How long does rehabilitation take after knee arthroplasty? How long does the sick leave last after hip replacement?

Based on the foregoing, we denote that a certain percentage of patients do not fit into the generally established standards of rehabilitation. At the end of 90-120 days after arthroplasty with an unsatisfactory clinical picture, the ITU expert commission will deal with the issues of granting the status of VUT to the patient.

To do this, the medical institution (HCI), where the patient was treated and examined during the entire rehabilitation period, sends a package of documents to the local bureau. The parcel package necessarily includes all extracts and conclusions on the main diagnosis, on diagnostic and therapeutic measures carried out in outpatient and inpatient conditions. That is, the health care facility, according to the collected documentation, officially confirms the fact that the patient has depression of functions of one nature or another and the need to undergo specific medical rehabilitation.

Experts of the medical and social commission carefully study the information about the patient received from the health facility and pass a verdict on the degree of limitation of his performance. The ITU, as one of the most common options, can agree that the polyclinic opens a new one from the date of closing the sick leave until the patient's quality of life is restored to the fullest extent possible. The terms of the BL are also set for the health facilities by the ITU, however, as well as the admissibility of its extension without their participation, the cyclicity of the update. Another option, less likely, is that the expert commission assigns a disability group (usually 3 gr.) to the patient with its further re-examination at the time indicated by the MS-instance.

We emphasize that MSEC reserves the right to refuse both the extension of the BC and the assignment of the group if the pathological deviations are confirmed as minor.

Hip replacement surgery is one of the most difficult, after which a long recovery is required. If a person works, and most often it happens, you have to worry not only about your health. Sick leave required at work. The problem is that immediately after the operation it is impossible to say exactly how long the rehabilitation will last and how the artificial prosthesis will behave: will a person be able to lead a full-fledged lifestyle or will he have to apply for disability and leave work.

Recovery period after endoprosthetics

According to the law, after such an operation, rehabilitation lasts 3 months: 2 weeks a person is in the hospital under the supervision of doctors and then continues to be treated at home. Immediately after discharge, an open sick leave is issued for a period of 3 months.

Why is this happening:

• a person must adhere to an individual schedule of classes under the supervision of exercise therapy specialists, therefore, be at home;
• at first, heavy loads should not be given, because the prosthesis has not yet taken root in the body and there is a danger of dislocation, a person should always be able to lie down and rest - this is impossible at work;
• 90% of people after endoprosthetics experience severe pain in a sitting position, therefore, frequent changes in position and the use of painkillers are required - if the work is sedentary, a person needs to go through the recovery stage in a calm environment;
• if you do not adhere to the regimen within a year after the operation, complications are possible in the form of dislocation, fractures. The risk increases in elderly people with concomitant diseases or endocrine disorders; working pensioners after arthroplasty should be more attentive to their health after surgery.

Even a year after hip replacement, up to 22% of patients complain of pain. These are official statistics, so you need to be prepared to extend the sick leave in case of continuous pain that will prevent you from working normally.

The primary development of the joint should take place under the strict supervision of the medical staff

Discharge from the hospital after hip surgery occurs after 3 weeks. Must pass:

• acute stage and end the inflammatory reaction;
• wound healing, which is controlled by doctors;
• recovery initial period, also controlled by the clinic staff.

At home, a late recovery period lasts, in which bone tissue is renewed and the body adapts to the prosthesis.

3-4 months is the minimum period that is given to a patient who is in good health. It is difficult to imagine that when bone tissue is destroyed, the body works like a clock. In most cases, returning to work after a hip replacement is delayed.

How to extend sick leave after arthroplasty

If, after 3 months, a person is unable to go to work for health reasons, the issuance of sick leave is transferred to the attending physician. He can issue sick leave for up to 15 days, based on the patient's well-being. That is, a person must come to the hospital 2 times a month or more often - as the doctor says.

After 4 months from the date of the onset of temporary disability, sick leave is closed. Further, the following is possible:

1. The man goes to work.
2. The doctor applies for recognition of the patient as disabled. A medical and social examination is appointed and the person is recognized as disabled. The group is determined by the members of the commission on the basis of the available documents on the state of health.

If health does not improve or a person wants to spend more time at home and devote it to recovery, a temporary disability option is possible. Immediately after the joint replacement surgery, disability documents are submitted, the amount of payments is determined, and the patient sits at home. A year later, the documents are submitted again, after which the disability can be removed and the person starts working. In case of health problems, the disability is extended and he further receives disability benefits.

