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How many days does the sick leave last after arthroplasty. Sick leave after hip and knee arthroplasty

03.11.2019 -
Hair care

pelvic replacement surgery hip joint- 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;
  • not allowed at first heavy loads, 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 arthroplasty 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 one year after a hip replacement with pain up to 22% of patients complain. 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. Appointed medical and social expertise 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.

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

Difficult situations with disability recognition

If a 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.

Solution: sue medical organization, substantiating this by the fact that before the operation the person had no disability, but after surgical intervention he needed it because his 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 this 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 matters social character, it is 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 ITU, documents are collected - x-rays, duration of sick leave after hip replacement surgery or both, copy of diploma, employment record. The presence of concomitant diseases and length of stay in hospital.

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 unsatisfactory clinical picture the issues of granting the status of VUT to the patient will already be dealt with by the expert commission of the ITU.

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 polyclinics and stationary 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. ITU, as one of the common options, can agree that the polyclinic opens a new one from the date of closing the sick leave until the maximum full recovery quality of life of the patient. 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 pathological abnormalities confirmed as insignificant.

Hip replacement surgery is a rather complex process during which an implant is placed in place of the destroyed joint. They resort to it with aseptic necrosis of articular tissues, tumors, hip fracture, and also on late stages coxarthrosis and rheumatoid arthritis, when conservative therapy Does not help.

  • What can not be done after a hip replacement?
  • Preparing for a hip replacement
    • 1-4 days after surgery
    • 5-8 day of rehabilitation
    • 2-3 weeks after the installation of the prosthesis
    • 4-5 week recovery
  • How to walk correctly after joint prosthetics?
  • Recovery period at home
  • Proper nutrition during home rehabilitation
  • The last stage of recovery after joint arthroplasty

A patient with such problems feels constant pain, besides, he has a complete or partial restriction in the mobility of the joint.

What can not be done after a hip replacement?

Any operation is a strong stress for the whole organism. When a person has destruction of the articular tissue, most often they resort to its removal. There is no other way to get rid of this problem yet. Physicians at severe defeat of the femoral joint, as a rule, total arthroplasty is prescribed. During the operation, the destroyed parts of the joint are removed, and artificial prostheses are installed instead. In the human body, such structures take root well.

But in order for joint implants to stay in place, they must be held firmly by the muscles. To ensure the strength of this connection, the patient will have to strengthen muscle function. It will be possible to do this only when passing the recovery period after surgery to replace the femoral joint. Moreover, rehabilitation is recommended to take place under the supervision of a doctor, because a patient who has undergone arthroplasty is not allowed to perform all movements. Otherwise, sad consequences may occur.

So, a person with an artificial hip joint should not bend and unbend his legs sharply, cross them with each other and rotate his limbs. Especially it is necessary to refuse such movements in the first months after surgical intervention.

While doing physiotherapy exercises and proper rehabilitation to achieve after the operation a good result will be obtained in three months. But in most cases, full recovery takes at least a year. During this period, motor abilities are fully restored.

After rehabilitation, the patient returns to a normal lifestyle. Many people continue to go in for sports, but at the first stages after hip arthroplasty, it is sharply better not to move the operated limb. Muscle training should take place at a calm and slow pace.

Preparing for a hip replacement

A person with similar problems begins to prepare for the upcoming recovery a few days before arthroplasty. The main task of preoperative preparation is to teach him how to behave correctly during rehabilitation. The patient is taught to walk with the help of special walkers or crutches, as well as to do some exercises in order to quickly restore the function of the prosthetic lower limb. Moreover, he gets used to the idea that this is the beginning of a long rehabilitation period.

Before a hip replacement, a person is examined by various specialists to determine his condition and choose the most effective plan for surgery and recovery.

Recovery after such a procedure is conditionally divided into early and late rehabilitation periods, which have different goals and degrees of load on the sore leg.

1-4 days after surgery

On the day of joint prosthetics, the patient is shown bed rest, sleep and rest. He can only move in a wheelchair. The next day after implant placement, rehabilitation period. The first movements are the use of walkers and crutches. The order and duration of their implementation are determined by a specialist.

The patient after surgery should be very careful, since in the early days there is a huge likelihood of injury. It takes a little time to get used to the endoprosthesis, because after the replacement of the femoral joint, the patient's body does not have enough muscle mass. To prevent the occurrence of complications, doctors do not recommend after surgery:

  • Cross the lower limbs;
  • Lie on the side where the prosthesis was made;
  • Squat;
  • Take a bath;
  • Keep a small roller under your knees;
  • Put on shoes without using a spoon.

