Dear Dr. Thank you very much for your explanation. As a hemophilia person, I am looking forward to your kind advice for my hip replacement surgery.
@pamelabrooks19446 күн бұрын
Thank you. I had this surgery done a little over a year ago. Nice to be free of pain!
@stevebot9 күн бұрын
Surgeons here practically roll you off the table into a wheelchair to bring you to the car waiting to take you away. Pretty much go forth and heal thyself.
@robertbutler800416 күн бұрын
I had two hips replaced one in 2023 the second in 2024 in both cases I was in the Hospital for two nights.
@pamelabrooks194425 күн бұрын
Told me a lot more than my surgeon did. Thanks so much.😀
@yahyabahri2126 күн бұрын
What about acetublum fracture surgery
@sealisland1Ай бұрын
I believe he is referring to Dr. Richard Berger that created the protocol to teach yourself to kneel.
@verslalchimie5824Ай бұрын
What about moderate distance cycling (e.g. 25 miles/day). I imagine that since it is not a jarring impact that is good, but you still have 1hr plus/day repetitive motion. Does that wear out the hip replacement faster?
@Politician62Ай бұрын
Where are you located?
@robertbutler800416 күн бұрын
Adelaide South Australia.
@jerrytuck8595Ай бұрын
No you cant
@debbiec62162 ай бұрын
I need a doctor like the one in this video . He's straight forward and explains everything in detail . He deserves 500Million Subs and 500 Million Viewers !!!!
@chrisward36052 ай бұрын
I broke my hip had new one 18 months ago gone wrong constant pain in my groin and cant walk far im 66
@angelinam68552 ай бұрын
this came timely - my bilateral hip surgery is in 2 days. I didn't have to do a urine test - is that normal?
@donnairn34192 ай бұрын
Different doctors are likely to do different things. Chen-Wein did my knee November 2023 the rehab was easy compared to the knee I had done 15 years ago.
@Judy-fi7ce2 ай бұрын
Hi Dr Liew, I had total hip replacement in both hips about a year ago, done three months apart. I had the titanium rod for the femur and porcelain ball. I had a successful recovery and am very pleased with the results. Thanks for this video.
@orthopaedics3602 ай бұрын
Thanks for sharing!
@riversavage56082 ай бұрын
I think I would be willing to fly to Australia to have you perform the hip replacement.
@orthopaedics3602 ай бұрын
Thats really nice of you. We usually recommend that you find someone good in your nearby area.
@riversavage56082 ай бұрын
@@orthopaedics360 - Thank you, sir for your reply and expertise.
@riversavage56082 ай бұрын
Which implant would you recommend for an active person who hikes and lifts weights?
@orthopaedics3602 ай бұрын
In general - the implant is not as important, I feel, as the approach, and accuracy of implantation. I utilise a ceramic on ceramic articulation which I feel has the best wear characteristics and potential for longevity out of all the articulations.
@MrConradd2 ай бұрын
Excellent! Thank you, doctor
@orthopaedics3602 ай бұрын
You are welcome!
@ukbusiness88113 ай бұрын
Why can i bend my leg fully when im walking? If i try to run on th grass, my legs just straight, i can omly move it in the pool, and that's not much either
@orthopaedics3602 ай бұрын
Sorry, Im not sure what you mean - can you clarify? Have you had a hip replacement?
@justabill57803 ай бұрын
I got a new hip 5 years ago. I'm a martial artist and a runner. When I run, I strike mid-foot. That being said, my surgeon told me to run no more than 6 miles at a time. And I have held to that.
@fmaries70002 ай бұрын
TY for this share. 🙏
@jkadude2010Ай бұрын
What about martial arts? I’ve trained in martial arts hard styles most of my life plus working in law enforcement. I’ve done thousands of kicks over the decades and now at 63 am looking at a hip replacement. I don’t want to give up either martial arts or law enforcement just yet. Any advice is appreciated.
@justabill5780Ай бұрын
@@jkadude2010 I am also a martial artist(TKD and kickboxing) I still throw head kicks and full power kicks. No problems whatsoever.