The sheet of temporary disability with a slow recovery and adaptation, but with positive dynamics, can be extended up to 7-8 months.

Difficult situations with disability recognition

If conservative treatment does not help a person, one has to resort to surgical intervention. But it often happens that after the operation a person is not able to fulfill his labor obligations. How does the medical and social examination proceed in this case:

1. Logically, an operation is done to a person in order to improve his well-being. After the operation, the patient should feel better, but he applies to the authorized bodies to recognize him as disabled.
2. Disability may not be assigned and the patient is at a loss - how to continue to live.

The way out is as follows: to sue a medical organization, justifying this by the fact that before the operation the person did not have a disability, but after the surgery he needed it, because the condition worsened. Thus, it is possible to challenge the decision of the ITU.

Controversial situations with sick leave, temporary disability and disability arise when a person undergoes surgery on both hip joints at the same time. The period of sick leave after hip arthroplasty on both sides depends on the patient's condition, the dynamics of the recovery process, but does not exceed 2-3 months. Further, it is possible to extend the sick leave or temporarily issue a disability. Much depends on the position that a person occupies: if it is an office sedentary job, then he is theoretically able to perform it. If it is severe physical, associated with lifting weights or constantly being on your feet, then it is better to immediately apply for disability and adapt to prostheses. A year later, the group may not continue.

A controversial situation in which you need the help of a lawyer and the advice of a doctor is associated with the alternate replacement of TBS. If the duration of sick leave after hip arthroplasty on one side is 3-4 months, and the next operation is scheduled in 5-6 months, is it worth going to work or spending time at home taking care of your own health. Practicing lawyers who specialize in social issues are advised to apply for disability after the first operation, calmly wait for the next one and recover after two surgical interventions.

There are cases when the decision of the ITU allows a person to be sent for retraining if the previous place of work is not available for health reasons, and temporarily receive disability benefits. In any case, the terms for extending the sick leave are within the competence of the attending physician, who also sends the person to the commission and writes his opinion on the condition of the operated joints. Therefore, it is necessary to seek help from him.

To apply for the ITU, documents are collected - x-rays, the duration of the sick leave after hip replacement surgery or both, a copy of a diploma, a work book. Of great importance is the presence of concomitant diseases and the length of stay in hospital.

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To learn more…

What is endoprosthetics, and in what situations is it necessary? This is an operation to replace a joint that has been affected by arthrosis with an artificial implant. The disease is called coxarthrosis, and arthroplasty is indicated at the last stage of the disease, when coxarthrosis is already running, and conservative methods of therapy do not bring positive results.

In such a situation, hip replacement surgery is considered the only right solution, since only arthroplasty can restore the lost function of the joint and return the patient to a full life. The operation is prescribed when the doctor diagnoses the patient with the absolute destruction of the hyaline cartilage.

How to treat coxarthrosis

Treatment of coxarthrosis in each case is selected individually. It depends on several factors:

• patient's age;
• stage of the disease;
• the presence of concomitant pathologies;
• the patient's immune status.

In general, for the treatment of coxarthrosis of the hip joint, the doctor always prescribes a whole range of measures, which include the general improvement of the body. To treat coxarthrosis, traditional medicine methods are also used.

Therapeutic measures include both conservative and medical methods:

1. The appointment of muscle relaxants means that reduce muscle tension around the affected area. The drugs improve blood circulation in the joint and relieve pain.
2. The appointment of non-hormonal (non-steroidal) anti-inflammatory drugs that relieve pain. This group of drugs can be taken at any stage of coxarthrosis.
3. The appointment of drugs that restore cartilage tissue. These include arteparone, glucosamine, etc. These drugs are most effective in coxarthrosis.
4. Hardware traction. It is used in order to reduce the load on the surface of the joint. Such treatment is a course and is possible with the help of special equipment.
5. Physiotherapy: phonophoresis, electrophoresis, laser therapy, cryotherapy. All these procedures are aimed at relieving inflammation and improving blood circulation in the affected area.
6. Postisometric relaxation stretching of muscles and ligaments is possible without the use of auxiliary mechanisms. The patient is active. Its task is to strain and relax certain muscle groups. During moments of relaxation, the doctor performs stretching.