To speed up the process of wound healing, as well as to eliminate foci of inflammation and pain in the first days after arthroplasty, the patient is prescribed ultrasound and magnetotherapy. These procedures provide positive impact on the body, besides, they can be performed without removing the protective bandage.

In addition, people who have undergone such an operation are advised to perform breathing exercises and vibration massage in the first four days. Thus, it is possible to return to normal activity respiratory system. The course of exercises at this recovery stage consists in tensing the muscles of the limb, from which the joint implant is installed. They must be performed daily in 3 sets, lasting no more than 15 minutes.

5-8 day of rehabilitation

A week after the joint replacement, you should learn to go up and down the stairs in the house, while leaning on the railing. True, you can do no more than one step.

The patient should start descending the stairs from the operated leg, and, on the contrary, from the healthy limb. By the way, by day 5, weakness and pain pass, because of which a person wants to feel the leg after arthroplasty. During this period, you should not break the rules and overload it greatly, otherwise you can get injured in the hip joint.

2-3 weeks after the installation of the prosthesis

During this rehabilitation period, doctors advise switching to more complex exercises to develop small joints of the limbs. Moreover, the patient should think about the passage of sparing massage treatments and breathing exercises.

4-5 week recovery

A month after the operation, the muscles become stronger, so they can withstand intense loads. The patient during this period of rehabilitation can move from a crutch to a cane. However, first he will have to restore the function of all the thigh muscles, and not just those that surround him. artificial joint. If in the first weeks the patient was recommended to perform movements slowly and smoothly, now he can learn to respond to sudden movements.

Recovery after hip arthroplasty involves performing exercises with the use of an elastic band during this period. To do this, it is necessary to pull the diseased limb back and forth. In addition, a month after endoprosthetics, a person is allowed to exercise on simulators. An excellent option would be an exercise bike with long or short pedals, the main thing is to follow the right angle rules during training. It is better to pedal backwards first, and only then forward.

In addition, training on a treadmill is allowed. To strengthen the ability to balance on it, you must first go in the direction of travel, and not towards. Moreover, the foot in the process of training should move from toe to heel, and lower limb fully straighten out when it rests on the running belt. Also a mandatory requirement during recovery period- regular walking.

How to walk correctly after joint prosthetics?

The patient after such an operation should take small, smooth and slow steps. In addition, it is necessary to walk during rehabilitation only on flat surfaces. In winter, slippery roads must be avoided.

There should not be any wires or things under your feet when moving around the apartment. It is worth removing even rugs on which you can inadvertently slip. For the first walk after the installation of an artificial hip joint, you should not go unaccompanied.

Recovery period at home

The rehabilitation phase after joint arthroplasty is a rather long and complicated process that requires responsibility and care from the patient. During recovery, you need to pay attention to the following points:

Drug therapy during the home recovery period usually involves taking anticoagulants and antibiotics. These drugs prevent joint infections and blood clots.

Proper nutrition during home rehabilitation

Nutrition is the main component of recovery at home after hip replacement. When the patient returns home, he can eat as before. True, quite often doctors advise such people:

The last stage of recovery after joint arthroplasty

To consolidate the result, you will have to go through the final course of recovery, for which you will need special equipment. It is for this reason that it will not work to pass it at home. AT medical institution specialists will examine the patient, after which they will select the most suitable set of procedures for him.

Most often, patients who have undergone this operation are prescribed:

Patients, three months after hip replacement, doctors allow to increase the load, if there are no contraindications. Therapeutic gymnastics should be performed at home for at least 6 months after the installation of the endoprosthesis.

About a year later, doctors recommend that people with similar problems undergo rehabilitation treatment, preferably in a sanatorium. In addition, every day they must perform physical therapy exercises and regularly attend pool classes. Correction of further treatment is carried out by a specialist during examinations 1-2 times a year.

If the rules of the rehabilitation process are violated after hip arthroplasty, the patient is at great risk. It must be remembered severe complications can lead at any stage of recovery to reoperation. In addition, the patient must understand that various injuries, hypothermia, extra pounds and infection adversely affect the condition of the artificial joint.

Who needs a hip replacement - rehabilitation after surgery

The formation of the hip joint (JJ), which belongs to simple synovial joints, occurs with the participation of two articulating bones - the ilium and femur.