@jkadude2010Ай бұрын
@@justabill5780 my hope is to regain flexibility so that I could throw head high kicks like I used to, though I’d rarely do so on the street. Running is less of a priority at this point. I’ve also been told by a martial artist and stunt actor for many years is that days of slamming kicks into a heavy bag are over. At 63 I’d prefer not to have to have the replacement replaced 😀
@justabill5780Ай бұрын
@@jkadude2010 You should be fine. I can kick as high as I ever did. Getting my hip replaced was the best medical decision I ever made. Just do it as soon as possible. The weaker your muscles become, the longer and harder the recovery
@trishayamada8073 ай бұрын
My right knee is bone on bone, huge bone spurs (largest the ortho said he’s ever seen), the meniscus are both torn, ragged or missing, my knee cap isn’t tracking, I have edema of the top of the tibia and bottom of femur, inflamed tendons, 4 ossified floaters, and I’m in misery. I’m 53. Said I haven’t tried enough yet to get a TKR. I got a cortisone shot. Exactly how is that going to do anything but a temporary hold on the inevitable. I’ve fallen twice today because my knee locks. I got the cortisone yesterday morning. I’m so frustrated. I can’t do fun stuff with my three children; my eldest is 13. I am not their fun mom anymore. I don’t limp, I don’t complain because I am tough and I think that’s used against me. I want to limp but for my children I don’t want to appear old. I’m feeling really down.
@orthopaedics3602 ай бұрын
Every surgeon is different. My feeling is that age is just a number, and all factors should be considered. This includes pain, analgesia etc. I agree that cortisone is generally not a fantastic management option as it is usually very temporary.
@marthagrist4383 ай бұрын
I tried to get my surgeon to do the side incisions, but he would not. I can kneel as long as there is some kind of padding between my knee and the hard surface.
@orthopaedics3602 ай бұрын
The curved lateral incision (I have a video on that) is something that has made a lot of difference in my patients. But it is not the normal incision to do.
@CROIXsather3 ай бұрын
One thing not discussed specifically is if a runner prior to surgery can continue to run for training and health. Say 2-3 miles a day, several days a week, at a moderate pace. It makes sense that if you were not a runner, this is not a good idea to run a marathon. But what if you are a runner, and you want to continue to train at a moderate level. New studies are showing how exercise helps the body in ways we didn't understand before. So I am wondering if running in a prudent style would actually help prolong the hip longevity because of the strength and cardio building aspects of the training. Thank you for this video, it is a brilliant explanation.
@orthopaedics3602 ай бұрын
I would say this: whilst I totally agree that exercise is ESSENTIAL in your overall health and healthspan - running may not be the best option for this if you've had a joint replacement. This might mean that you need to try other things which are just as effective - like rowing or cycling which essentially place no implant on the joint. If you HAVE to run, then ensure your strike is soft rather than a heel strike.
@JonMcLeodMelbourne4 ай бұрын
Cool. Very informative. I had not thought to ask, but this is something I would have thought to ask at some point.
@MikeBanks20034 ай бұрын
It will soon be OK though--there is a better prosthetic in the design stage.
@dv67014 ай бұрын
I am a candidate for tkr here in Sacramento, CA. I've just started researching the kinematic approach. My dr. wants to do robotic and when I asked him what the differences were he said this: Please comment: "Kinematic knee alignment is a controversial technique done by a minority of surgeons designed to change the bone cuts to optimize soft tissue balancing. Mako assisted knee replacement accomplishes this same end with more precision by using computer software to make adjustments to bone cuts in real time and optimize implant sizing, positioning and soft tissue balancing. Whatever potential benefit that is offered by kinematic surgery is accomplished with Mako assisted surgery with further benefits not achieved with kinematic alignment alone." He doesn't say how Mako provides further benefits not achieved with kinematic. I read on your website that most people spend 3 to 4 nights in the hospital. Here they get you out in one day or one overnight stay. How long does the surgery take with kinematic? THANK YOU!
@orthopaedics3602 ай бұрын
I won't go into the discussion and debate - but essentially the difference is this: Mechanical alignment aims to align the knee the SAME for every patient. The patients capsular structures, ligaments and sometimes tendons can be released to balance the knee. Many modalities have been created to achieve the same alignment for each patient (A perfectly straight leg with a 10 degree foot progression angle). But not all alignments are the same. Look at people walking around - some are bow legged, some are knock kneed. Most of those people don't have arthritis and it's their normal alignment. Kinematic alignment reproduces the normal alignment for that patients and therefore does not require ligament or soft tissue releases. Without matching the alignment of a patients own anatomy - the knee will require other soft tissue balancing operative techniques to balance the knee. I respect all surgeons preferences but I would also say that it is the fastest growing method around the work from an alignment perspective, and the results are phenomenal. I would advise you to read research performed by one of the godfathers of kinematic alignment - Dr Stephen Howell.
