Adelaide South Australia.

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.

Thanks for sharing!

Thats really nice of you. We usually recommend that you find someone good in your nearby area.

@@orthopaedics360 - Thank you, sir for your reply and expertise.

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.

You are welcome!

Sorry, Im not sure what you mean - can you clarify? Have you had a hip replacement?

TY for this share. 🙏

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.

@@jkadude2010 I am also a martial artist(TKD and kickboxing) I still throw head kicks and full power kicks. No problems whatsoever.

@@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 😀

@@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

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.

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.

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.

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.

@@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.

Absolutely fine to run across the road!

Sounds fine. Like with everything - do what feels OK. Grass is better than road,.

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.

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.

Very nice of you to say - if you think of anything that would be helpful in a video, we can look to make it.

I too have to get thr😢

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).

You can get a similar, if not better burn with rowing, ski erg, cross trainers or bikes.

Of course - sounds perfectly fine.

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)

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

​​@@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.

Almost all are absolutely fine.

@@orthopaedics360-Thank you for answering this question.

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.

Not familiar with it, but sounds fine

YES

I do not limit skiing at all for my patients. Probably avoid the huge jumps.