Cup-shaped recess on the outside pelvic bone(acetabulum) and the spherical bone of the femoral head together form the hip joint, which is a kind of hinged structure.

The femoral head is associated with femur the neck, which in common people is called the "neck of the thigh." The inside of the acetabulum and the femoral head itself are covered with a layer of special articular cartilage (hyaline).

Cartilage is an elastic and, at the same time, a strong and smooth layer in the joint. Provides sliding during the operation of the joint, releasing the joint fluid, distributes the load during movement and the necessary cushioning.

Around the head of the joint is a capsule consisting of a very dense and durable fibrous tissue.

The joint is fixed with the help of:

  1. Ligaments. External are attached at one end to the femur, the other - to the pelvic. And the internal ligament of the head of the pelvic bone connects the head itself with the acetabular recess of the pelvic bone.
  2. Muscles. They surround the hip joint - the buttocks in the back and the femurs in front. The better developed the muscular frame of the joint, the less traumatic loads on it when running, unsuccessful jumps and moving weights. It is also important that a good volume of strong working muscles delivers a sufficient amount of nutrients to the joint with blood.

With the help of the hip joint, a person is simultaneously provided with the following functionalities:

  • body stability (support, balance);
  • variety of movements.

Why is the joint affected?

The obvious causes of injury include injury. Examples are hip fracture, hip dislocation or subluxation.

To non-obvious - diseases (infectious and non-arthritis, osteoarthritis, inflammatory processes in the joint and periarticular tissues).

Consider the main ones:

  • inflammation of the pelvic joint - usually caused by arthritis of various etiologies, bursitis, synovitis, etc .;
  • pathology of joint deviation - dysplasia;
  • necrosis in the head of the TS of some parts of the bone marrow - non-infectious necrosis (avascular).

When and who needs a hip replacement

The occurrence of pain in the hip joint is a signal that you should contact a professional to determine its causes. For this on initial stage should go x-ray examination TS.

The solution to the problem of a worn or irretrievably injured joint can be arthroplasty, which can be indicated in such cases:

  • non-union fracture of the head of the vehicle;
  • fractures of the femoral neck or acetabulum in elderly patients;
  • aseptic necrosis;
  • tumor-like diseases of the TS;
  • deforming arthrosis of the third stage;
  • congenital dislocation of the hip, etc.

What types of operations does medicine offer

In the conditions of modern medicine, patients are offered three types of operations by type of prosthetics:

  1. Replacement of the surfaces of the TS - removal of cartilaginous layers from the acetabulum with replacement with a special artificial material and turning of the femoral head with a metal cap put on it. Gliding, thanks to this replacement of articular surfaces, is achieved close to natural.
  2. Partial prosthetics - replacement, for example, of the head of the pelvic joint with part of the neck of the femur, the articular bed.
  3. Complete prosthetics - removal of the entire hip joint and its replacement with an EP (endoprosthesis).

Types of endoprostheses

AT modern medicine Today there are more than six dozen modifications of endoprostheses. They are divided according to the method of fixation and material. Three methods of fixation are offered today:

  • cementless - fixation occurs due to the fact that the joint bone grows into the surface of the EP;
  • cement - the endoprosthesis is fixed using a special bone cement;
  • mixed (hybrid) - the cup is attached without bone cement, and the leg - with cement.

Modern combinations of materials from which prostheses are made are selected depending on the patient's disease, age and lifestyle. They may be:

  • metal - metal;
  • metal - very high quality plastic;
  • ceramics - ceramics;
  • ceramics - plastic.

Preparing for the operation

All the necessary information on preparation for the operation will be presented to you by the attending physician.

However, there are moments for which the patient will have to prepare in advance (especially for those who are alone).

Since rehabilitation after the replacement of the joint continues at home, it is worth preparing your home for the postoperative recovery period:

  • purchase special equipment in the form of walkers or crutches, a special toilet seat, etc.;
  • stop taking certain drugs (aspirin-containing, anti-inflammatory);
  • if necessary, reduce your weight;
  • engage in physical training;
  • visit the dentist;
  • give up bad habits(smoking).

Before the operation, the patient must Required documents(carrying out a transaction for cash, under a contract within the framework of medical insurance or according to quotas federal program provision of free high-tech medical care); Talk to your anesthesiologist about the type of anesthesia that is best for you. stop eating at least 12 hours before surgery.