@dv6701Ай бұрын
@@orthopaedics360 Hi Dr. Chien-Wein Liew, thank you so much for your response 🙂 I did call Dr. Howell's office and tried to make an appointment for consult but he does not accept my insurance plan. There are only 1 or 2 other surgeons that use the kinematic alignment technique here. Since Dr. Howell is one of the godfathers of kinematic alignment, I would've thought there would be more doctors using this approach here in Sacramento. In any event, I appreciate your response. (I will be looking into changing my insurance plan during open enrollment.) Thank you.
@AntonHu4 ай бұрын
Ah, 'run' as in as a hobby or sport. So it's OK to run across the road, at least!
@orthopaedics3602 ай бұрын
Absolutely fine to run across the road!
@anthonycosta17764 ай бұрын
How about 7 -100 yard runs on grass?
@orthopaedics3602 ай бұрын
Sounds fine. Like with everything - do what feels OK. Grass is better than road,.
@mrmr3144 ай бұрын
Can we do advanced surfing after a THR? Because a lot of it, especially going backhand, is in your hips. We surmise the surfer (good surfers that is) is heavily curtailed? And you need to tell us which approach you specialise in too.
@orthopaedics3602 ай бұрын
I have many patients who surf and it is absolutely fine to surf after a hip replacement that I perform. I do not place restrictions on surfing.
@Serioussamurai5005 ай бұрын
Sweetheart I'm having Hip replaced . 2nd hip !! I heal quickly. Running long distances SMH ❤😘
@season72935 ай бұрын
Thank you for this straight forward explanation !
@shaunlayton98145 ай бұрын
Hi I’m having a total hip replacement in 6 days i exercise with rowing and biking and weightlifting every day minimum of 30k and I fast 16-8 every day when should I taper off before my surgery many thanks Shaun
@orthopaedics3602 ай бұрын
I would recommend having a good protein diet prior and around your surgery. I see that the tie frame of this answer may not be relevant anymore for you. My apologies.
@Janetsfear5 ай бұрын
I'm in my 8th week after posterior total hip replacement. I have been running on the mid to forefoot for the last quarter century +. I plan to give it a go after the three month recovery timeframe. I'm 67, it's a bit about going out on my terms. Nothing drastic just 10 to 15 miles a week. If I can't get back on my forefoot then I'm done. I won't risk a heel strike for multiple reasons. When people talk of the "pounding" I generally suspect they have never really stuck with running long enough to get out of the pounding mode and into more of a glide. I used to scare people while passing from behind because I didn't make any noise. I have spoken with my surgeon, a second surgeon and three PA's and all but one PA seem to be quite encouraging. My wife and my sister think I'm nuts. Right now I'm focused on reaching my darned foot so I can tape up and tie my shoes.
@moreycleveland24726 ай бұрын
I JUST WANT TO GET BACK TO JUST JOGGING IN MODERATION I AM NOT TRYING TO RUN HALF MARATHON OR A MARATHON
@caryes45406 ай бұрын
Excellent presentation and very well thought out. Gr8 info for patients with that disease. I wish he was my surgeon
@orthopaedics3602 ай бұрын
Very nice of you to say - if you think of anything that would be helpful in a video, we can look to make it.
@anthonycosta17766 ай бұрын
Great ☹️. So after my hip replacement I will have a good hip but now cardio will suffer. The only thing that makes me feel mentally and physically on a natural high is my ritual of 7 long fast 100 yard runs. . Now I will have heart issues. This sucks.
@divyanshsinghrathore41644 ай бұрын
I too have to get thr😢
@biknjak2 ай бұрын
Switch to cycling. That will cover your cardio needs and is recommended by every orthopedic surgeon I can think of (I've had both hips replaced).
@orthopaedics3602 ай бұрын
You can get a similar, if not better burn with rowing, ski erg, cross trainers or bikes.
@janetread82376 ай бұрын
Can I still teach advanced tap dancing ?
@orthopaedics3602 ай бұрын
Of course - sounds perfectly fine.
@user-dj3nj7eb9b6 ай бұрын
If a person has an inkling that their anterior cruciate ligament could be damaged (this could be confirmed by having an MRI), is it better to rest (until the MRI results are available), rather than attempting specific knee- strengthing exercises?