Treatment of the 1st and 2nd stages of coxarthrosis

Treatment of coxarthrosis in the initial stages allows you to stop the development of the disease. If measures are taken in time, the patient will never know what coxarthrosis of the 3rd degree is. In the first two stages, conservative and medical methods of treatment are actively used.

1. Pain relievers are prescribed: non-steroidal anti-inflammatory drugs, analgesics.
2. Excluded significant load on the affected joint. The patient is transferred to a sparing mode. He is prescribed a course of special exercises.
3. Reflexology, massage.

All these methods stimulate proper blood circulation in the joint and tissues located nearby. They allow you to restore mobility in the joint, up to a complete recovery.

Treatment of the 3rd stage of coxarthrosis

At this stage, it is possible to use conservative treatment (reducing stress, injections of drugs that improve blood circulation). But such therapy will be palliative, that is, it will eliminate the symptoms, but not the cause of coxarthrosis.

How is the hip joint

To clearly understand the essence of the operation on the hip joint, it is necessary to know its structure. This is a spherical joint that can rotate in three directions: sagittal, vertical and frontal axis.

The hip joint is formed by two bones connected to each other: the ilium and the femur. The femoral head is inserted into the acetabulum of the ilium. This device, in fact, is an excellent hinge with the ability to perform various movements.

The hip joint in a healthy state is covered with a layer of hyaline cartilage. In other words, the cavity of the acetabulum and the head of the femur are lined with cartilage.

Articular cartilage provides smooth sliding of the joints and allows you to dampen the movement of a person. Pathologies of hyaline cartilage and lead to the formation of osteoarthritis.

Classification of hip implants

The modern medical equipment market offers more than fifty types of endoprostheses. Any modification ensures the fulfillment of the physiological functionality of the joint. That is, the one that nature gave to man from birth. But the endoprosthesis has limitations regarding the service life.

With a properly performed operation, the implant will serve its owner for 15-20 years. After this period, the patient will need a second operation.

Endoprosthesis attachment methods

1. Cementless - with this method, the bone grows into the prosthesis, which has a rough surface.
2. Cement - the endoprosthesis is attached using polymer cement - a special bone "glue".

Both of these methods are very popular, but which one is preferable, there is no clear answer yet. Each method has strengths and weaknesses. More recently, a hybrid mount has been used. This option combines all the positive characteristics of both methods.

Endoprosthetics happens:

• Unipolar - only the head of the femur is subjected to prosthetics.
• Bipolar - in addition to the head of the hip joint, the acetabulum is also replaced.

Design of the hip implant

In the manufacture of endoprostheses, materials are carefully controlled. This is necessary, given the peculiarities of the use of prostheses. In the human hip joint, hyaline cartilage ensures perfect gliding. In an artificial counterpart, friction can cause rapid deformation of the prosthesis.

Therefore, implants are made of high-strength metals and polymers that can ensure a long service life.

Hip endoprostheses are made:

• from polymer plastic;
• from a metal alloy;
• from ceramics.

The most popular combination today is "metal + plastic", which has a normal period of operation. Of course, "metal + metal" is the leader in terms of reliability, ensuring the life of the endoprosthesis up to 20 years, and all this time the artificial hip joint works perfectly.

Hip Replacement

The size of the future prosthesis is carefully selected. Before the operation, the doctor communicates with the patient and explains to him the possible complications and risks. The main risks are associated with the likelihood of infection in the body, thrombosis of blood vessels, large blood loss during surgery. The possibility of dislocation of the endoprosthesis is not excluded.

The patient is hospitalized a couple of days before the operation and is fully examined. The hip replacement procedure lasts from one and a half to three hours. Endoprosthetics is performed by a highly qualified doctor, since the operation is classified as complex.

First, the hip joint, which is affected by coxarthrosis, is removed, then an artificial implant is mounted. In this case, one of the above methods is used. In the postoperative rehabilitation period, the patient is prescribed anti-inflammatory analgesic drugs.

A small roller can be placed under the hip area to fix the pelvis in the desired position. A day after surgery in a hospital bed, a little activity is usually acceptable. On the second day, the doctor allows you to make some static movements and squat.

After endoprosthetics, the sutures are removed by the end of the second week.

Rehabilitation program

After 10-15 days after the operation, the patient is discharged home. At home, it is necessary, following all the prescriptions of the doctor, to carry out further rehabilitation. If complications arise after the operation, it is advisable to transfer the patient to a special rehabilitation center. There, he will be provided with the control of rehabilitation doctors and proper care.