Joint replacement surgery

Modern advances in medicine make it possible to perform both open surgeries for hip arthroplasty, as well as minimally invasive and minimally invasive ones.

Today, minimally invasive operations (MO) are the most common because of their minimal impact on the body.

To conduct MO, you need:

  • high qualification and professionalism of the surgeon and all medical staff;
  • availability of technical capabilities endoscopic equipment, high-tech materials).

Depending on the complexity of the operation (partial or complete prosthetics) its time can last from one to three to four hours:

  • anesthesia;
  • placement of a catheter in urethra(to prevent involuntary urination and control the amount of fluid secreted by the body);
  • an incision from the outer part of the thigh (or two small ones - on the thigh and in the inguinal region);
  • exfoliation and shift of tissues around the vehicle;
  • installation of a prosthesis;
  • restoration of tissue integrity and wound closure.

The video clearly shows how the hip arthroplasty is performed.

Possible Complications

Any surgical intervention in the body may have their own Negative consequences. Complications after the procedure most often occur in operated patients:

  • with a large deformity of the joint;
  • with obesity or large muscle mass;
  • having a number of serious concomitant diseases - diabetes, diseases of the blood, heart and entire cardiovascular system, etc.

Joint replacement can cause the following complications:

  • incorrect position of the endoprosthesis;
  • damage nerve fibers, arteries;
  • process violations postoperative healing wounds;
  • the occurrence of infections;
  • fracture of the femoral bone, dislocation or "popping" of the prosthesis;
  • thrombosis in deep veins.

Rehabilitation after surgery

Rehabilitation after arthroplasty can be long and take up to 6 months.

The patient should monitor the seam, body temperature and his feelings. Pain during this period can pass and return, the patient must be prepared for this and make efforts for a full recovery. motor functions organism.

The first few days the patient is prescribed painkillers, anti-inflammatory drugs.

Further rehabilitation after hip replacement consists in the appointment of a special light gymnastics and breathing exercises.

To prevent cicatricial contractions of the tendons and skin, to strengthen the muscular frame around the prosthesis, the patient is prescribed physiotherapy exercises (exercise therapy).

As the reviews of patients who underwent arthroplasty indicate, it is worth adhering to the recommendations of specialists as much as possible and then rehabilitation will be quick and almost painless.

How is rehabilitation after surgery on the hip joint described in detail in the video.

Where can I have an operation in Russia

The operation for prosthetics of the TS is a high-tech process.

In 2015, the inclusion of high-tech medical care(VMP) to the system of compulsory medical insurance is provided for by the new legislative draft “On Compulsory health insurance in RF".

Therefore, here we will not specify who will pay for the operation - the patient or insurance companies.

The cost of a hip replacement is made up of the prosthesis and the operation itself. To date, the cost of the operation (total hip arthroplasty) ranges from 210 to 300 thousand rubles (depending on the cost of the prosthesis).

Hip replacement in Russia is done as in federal budget institutions healthcare (FC of traumatology, orthopedics and endoprosthetics, regional clinical hospitals, research institutes), and in private clinics of the Russian Federation.

For example:

  • OAO "Medicine";
  • Clinic Family;
  • City Clinical Hospital No. 67 (Moscow);
  • KB MGMU them. Sechenov;
  • SM Clinic;
  • Central Design Bureau of the Russian Academy of Sciences;
  • Multidisciplinary medical Center"K + 31";
  • DKB im. Semashko;
  • Central Design Bureau No. 2 of Russian Railways, etc.

How is rehabilitation carried out after hip arthroplasty (replacement)

Hip arthroplasty is an operation during which the diseased joint of the patient is replaced with an artificial analogue (prosthesis).

Quick jump to article sections:

How much does this operation cost in Moscow?
How effective is the operation?
Possible complications of arthroplasty
Standard scenario of rehabilitation after this operation
Rehab continues at home
Return to normal life: how and what to do right

The main indications for this operation are:

  • arthrosis of the hip joint (coxarthrosis)
  • rheumatoid arthritis
  • bone tumor
  • hip fracture
  • aseptic necrosis of the hip joint

All these diseases are accompanied by severe pain and limitation of joint movement, which greatly reduces the quality of life of patients.

How much does such an operation cost in Moscow?

