]

Physio, physio & more physio.

I had a Birmingham hip replacement, walking the same afternoon on a frame, crutches next day, a kilometer walk within a week, and pretty much back to normal in 6 weeks.

Knees are more painful than hips.

Avoid Dupont replacement joints, many problems with metal leaching and blood poisoning.

Muscle tone prior is very important, and aids recovery, so work on gluteas maximus and quads.

Edited May 21, 2014 by F4UCorsair

[ROB58]

Do some research of partial him replacements MakoPlasty. Read in an article on a health blog, that they do robot supported hip and knee replacements now which are very accurate. The robotic arm helps the surgeons to align the pieces correctly. Advantage is that it is far less invasive, lasts longer, and best of all, it needs less recovery time, so you have the chance that you are walking after 24 hours.

Goolge MakoPlasty. I heard it is available in Thailand. Maybe also in a hospital close to you.

[THAIPHUKET]

this sub-forum of ThaiVisa is certainly the most helpful and informative of all of them.

Down to which hip model to use, simply good straight suggestions.

Thank you all!

[F4UCorsair]

My earlier post should have been 'Depuy' hip replacements, not 'Dupont'

http://www.arthritistoday.org/news/asr-depuy-hip-replacement-recall078.php

A while back, out of interest only, I priced hip replacements at Bumrungrad, and about the same as here, but I have private health insurance here, so it only costs about a grand versus 25K there.

I have to have the other hip done soon, and both knees, the legacy of running 15-20 Kms a day for 25 years. Fortunately my back is not affected.

Edited May 21, 2014 by F4UCorsair

[lossiemouth]

I had a total right hip replacement in June 2011, done at Bangkok hospital, Bangkok by Dr Piya, who specialises in hip replacements.

I was out of bed on the third day and fully recovered within six weeks. I was advised to have physio and do lots of walking. I was allowed to swim again after six weeks and was told to do free style. I have not had a moments trouble with my hip since it was replaced.

[Lumbini]

My stepdad had hip replacement and mom had knee replacement and one of the greatest tools for them and myself to learn about pre op and post op options and recommendations was a forum called BoneSmart

Hip Replacement Recovery Area | Knee & Hip Replacement Patient Forum

http://bonesmart.org/forum/

What we think we become ...

[papa al]

Reporting as a retired PT, best outcomes were with fit younger patients.

[F4UCorsair]

Reporting as a retired PT, best outcomes were with fit younger patients.

Everything repairs/recovers better if you're fit and young!! It's unfortunate that athleticism is the domain of the younger, wisdom the domain of the older. There must be a way to average it out....surely?

[moe666]

I will need a knee replacement at some point in time, I came back to the states to consult with my Dr. here in New Mexico as he said preplanning is the most important thing. To help prevent infection treat any problem teeth before surgery