The operated person must comply with the restrictions on the load on the artificial hip joint. This period is usually up to two months. .From 5 to 15% of all operations are complications. This percentage is getting smaller every year. This is explained by the fact that more advanced means are used, and the technique is constantly honed.

Important! In 95% of the performed hip replacement surgeries with an artificial implant, a person regains the ability to bend, move, play sports and completely returns to normal life.

The service life of the endoprosthesis is from 10 to 15 years. It should be borne in mind: the greater the load received by the prosthesis, the sooner the wear of the implant occurs. High mobility of the hip joint (applies to athletes who return to their previous lifestyle) and overweight reduce the life of the endoprosthesis.

Endoprosthesis surgery costs the patient from 2 to 10 thousand. Summing up, it should be noted that arthroplasty in such a disease as coxarthrosis is the last way to make life easier for the patient. In other words, when it becomes clear that there is no other way to get rid of the disease.

Therefore, it is impossible to start coxarthrosis, the disease must be treated in the early stages. Then surgery can be avoided.

• Relieves pain and swelling in the joints with arthritis and arthrosis
• Restores joints and tissues, effective for osteochondrosis

Article publication date: 08/03/2016

Date of article update: 05.12.2018

Rehabilitation after hip arthroplasty is an integral stage of postoperative treatment aimed at restoring muscle tone and leg functionality. Rehabilitation consists in limiting (features) of physical activity in the period after surgery and in performing physiotherapy exercises.

Principles of the recovery period after hip arthroplasty:

• early start,
• individual approach in carrying out rehabilitation activities,
• subsequence,
• continuity,
• complexity.

Rehabilitation after arthroplasty has three periods: early, late and remote. For each of them, a specific gymnastics complex has been developed. The total duration of rehabilitation is up to a year.

Restoration of leg performance begins even in the hospital, where the patient underwent surgery. The approximate length of stay there is 2-3 weeks. You can continue rehabilitation at home or in a rehabilitation center, and finish it in a dispensary or a specialized clinic for rehabilitation treatment. If you work out at home, it is important not to interrupt exercise therapy and therapeutic walks so that the recovery takes place in full - only then the musculoskeletal apparatus will securely fix the artificial joint, and all leg functions will be restored.

Lack of rehabilitation after arthroplasty threatens with the occurrence of dislocation of the endoprosthesis head due to ligament weakness, periprosthetic fracture, development of neuritis and other complications.

Rehabilitation after any type of joint surgery, including hip replacement with an endoprosthesis, is carried out by a rehabilitation doctor and (or) a physiotherapy doctor. He will draw up an individual program taking into account the physical condition of the patient, the degree of adaptation to physical activity, his age, the presence of concomitant diseases.

After the installation of the endoprosthesis, it is possible to restore the ability to work. Perseverance, the desire to recover, the strict implementation of the recommendations of doctors are the main criteria for a positive result of rehabilitation after arthroplasty.

Three periods of rehabilitation

Early rehabilitation period after arthroplasty

This period begins immediately after recovery from anesthesia and lasts no longer than 4 weeks.

Six Rules of the Early Period

Sleep on your back for the first few nights after hip replacement surgery;

you can turn on your healthy side with the help of a nurse at the end of the first day after surgery, on your stomach - after 5–8 days;

do not make sharp turns or rotations in the hip joint - this is contraindicated;

do not bend the affected leg so that the angle of flexion is more than 90 degrees;

neither bring together nor cross your legs - put a wedge-shaped pillow between your legs;

Do simple exercises regularly to prevent blood stasis.

Early Goals

• Improve blood circulation in the operated hip area;
• learn how to sit in bed correctly, then get up from it;
• prevent the development of complications (pressure sores, thrombosis, congestive pneumonia, pleurisy);
• accelerate the healing of the postoperative suture;
• reduce swelling.

Basic exercises

In the table - exercises for the calf, gluteal, femoral muscles of both legs:

(if the table is not fully visible, scroll to the right)

Exercise rules:

• make several visits per day, spending 15-20 minutes from each hour during the day;
• keep a slow and smooth pace;
• combine exercises with breathing exercises according to the following scheme: with muscle tension - a deep breath, with relaxation - a long exhalation;
• do breathing exercises to avoid congestion in the lungs.
• at first, do exercises in the early period only while lying on your back (although you need to get up on your feet already for 2-3 days), and then do the same gymnast while sitting on the bed.