The cost of the operation varies greatly from clinic to clinic and depends on whether the prosthesis itself is included in the price, as well as anesthesia, examination and stay in the hospital after the operation. Thus, the operation itself can cost from 30,000 rubles, and the prices for the all-inclusive program reach up to 350,000 rubles.

How effective is the operation?

As many patients note, the symptoms that bothered them disappear after the operation: the pain recedes, mobility returns to the joint, and a person can do household chores, sports, work, etc. without restrictions. (reviews can be read here and also here: http://otzovik.com/reviews/endoprotezirovanie_tazobedrennogo_sustava/).

However, there are also cases where the symptoms do not go away completely (http://forum.health.mail.ru/topic.html?fid=50&tid=2384&render=1). The reason for this may be the complications of the operation, the age or individual characteristics of the patient, the experience of the doctor, the quality of the prosthesis, and much more. During rehabilitation after arthroplasty, pain, swelling of the joint, or numbness of the toes may be felt. Over time, these symptoms disappear. Some patients experience significant pain relief immediately after surgery.

When does the rehabilitation process begin?

After the hip arthroplasty, when the patient recovers from anesthesia, the rehabilitation process begins. The discharge of the patient usually occurs 3-5 days after surgery, but rehabilitation does not end there. How long this process will last depends on several factors, the first of which is the presence of complications.

Possible complications of arthroplasty

The risk of serious complications of this operation is extremely low, but in some cases they take place:

  • Hip infection develops in about 2% of patients.
  • the most common complication is the formation blood clots in the veins of the legs and pelvic region.

In cases where complications develop after the operation, the rehabilitation process may be delayed.

Standard rehabilitation scenario

Rehabilitation: day one

The key points of the first day after surgery for the patient will be:

  • Briefing on precautions and permissible load on the operated joint;
  • Teaching 2-3 exercises to develop the joint, which can be performed while lying in bed;
  • Ability to sit on the edge of the bed;
  • The ability to stand, leaning on walkers;
  • The ability to sit on a chair (with the help of medical staff);
  • The ability to start moving around (with the help of medical staff).

Second day

The second day of rehabilitation will result in the following new events for the patient:

  • teaching 1-2 new exercises to develop the joint and muscles;
  • the ability to sit down and get up (under the supervision of medical staff);
  • a person can try to climb the stairs on crutches (under the supervision of medical staff);
  • the ability to take a shower or bath.

Day Three

On the third day after surgery, the patient can usually:

  • independently perform the necessary exercises;
  • sit on the edge of the bed without support;
  • stand independently without leaning on walkers or crutches;
  • walk alone or with the help of crutches;
  • climb and descend the stairs independently or under the supervision of medical staff.

Why is physiotherapy so important in the rehabilitation process after arthroplasty?

Physiotherapy is an important and integral part of the rehabilitation process after arthroplasty. Its purpose is to prevent the convergence of the joints, to teach the patient the "rules of use" of the new joint and to strengthen the muscles around the prosthesis through special exercises.

Joint convergence can lead to limited movement of the operated joint. The cause of convergence of the joints is scarring of the tissues around the prosthesis.

During visits to the physiotherapist, the patient learns which body positions can harm the joint and which do not, when and what load the prosthesis can safely withstand, how to prevent joint displacement, etc. The physiotherapist will also prescribe an exercise program for the patient to perform at home after discharge from the hospital . Some patients continue to see a physiotherapist after being discharged home.

Rehab continues at home

After arthroplasty, the rehabilitation process from the hospital "moves" home with the patient.

Key points to keep in mind while at home:

  • the skin in the area of ​​the joint should always be clean and dry. Change dressings should be strictly in accordance with the instructions of the doctor.
  • if after the operation there are sutures that need to be removed, the surgeon will give the patient special instructions how to care for your incision site and how to use the bath or shower.
  • some patients will need to go back to the hospital for x-rays so doctors can see how the healing process is progressing.
  • if redness is observed in the suture area, or any discharge appears from the wound, the patient should immediately consult a doctor.
  • at a body temperature above 38 degrees C, you should also consult a doctor.
  • within 3-6 months after surgery, there may be swelling in the area of ​​the prosthesis (this is normal). The patient may be advised, if necessary, to apply ice to the joint several times a day for 15-20 minutes.
  • in case of symptoms such as chest pain or shortness of breath, the patient should immediately consult a doctor: these may be signs of a blood clot.

Taking medication

The following medications can be prescribed to the patient after discharge home:

  • anticoagulants – to prevent blood clots, which can lead to life-threatening consequences
  • antibiotics - to prevent the risk of infection in the joint.

