Self-pay hip surgery explained

[@michelleandsteve9705]

Another well thought out and produced video! Had my new hip on the NHS at Nufield private hospital on 25th and came home yesterday. I had one day of horrific pain but its settled now and im taking it slowly but with spouts of physio through the day. I still go back to watch your videos but after surgery i was not prepared the the roller coaster of emotions that came and how intense the pain was at one point and this is coming from a fit and healthy 50 year old pilates and yoga buff! Thank god for morphine! Your videos have really helped though Jeremy so thank you..

[@michelleandsteve9705]

I am so glad that people have brought this up! There are so many individuals on KZbin uploading hip replacement journeys who are walking unaided the next day that profess it is a walk in the park. No pain. Back to golf the following week. This places such unrealistic expectations on ones self leaving people, negative and wandering why their outcome was not the same? Jeremy's videos never sugar coat but explain things how they are....

[@Lathamhipsurgery]

Thank you! No flannel on my channel!

[@Lathamhipsurgery]

Thank you for your lovely comments and feedback. It’s great to hear that the videos are helpful. It’s tough going after surgery. Many people underestimate the impact that it has on them. My advice is to rest, a lot. Lie down for at least an hour twice a day and don’t sit for more than half an hour at a time. After about a month things do get better quite quickly. Hope it goes well for you.

[@pudster1960]

Thank you Jeremy Just to ask are you able to offer ceramic resurfacing yet. Thanks Paul

[@Lathamhipsurgery]

Still waiting Paul….Q3 hopefully.

[@tackleberryc6472]

I'm 8 weeks out exactly from my posterior hip replacement. I'm only just feeling better from it...and I'm a fit 56 year old . I was a bit dismayed when I took a look at some other hip replacement providers...they suggested that its usual to be walking without assistance at 4 days and everything is back to normal in a couple of weeks....this is blatantly untrue and a marketing ploy.. Depends on your employment status to a large degree I suppose, but be wary...

[@Lathamhipsurgery]

There is a lot of over optimistic marketing 'fluff' out there. The reality of major surgery is that it takes at least 3 months to feel like you haven't had it, and a year to 18 months to reach the end point of recovery. Wishing you well with your new hip.

[@tackleberryc6472]

@@Lathamhipsurgery I fully agree....its the arguments around surgical approach that fascinates me. The bone surely has to grow into the prosthetic fully and sufficient rehabilitation has to be attained to make such claims..?

[@Lathamhipsurgery]

@@tackleberryc6472 exactly. Smoke and mirrors. The anterior approach gets people out of hospital more quickly but there’s no evidence that it’s better than posterior in any other aspects.

[@tackleberryc6472]

@@Lathamhipsurgery If my left hip falls....I'm coming to you...don't retire any time soon. 😁

[@Lathamhipsurgery]

@@tackleberryc6472 no immediate plans! Happy to help.

[@casiemcdonaldwood4828]

Is there a source of information for carers of people having hip replacements? It would be useful to know how much help will be required for bathing, dressing, getting in and out of bed, etc. Also, what equipment might be required and where to get it. We have been told by a friend who has had a hip replacement that our toilets are too low. She also said our sofas were unsuitable for someone who has just had a hip replaced. How much do these things matter?

[@Lathamhipsurgery]

Great questions. They all matter. Attention to detail is so important for a good outcome. In the UK, most hospitals that do large numbers of hip replacements have robust pre-op assessments where all of these issues are dealt with well in advance of surgery. It is very important to make sure that adequate resources are in place at home so that discharge isn't delayed or compromised. We give patients a frame, crutches, raised lavatory seat and a grabber to take home. You should be given instructions about safe heights for chairs and beds at the preop clinic. Most NHS hospitals don't provide face to face physiotherapy after discharge. My advice is to find a good local private physio who will do home visits if necessary.

[@chopstick266]

hi jeremy, i hope you are well, i have a question, if a hip replacement wears out does the whole thing need to be replaced or just the mating surfaces, and if so how much would it cost compared to the complete thing?

[@Lathamhipsurgery]

All well thanks. Good question. Modern hip replacements are modular. The head and liner (inside the socket) can be exchanged if there is excessive wear. It’s a bit like replacing pads and discs on a car. But….you have to be prepared to remove everything if necessary. Hip replacements fail in predictable ways: instability, infection, fracture and wear are the commonest causes. Self pay revision surgery is expensive because you have to hire in so much kit to deal with any eventualities. Hope this helps.

[@darshnarach8889]

Pre op and my physio us worth his weight in gold. Whats your experience of pre op issues caused by covid?

[@Lathamhipsurgery]

We delayed surgery until 7 weeks after a confirmed covid infection. There was an increase in infections and wound problems. This could be caused by the virus, vaccines or general deconditioning caused by lockdowns. The effects will be felt for years to come.

[@darshnarach8889]

@@Lathamhipsurgery i was more curious of your patients who caught covid qnd their recovery from covid. Personally i am finding it full on triggars pain in joints that is dibilitating and takes months to start to improove.

[@markpatterson2811]

Hi, had my second hip replacement on Thursday , healing much faster than the first one , is it because I'm more experienced with it or just my body saying thank god , I do my own treatment and physio.

[@Lathamhipsurgery]

Good question. I did someone’s second side recently 6 months after the first. He thinks it’s more difficult and painful this time. In my experience most people are like you. They are more confident because they’ve been through it already and they know what to expect. Wishing you well in your recovery!

[@markpatterson2811]

@@Lathamhipsurgery cheers mate