A set of exercises for rehabilitation after arthroplasty

I presented the exercises described in the table above in the order of their implementation, they are relevant throughout the entire rehabilitation course. This exercise therapy complex is suitable for the rehabilitation of patients after almost any operation on the joints of the legs.

Additional exercises

In the first 2-10 days after arthroplasty, doctors teach the patient to sit on the bed correctly, roll over, stand up, and walk on crutches.

Having already learned to keep balance and lean on the operated leg, the patient must supplement the complex with other exercises - they must be done every day from a standing position, holding on to the headboard or chair. Here they are:

(if the table is not fully visible, scroll to the right)

The sooner the patient starts to get up and walk after arthroplasty, the less likely it is to develop muscle (limitation of mobility) in the hip area.

Late postoperative rehabilitation

Late rehabilitation after hip arthroplasty begins 3–4 weeks after surgery and lasts up to 3 months. The duration of rehabilitation for each patient varies depending on his age and other factors.

Two goals of the late period:

muscle training to strengthen them, increase tone,

restoration of range of motion in the joints.

After the patient already confidently gets out of bed, sits on a high chair, walks on crutches for 15 or more minutes 3-4 times a day, the motor regime is expanded by training on an exercise bike (no longer than 10 minutes 1-2 times a day). Also, the patient is taught to walk up the stairs.

Climbing a step, start with a healthy leg, substituting the operated one to it. When descending, lower one step lower: first crutches, then a sore leg and then a healthy one.

Remote rehabilitation period

This period begins 3 months after the hip arthroplasty; and last up to six months or more.

• full restoration of the functioning of the artificial joint;
• acceleration of bone regeneration;
• improvement of the functional state of ligaments, muscles, tendons.

Adaptive motor mode involves preparing the patient for more intense physical activity and adaptation in everyday life. Exercise therapy is supplemented with physiotherapy (mud or paraffin baths, balneotherapy, laser therapy and other physiotherapy).

Exercises to do at home

Later, the above gymnastics of the early period after arthroplasty is supplemented with more complex exercises.

Examples of exercises that patients perform at home after discharge. Click on photo to enlarge

(if the table is not fully visible, scroll to the right)

The last two exercises and the rest, where movements must be made with a straightened leg, are necessary after surgery on the hip joint, since they are aimed at developing a hip endoprosthesis. For the recovery period when replacing another large leg joint - they are only additional.

Step platform

Gymnastics on simulators

The adaptive motor mode in the long term is expanded due to physiotherapy exercises on simulators. By this time, the ligaments and muscles have already become sufficiently strong after the operation, so the intensity of the loads can be increased. The table below shows the most common exercises to fully restore range of motion in the hip joint.

(if the table is not fully visible, scroll to the right)

Conclusion

At each stage of rehabilitation, the control of a physiotherapy doctor is important. He will tell you when you can complicate the exercises, increase the load.

Self-execution of exercises for the hip joint after arthroplasty, especially with the use of simulators, can lead to serious consequences. You cannot do gymnastics through pain or, conversely, stop it ahead of time, even if you feel good and the endoprosthesis, as you think, moves well. Only the precise fulfillment of all the tasks set by the doctor will make your new joint work fully.

Owner and responsible for the site and content: Afinogenov Alexey.

Your comments and questions to the doctor:

Victor | 07/06/2019 at 19:43

Hello. I am 67 years old. On March 15 and September 19, 2018, he underwent surgery for arthroplasty of the left and right hip joint (1 year 4 months, 10 months expired, respectively). Couples metal+polyethylene+ceramics. Non-cementing. Rehabilitation is going well, I move around without crutches and canes, I drive a car, I passed the driver's commission without any problems. I don't feel pain or discomfort. Tell me, please, what LIFETIME restrictions exist for such operations? Is it allowed: 1. In a sitting position, placing the foot of the right / left foot on the knee of the opposite leg in order to put on socks without assistance? 2. Full (deep) squat? 3. In a standing position, bend forward, hands on the floor? (washing the floor) 4. Swimming with scrolling fins in the pool, diving? (the difference in the design of the fins and, accordingly, the load on the muscles and hips). 5. In the supine position, do you place the legs behind the leg (left-right)? 6. Avoiding the use of a wedge-shaped pillow between the legs? After what period? 7. After what period of rehabilitation is it allowed (or forever prohibited?!) lifting the knees to an angle of more than 90 °? Eversion of the raised knee to the left-to the right? Thanks in advance for the detailed answer. Sincerely...

michael | 04/25/2019 at 03:25

hello please tell me the operation was done 17 days ago, the hip joint was changed, I am 28 years old. the situation is such that the muscles hurt and in the morning the leg is heavy as a stone, tell me is this normal?