Nutrition

Nutrition is another important component of home rehabilitation after joint replacement. Upon returning home, the patient can eat as usual. However, your doctor may recommend the following:

  • start taking certain vitamins
  • supplement your diet with iron-rich foods
  • drink enough liquid
  • avoid high vitamin K intake

“The following foods are rich in vitamin K: broccoli, liver, spinach, onions, cabbage and cauliflower, green beans, soybeans."

  • limit coffee and alcohol consumption
  • monitor weight (do not allow it to increase sharply)

Return to normal life

How to…
  • … to use the stairs on crutches?

Rising up:

1. Step with the non-operated leg first

2. Then place the operated leg on the same step

3. Then put on crutches

Going down:

1. Lower the crutches to the underlying step

2. Lower your operated leg down onto a step

3. Then lower your good leg

  • …sit?

For 3 months after hip replacement surgery, the patient should adhere to the following rules:

1. Sit only in armchairs or chairs with armrests

2. Do not sit on chairs that are too low

3. Don't cross your knees

4. Don't sit longer than an hour in one position

5. Follow the physiotherapist's instructions on how to sit and get out of the chair correctly

When can…
  • …free to use the stairs?

As a rule, within a week after the operation, the patient moves up the stairs with the help of crutches. Over the next 4-6 weeks, the patient fully masters the stairs and can use them freely without any help.

  • …drive?

When a patient is able to drive a car depends on many factors, including the type of gearbox the car has and the side on which the operation was performed.

The patient can return to driving a car with an automatic transmission within 4-8 weeks after surgery. And if the patient has a car with a manual transmission, and the operation was performed on the right hip joint, then you can drive only after the permission of the doctor. Deadlines are individual in each case.

  • … to resume sexual relations?

The patient should discuss this issue directly with the doctor. In some cases, sexual rest is recommended for up to 4-6 weeks, in other cases there are no restrictions, provided that the patient chooses positions that are safe for the operated joint.

  • …return to work?

Some patients may return to workplace already 4 weeks after the operation, others require up to 10 weeks for rehabilitation after hip replacement. In this case, it all depends on the nature of the work and the progress that the patient will be able to achieve in the recovery process.

Following the advice of doctors, the patient will be able to accelerate his recovery and soon enjoy a full life, full of movement and free from pain.

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In order for rehabilitation after hip arthroplasty (HJ) to pass without complications, and for the artificial joint to take root and function normally, it is important to strictly follow the doctor's recommendations. In the early recovery period, drug therapy and light physical training. As the recovery expands, the set of exercises becomes more diverse, the load gradually increases.

To in postoperative period the patient was not distracted by extraneous matters, a sick leave certificate is issued.

Stages of rehabilitation: requirements and restrictions

Recovery after hip arthroplasty takes a long time, and at each subsequent stage, a person's life changes. To normalize the condition and fully recover, at least six months must pass. Immediately after prosthetics, the patient stays in the hospital for 2-3 weeks, because during this period there are restrictions that cannot be violated. Further, when the seam heals and the danger of complications passes, the adaptation period continues at home. All this time, the development of an artificial joint and the training of the muscle corset are taking place. If you lead healthy lifestyle life, doing light sports and follow the recommendations of the doctor, the person will live a full life such as before implantation.

Early postoperative

General principles


You can use crutches to get around.

The period begins immediately after the removal of the affected joint and replacement with a hip joint endoprosthesis. Lasts up to 15 days. Once the anesthesia has passed, the patient is allowed to sit down, but not to concentrate the weight on the operated area. Starting from the second day, you can lower the sore leg from the bed to prevent thrombosis, apply around the limb elastic bandages. Basic rules for recovery after hip replacement surgery in the early period:

  • Sleeping in the first week is allowed only on the back.
  • Motor mode while should be limited. Sudden movements and long walking are prohibited.
  • You can sit for a short time, while it is not recommended to bend your legs more than 90 °.
  • It is contraindicated to bring together and cross the limbs. To prevent this from happening, it is recommended to put a roller between the legs.
  • In order not to form, and there were no stagnant processes in the veins, exercise therapy is prescribed after replacing the TBS.
  • When moving, you need to use a support. It can be a walker, it is also allowed to walk on crutches.