@orthopaedics3602 ай бұрын
If you have ruptured your ACL, it's best to avoid pivoting style sports until you've had your MRI. Additionally,m mother injuries may occur at the same time, which can cause further damage if you exercise on those injuries (ie meniscal or chondral tears)
@carolpaterson-xf7gf6 ай бұрын
Good information thanks
@user-uh5ll9hv5e6 ай бұрын
Excellent explanation doc, thanks. I had a hip replacement a couple of years back and have since done some running on an anti-gravity treadmill under the supervision of a physio. It's a wonderful feeling to be able to run again but I'm only happy doing it knowing that I'm putting a fraction of the weight through the hip that I would be if I were running on the road. As someone who ran 2/3 times a week and enjoyed 10ks it was hard accepting I'd have to give up running on the road. I'm letting a bicycle take the strain now.
@rjb75697 ай бұрын
I have concerns with meral being implanted into the body. I understand it is not metal-on-metal, generally, but does the body react to the toxic nature of this unnatural substance in the body? And if so, what can then be done about it?
@Tamedevil7 ай бұрын
This is why i opted for a Birmingham hip resurfacing procedure instead. Much more rugged.
@orthopaedics3606 ай бұрын
I would recommend researching some of the hip resurfacing issues that are cropping up, including Birminghams. We don't have a lot of surgeons happy to put in resurfacing in Australia these days
@rjb75696 ай бұрын
@@orthopaedics360 What are the issues cropping up? Most of what I've read recently seems to be advocating it even for older, active people now. Of course, that's the way it is with doctors as well. Most appear to be salesmen advocating what they do as the best, making it difficullt to cut through the BS and decide what is best for the layman. I'm in need of a new hip now and going through that unfortunately.
@blakemoore6667 ай бұрын
What are your thoughts regarding weightlifting movements, such as squats, leg presses, thigh extensions, lunges? I had anterior approach 6 months ago
@orthopaedics3606 ай бұрын
Almost all are absolutely fine.
@riversavage56082 ай бұрын
@@orthopaedics360-Thank you for answering this question.
@gilbertflores43417 ай бұрын
I'M 54 YR OLD FART. :/ I HAD MY LEFT HIP REPLACED THIS PAST OCTOBER.IS IT OK TO RIDE MY BEACH CRUISER THIS COMING SUMMER?
@munkki27007 ай бұрын
Ceramic on ceramic recerf all the way
@ezerider42737 ай бұрын
Does a diagnosis of osteoporosis affect the ability to perform the THR via the direct anterior approach?
@orthopaedics3606 ай бұрын
Not at all. It may result in the use of a cemented stem, but all cases where a hip replacement can be done, can be done anteriorly.
@lynchpinmedia86298 ай бұрын
I would be interested in your thoughts on using a footbike(essentially a scooter with bike wheels)..popular in Finland. Its a forefoot strike, lower weight bearing on contact than running but similar movement to the running action. Might be a compromise for those wanting ro run long distances.
@orthopaedics3602 ай бұрын
Not familiar with it, but sounds fine
@markmoon90248 ай бұрын
As a person that’s had a hip replacement 11 years ago I have taken up running. I could run around with a frisbee or play football with the kids, but this is much more taxing on the body if I hadn’t learnt how to jog and run beforehand. doing that activity for a short period of time in burst as much more likely to cause injury than affied trained and learnt how to run anything from a mile to 5 miles. That said extensive physio weights preparation was needed first before doing this so. Running around playing frisbee or football, is Stillmore taxing on the body than running a few miles or longer distance
@WildlifeStyle8 ай бұрын
Hey doc is it possible to shadow box after a Hip replacement? Im 24 years old and I got mines recently 3months ago.
@orthopaedics3606 ай бұрын
YES
@dmitrymelnik82968 ай бұрын
Thanks for the candid and detailed explanation. My next question, can I ski after a total hip replacement? I am 54, and currently on my 6th week after the surgery. I know I will miss this season, however, I am curious about my chances at skiing in 1 year from now. Before the surgery, I was doing XC perhaps as long as I remember myself, resort alpine skiing for about 40 years, and I was getting into the backcountry last few seasons. The surgery was done using the anterior approach. I understand that everybody's story is different, however, general considerations and statistics will be much appreciated. Thanks.
@orthopaedics3602 ай бұрын
I do not limit skiing at all for my patients. Probably avoid the huge jumps.