Valentina Viktorovna | 03/04/2019 at 14:05

The PTB operation on 12/06/2017 still hurts the thigh and buttock, the doctor who operated said that the pain was from the back. this is possible osteochondrosis. The thigh along the seam is swollen, when touched, the feeling is as if numb, but the pain is felt. I walk with a cane on the street, and at home without a cane, I do exercises every day lying on the couch, thanks in advance.

Vladimir | 09.11.2018 at 01:20

Hello, during hip replacement, the femur burst during the subsequent operation, it was fixed with 5 ties along the length of the bone, the sutures were discharged, the recommendations were removed not to step on the leg for 3 months, that from the set of exercises recommended by you, I can perform 3 weeks after the operation, thank you in advance for the answer

Olga | 09/17/2018 at 14:13

No fever, no pain, no redness. I will take your advice into consideration, thank you.

Olga | 09/16/2018 at 12:59 pm

Hello! ; September was arthroplasty of the right hip joint. Still very swollen leg, it is difficult to bend at the knee. When I was discharged, they said that everything would pass, but almost two weeks had passed. This was not the case during surgery on the left joint in February of this year. I live in the village, I have not yet reached my clinic. Tell me if there is any danger and what to do, thanks.

Svetlana | 09/06/2018 at 20:25

Hello, my mom (70 years old) is getting ready for a total hip replacement. She has polyarthritis and severe pain in her elbows and shoulders, and I'm afraid she won't be able to use crutches properly. Is it possible to use a walker that has wheels on the front and legs like a chair on the side of the leaning person?

Mina Minsk | 09/05/2018 at 14:51

I had a hip arthroplasty in January.
Since then, the sensitivity of the toes has been impaired. What would you recommend to restore normal sensitivity. Thanks in advance, Mina.

Yana | 08/30/2018 at 11:14

Hello! How soon after arthroplasty can I do a full body massage? I visited a physiotherapist, she prescribed different procedures, prescribed ALIMP, she said about massage that it was early, after 3 months (a month and a half had passed). We all took off our stockings in the ward after a week, and for those who had their heels baked, the sisters cut the stockings at the heels to give freedom to the vessels. I walk for one and a half, sometimes 2 hours in the air with crutches, is that probably a lot? I want to go to the sea, why is there ice on the sea? When will a month pass after endoprosthetics - is it really impossible? Thank you!

svetlana | 08/29/2018 at 16:52

Hello! I am preparing to replace the TB of the right joint, I live on the 5th floor of a house without an elevator, will I be able to go home after the operation? If you write that there is no more than one flight of stairs. Thank you in advance.

Olga | 08/09/2018 at 15:56

IM 42 years old. They performed an operation to replace the right hip joint on 06/05/2018, i.e. two months have passed. I do gymnastics. Added an exercise bike. I walk with a cane, but my gait is uneven. I can't even lie down on the operated side (drawing pain occurs along the entire leg). I have several questions:
1) When can you break the "90 degree" rule and sit low?
2) When can the compression stockings be removed?
3) Will a straight gait recover and what can be done to achieve this?

Valery | 07/29/2018 at 17:13

I am 61 years old. On July 6, 2018, an operation was performed to replace the left hip joint. A BC metal-ceramic joint (manufacturer Zimmer) was installed. Three weeks have passed. Feeling good. There are no acute pain sensations. Used underarm crutches. Last week one subelbow crutch. Is not it too early? And another question: is it possible to go to the sea at the end of September-beginning of October?

Alexander | 07/06/2018 at 12:37

Hello! I confess, I love to lie in the bathroom, after what time can I take a full bath after replacing the TBS, at the moment it has been almost 2 months?