Therapeutic exercises

Physiotherapy at an early stage is aimed at improving the blood supply to the operated area, developing muscles and preventing the development of complications. The course of classes during this period, the patient should be under the supervision of a physiotherapist. He will teach you how to do exercises correctly, and which poses are contraindicated.


Patients lying down can rotate their feet.
  • Lying on your back, bend and unbend the toes of both legs, trying to feel the muscles.
  • Rotate your feet in different directions, then move back and forth.
  • Lying in bed, try to attach the back of the thigh to the bed as much as possible.
  • In turn, strain the first healthy, after the operated limb.
  • Pull the limbs bent at the knees towards you, helping with your hands.
  • Small pillows or rollers are placed under both legs, after which the straight limb alternately rises and lingers for 10-15 seconds.

Recovery exercises should not bring pain and discomfort. If a new occupation caused an acute pain symptom and deterioration of well-being, it is worth informing the doctor about this and reducing the load from diseased limbs.

Expansion of motor activity


As the patient recovers, you can sit on a chair.

If the initial rehabilitation period passes without complications, the stitches are removed, and the patient feels better, the charge expands. The patient is allowed to bend over a little, sit on a chair for a while, walk with a walker or crutches. If the patient has already learned to keep balance, it is recommended to expand the training complex with such exercises:

  • Leaning on the back of a chair or bed, lift and hold on weight first a healthy, then a diseased limb.
  • Holding on to the support, lift the legs in turn, bent at the knee, to the sides.
  • In a standing position, first raise the limbs forward, then take them back.
  • During the performance of all classes, the legs must be bandaged or an orthopedic orthosis should be used.

Second stage: what exercises are added?

If the removal of the affected joint was successful, and during the first period in the hospital the patient had no complications, they are then restored at home, but under the supervision of a doctor. This stage lasts 3 months. As before, elastic bandages are applied to the operated limb, if necessary, the patient still takes medications prescribed by the doctor. The person is still on sick leave, the extension of which depends on the individual characteristics of the organism.


Two months after the operation, sleeping on your side is allowed.

It is allowed to sleep on your side if two months have passed since the prosthesis, and during this period after the replacement, the x-ray shows positive results, you can move with a cane. The postures taken when performing exercises should not cause discomfort. Exercises after hip arthroplasty at the second stage:

  • In the prone position, perform rotational movements with bent limbs, simulating cycling. To increase the load, a pillow is placed under the lower back.
  • In the same starting position, in turn, raise even limbs 45 ° from the floor, lingering for 15-20 seconds.
  • Roll over on your stomach, bend-unbend both legs at the joint at once.
  • Become straight, put a support near you, for example, chairs. Holding on to the back, slowly squat, trying to feel the thigh muscles.
  • Sit on a chair, put your legs through a loop made of elastic fabric. Extend both limbs to the sides, straining all muscles.

The third stage of rehabilitation after hip arthroplasty

Lasts an average of 6 months. The motor activity of a person is expanding, new, intense exercises are being added, and it is also allowed to move up the stairs. During this period, the gait should even out, the person can already bend over without using the support. In addition to charging, you can connect a course of massage treatments. But do not forget that if the condition has not fully recovered, and in the early rehabilitation period the sutures did not heal for a long time, and there were other complications, massage after hip arthroplasty is contraindicated.


In the third recovery stage, you can raise and lower straight legs while lying down.

The training complex includes the following exercises:

  • Lie on the operated side, straighten the leg, take the healthy one a little to the side. Raise the affected limb, trying to hold it in a hanging position for 5-7 seconds.
  • Lying on the mat, raise both straight limbs at a right angle, then slowly lower them to the floor.
  • Stand up straight, place an elevation imitating a step in front of you. Rise and descend from it, first with a healthy, then operated limb.
  • Put a collar made of elastic fabric on the door handle. Pass the affected leg into the loop and stretch the clamp towards you with maximum effort.

Article publication date: 08/03/2016

Date of article update: 05.12.2018

Rehabilitation after hip arthroplasty is an integral stage 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. Total duration 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 make individual program with considering physical condition 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. Persistence, desire to recover, strict implementation of the recommendations of doctors are the main criteria positive result rehabilitation after hip replacement surgery.

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 it regularly simple exercises 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)

Name of the exercise Description

Finger toe wiggling

Bend-unbend the fingers of both the healthy leg and the operated one.

foot pump

Do immediately after coming out of anesthesia: bend the foot at the ankle back and forth. For an hour, do up to 6 approaches for several minutes - until a state of slight fatigue in the muscles.

