OrthoPaedics

  • HIP REPLACEMENT

    The purpose of total hip surgery is to remove the two damaged and worn parts of the hip joint – the hip socket, acetabulum, and the ball, femoral head – and replace them with smooth, artificial implants called prostheses, which will help make the hip strong, stable and flexible again. The hip implant is comprised of four parts that work together to restore the original function of your ball-and-socket joint: 

    A metal hip stem that is inserted into the top of your thighbone

    A metal cup which holds the cup liner.

    A cup liner which holds the femoral head.

    The femoral head or ball which is attached to the hip stem and inserted into the liner to form the ball-and-socket joint Preparations to be done before the surgery It is also important to get your house ready for after you come home from the hospital. At first it will be harder for you to move around, so arrange your furniture and household items ahead of time to make it easier for you during your rehabilitation.

      Remove all your throw rugs or anything on the floor that may cause you to trip.

      Add pillows or cushions to the chairs you will be using after surgery to make sure that your hip is above the level of your knees when you are seated. This will lessen the risk of dislocation of your new hip.

      Move necessary personal items you need to reach to shelves and tables that are above your waist level. You should not be bending past 90 degrees during rehabilitation.

      Move phone and electrical cords close to the wallsTotal Hip replacement recovery After surgery, you will be taken to the hip surgery recovery room for a period of observation. The staff will monitor your blood pressure, heart rate, respiration and body temperature. Special attention will be given to your circulation and sensation in your feet and legs. When you awaken and your condition is stabilized you will be transferred to your room. Your own diligence regarding physical rehabilitation is one of the most critical factors in achieving an efficient recovery from hip replacement surgery. You must actively participate in the rehabilitation process, working on your own as well as with your physical therapist to achieve optimal results. The physical therapists will begin working with you as early as a day after surgery. They will teach you simple exercises that can be performed in bed to strengthen the muscles in the hip and lower extremity. 

      These exercises may include: 

      • Gluteal sets:Tighten and relax the buttock muscles
      • Quadricep sets: Tighten and relax the thigh muscles
      • Ankle pumps: Flex and extend the ankles
      • Your physical therapist will also teach you the following proper techniques. Although these activities may seem simple, you must learn to do them safely so that the hip does not dislocate or suffer other injury. 
      • Moving up and down in bed
      • Going from lying to sitting and vice versa
      • Going from sitting to standing and vice versa Another important goal for early physical therapy is for you to learn to walk safely with your walker, crutches or other assistive device. Your orthopedic surgeon will determine how much weight you can bear on your new hip and the therapist will teach you the proper techniques for walking on level surfaces and stairs with your assistive device. Improper use of the assistive device increases the chance for injury or an accident. You should have a near-normal range of motion and adequate strength in your hip to perform most daily activities after completing the post-operative hip rehabilitation process. After hip replacement surgery, patients have effectively returned to walking, driving, swimming, golf, doubles tennis, stationary cycling and gardening. However, care should always be taken. You should generally avoid high-impact activities such as running, vigorous walking and downhill skiing. Remember to listen to what your body tells you.

     

  • Dr.Adaline Becka

    KNEE REPLACEMENT

    With total knee replacement surgery, the goal is to improve your quality of life by making you more mobile so that you can lead the more active life that you used to have. More than 90% of individuals who undergo total knee replacement experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. But a total knee replacement procedure will not make you a super-athlete or allow you to do more than you could before you developed knee problems. 

    Activities that you can reasonably expect to be able to do after surgery are: 
    • Recreational walking .
    • Swimming .
    • Golf.
    • Driving .
    • Light hiking .
    • Recreational biking .
    • Ballroom dancing. 
    • Stair climbing .

    Your orthopaedic surgeon will remove the damaged cartilage and bone and then position the new metal and plastic joint surfaces to restore the alignment and function of your knee. 

    Special surgical instruments are used to precisely measure an optimal fit of the implant. The longevity of the implant depends on many factors such as the patient’s weight, the patient’s activity level, and the presence or absence of disease in other joints of the lower extremities. Implants can last ten to fifteen years and even longer. New techniques allow for an implant to be removed and replaced, but our goal is to be able to implant a prosthesis that will last the patient a lifetime without revision. Results are impressive and gratifying to both the patient and the surgeon. Most patients are pain-free and able to bend their knees from 90° to 100°, resuming daily activities without restriction. The remarkable results of total knee replacement are due to patient determination, the surgeon’s skill, and the bioengineers’ well-designed implants and instruments. Continued advances in the field can be expected to result in continuing success in the future. Total Knee Replacement Recovery 


    After your total knee replacement surgery, you will be taken to the recovery room for a period of observation. The staff will monitor your blood pressure, heart rate, respiration and body temperature. Special attention will be given to your circulation and sensation in your feet and legs. Following surgery, you will receive physical therapy. Trained professionals will determine the exercise programs for your physical therapy. A low-heeled walking shoes are recommended when learning to walk with crutches or a walker. Your physical therapist will start you off between parallel bars in preparation for the use of crutches or a walker. These bars allow you to practice walking by supporting part of your body weight with your arms rather than on your surgical leg. As you become more comfortable with walking, your physical therapist may allow you to practice walking on the replaced unit with assistance. Before you go home, your therapist will teach you to climb stairs and to transfer from a bed, chair, and car. Your physical therapist will design an exercise program to increase the motion and strength of your knee. Range of motion exercises will let your knee move easily from the fully straight position to a 90° bent position. Your participation is vital. The goal is for you to become as independent in your personal care and daily activities as possible before you return home.

  • Dr.Kylee Leewan
    HIP RESURFACING

    Hip Resurfacing is a type of hip surgery which replaces the two surfaces of the hip joint. The procedure is very bone conserving as the head of the femur is retained. Instead of removing the head completely, it is shaped to accept an anatomically sized metal sphere. There is no large stem to go down the central part of the femur and the surface of the acetabulum (the socket) is also replaced with a metal implant, which is press fit directly into the bone. 

    The resurfacing components are made of cobalt chrome which is finely machined to produce a very high quality surface with a low friction finish, hence low wear.