Natalia | 06/24/2018 at 19:35

Good afternoon. Made 40 days ago to replace the right TBS. I go with a stick. Question: Which side should the stick be held on? On the side of the diseased or healthy leg? It's written differently on different sites. I'm holding the stick on the side of my good leg!??? Food question: How long after the operation (approximately) can I go to the pool or swim in the sea? Thank you.

Alexander | 06/17/2018 at 06:09

Hello! A month ago there was an operation to replace the TBS. I am 70 years old, can I use an elliptical trainer instead of an exercise bike for rehabilitation? I feel good, there is no pain in the joint and never was. When can I start exercising on the simulator? Thank you!

Catherine | 06/13/2018 at 06:12

Good afternoon! I am 70 years old, after the operation to replace the hip joint, 4.5 months have passed (01/25/2018), in general, nothing bothers me while I walk at home without a cane (I walked on crutches for about 3 months). But when I go out into the street I use a cane, it is worth walking 200 meters. The operated leg immediately gets tired and is looking for a place to sit down. Tell me what is the reason? I had a consultation with a doctor with pictures in May, they said everything was fine. Thank you for your reply

Olga | 05/14/2018 at 04:25

Hello! I read all the comments, many thanks to everyone, I learned a lot of useful things for myself. Question: they write that you need to exercise on an exercise bike, but I have a cardio simulator - walking, is it possible to walk and how much - I have a replacement of the left hip joint on 2.02.18. Right - severe pain, September 3, 2018. there will be an operation.

Viktor Nikolaevich | 05/08/2018 at 23:39

Hello. I am 66 years old. The operation for total arthroplasty of the right hip joint was performed on March 15, 2018. May 15 2 months after the operation. Pair cementless, polyethylene - ceramics. The seam was tightened, the seams resolved, the condition is normal. With the permission of the attending, I now walk on one elbow crutch. After the release of control pictures and examination, there was no doctor for an internship abroad. There is his absentee permission to lie on the operated side, the sensations are normal. Please tell me when it will be possible during sleep, when getting out of bed, etc. refuse to use a wedge-shaped pillow between the thighs?! And secondly: when is the best time and season (we have very hot weather and the summer is promised to be the same), is it better to have an operation on the second TBS? Thanks for the answer.

Tatyana | 04/30/2018 at 09:24

Good afternoon! In February, there was an operation to replace the vehicle, now you can get another vaccination against tick-borne incephalitis in May. Thanks for the answer.

Maryam | 04/07/2018 at 04:59

Hello! 27.02.2018 I had surgery to change vehicles. While doing gymnastics. When can I go to a rehab center? And when will you be able to drive? Right leg. Left hand drive car. Thanks in advance for your reply!

Sergei | 03/01/2018 at 20:28

Thanks for the answer. In the pictures with exercises Exercises to perform at home Long-term rehabilitation period No. 3, 6, 12 movements that doctors usually forbid to do. In these pictures, movements and loads are like on a healthy joint. Does this mean that over time, all movements will be restored. It scares me that in life you won’t be able to tie your shoelaces and just squat down. I am 44 years old but before the injury I led an active sports lifestyle. Therefore, the question. Traumatologists do not have a unanimous opinion on the current state, either to wait another six months or prosthetics. nicrotic processes are not observed, but there is no accretion. Here you are trying to assess what can expect you after prosthetics.

Svetlana | 03/01/2018 at 08:52

Good afternoon! I have such a question. I had a hip arthroplasty in November 2016. I would like to know what I am strictly forbidden to do for life. I want to go to the gym on which simulators I can do.

Sergei | 28.02.2018 at 21:01

Good afternoon. I have a fracture of the femoral neck with displacement, intra-articular. For six months, the fracture did not heal. There is a high probability of prosthetics. Tell. After completing the rehabilitation course - a year, two, three, will it be possible to bend the leg more than 90 degrees. To what extent is it possible to restore the degree of movement of the leg without fear of joint breakage or dislocation. Knee to chest, squats, etc. Or does it depend on the brand of the prosthesis?

karina | 26.02.2018 at 15:20

Good afternoon. I want to ask, a week has passed since the operation. I have read a lot, but it is not clear how much you can walk, I am hyperactive, it is difficult for me to sit and lie down. Thank you.

Christina | 02/25/2018 at 06:23

Alex admin, thank you very much for your answer. A new one has arisen, how long should I sleep on my back after surgery? It’s just that the husband is already tired, I want to roll over on the unoperated side. It's been 2 weeks since the surgery.