Stop rotation

Rotate the foot first 5 times clockwise, then 5 times counterclockwise.

Isometric gymnastics with tension of the quadriceps muscle

Start with a healthy limb. Try to press the popliteal fossa to the bed as much as possible, hold the muscle tension for 5-10 seconds. From 3-5 days, perform the same action with a sore leg, keeping the muscles in good shape for 2-5 seconds. Do 10 times each.

Isometric contractions of the gluteal muscles

Alternately strain either the right or the left gluteal muscle, holding the tension until you are slightly tired.

knee flexion

Slide your foot along the surface of the bed and pull your leg towards you, bending it at the knee. Lower. Do it slowly 10 times.

Straight leg out to the side

Take one leg away from the other first, then bring it back and do the same with the other leg. Multiplicity - up to 10 times with each leg.

Leg extension at the knee

Place a small cushion or pillow under your knee. Straighten your leg, holding it in this position for 5-7 seconds. Do the same with the other leg.

Straight leg raise

Alternately raise your straight leg 10 times a few centimeters.

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)

Starting position Performing an exercise

Stand facing the back of the bed, grasp it with your hands

Start alternately lifting your right and left legs, bending it at the knee. It is like walking in place with support in front of you.

Leaning on one leg, take the other to the side slightly lifting it. Then change legs.

Everything is the same, only slowly take the leg back, unbending the hip joint.

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 early period after endoprosthetics, they are 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)

Starting position Order of execution

Lie on your back.

Alternately bend and pull your legs to your stomach, simulating cycling.

Lying on your back.

Alternately pull your legs to your stomach, bending at the knee joints and helping yourself with your hands.

Lying on the unoperated side with a flat cushion between the legs.

Raise your straight leg and hold as long as possible in this position.

Lying on my stomach.

Bend-unbend your knees.

On the stomach.

Raise your straight leg, pulling it back, then lower it. Repeat the same steps for another.

Standing with a straight back.

Do half-squats, holding on to some kind of support.

Stand up straight. In front of you, put a flat, stable bar - a step - 10 cm high.

Get on the step platform. Slowly get down from it, taking a step forward with your healthy leg, then lower the operated one. Return in the same sequence. And so 10 times.

Stand in front of the step, take a step on it with your healthy leg, shifting your body weight to the leg with the endoprosthesis, which you then lift onto the step.

Stand up and lean on the back of a chair. Put a loop of an elastic tourniquet on the ankle of the operated leg - and fix the other end of the tourniquet (for example, tie it to the leg of a sofa).

Stretch forward with a straight sore leg (with a tourniquet).

Then turn around so that you extend your straight leg back (also with a tourniquet).

stand up healthy side to the object to which the tourniquet or elastic band is attached, and hold it with one hand.

Take the straight operated limb to the side, slowly return it back. And so 10 times in one approach.

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 hip endoprosthesis. For the recovery period when replacing another large joint legs - 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)

Name of the exercise Execution sequence

A bike

First, on the exercise bike, pedal backwards. If it works without effort, move on to scrolling forward (for 15 minutes. 2 times a day). Gradually increase the time to 25-30 minutes. Practice 3-4 times a week. Remember the right angle rule: do not lift your knees above the hip joints.

Extension of the hip joint

Put the operated leg on a special simulator roller (you need a roller that can be pressed - that is, not rigidly fixed) so that it is located under the thigh closer to the knee, hold on to the handle with your hands. Emphasis on a healthy leg. Press the roller, as if pumping a pump - you make flexion-extension movements of the endoprosthesis with effort, since a load is attached to the roller on the other side of the simulator (gradually increase its weight).

Exercise on an exercise bike with low pedaling

Simulate cycling. Adjust the pedals so that each leg is fully extended when the pedals are lowered.

Walking backwards on the treadmill

Stand with your back to the control panel, grasp the handrails. Start walking back at a slow pace (set the speed to 1-2 km/h). When the foot is completely touching the track, the leg should be straightened.

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 without any problems driving commission. 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? Been to a physiotherapist, she recognizes different procedures, appointed ALIMP, she said about the 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 my operated side nagging pain along the entire leg occurs). 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 rehabilitation 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 a question. I had a hip arthroplasty done in November 2016. I would like to know what I am strictly forbidden to do for life. I want to go to gym What exercise equipment can you use.

    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.



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