Orthopaedics 360 - Adelaide
Orthopaedics 360 - Adelaide
  • Видео 43
  • Просмотров 221 118
What happens during hip and knee replacement surgery
In this video, I will take you through our normal hip and knee replacement day. This is not an in depth video about the surgery itself, but serves to give you a few expectations about what happens on the day of surgery, with the operation, anaesthetic, and then going home later. Whilst we tailor each patients journey as required, this video is a general guideline of what things might be like for you. I hope you find it helpful.
For any answers to questions that may not be in the comments - visit: www.drchienwenliew.com.au/knee/what-happens-on-the-day-of-a-hip-or-knee-replacement/
00:00 - Start
00:24 - Workup before surgery
01:18 - Type of anaesthetic I use
02:17 - Recovery room after surgery
0...
Просмотров: 4 466

Видео

The lateral curve incision for a knee replacement
Просмотров 9 тыс.Год назад
When I first started doing total knee replacements, we never really thought about the skin incision and how impacted our patients. I used to perform my knee replacements using a standard straight incision vertically based, that run down the midline of the knee - it made the knee easier to perform. 4-5 years ago, we switched to using a curved lateral incision around the knee, which was performed...
The hip prosthesis I use for total hip replacements
Просмотров 6 тыс.Год назад
There are many choices for total hip replacement implants. Doctors decide which prosthesis to use based on the type of surgery, their experience, and the results of each implant. In Australia, most implants do very well, as ones with a higher rate of revision surgery are highlighted, and then removed from circulation. In today's video, we go on to discuss what a total hip replacement implant is...
Materials in a Total Hip Replacement
Просмотров 3,5 тыс.Год назад
In this video, Dr Chien-Wen Liew discusses the method of performing a direct anterior approach total hip replacement in his patients, but in more detail about the actual materials used for the implant. Whilst there are many different types of implants used in every hip replacement, advances in materials, geometry and design have allowed hip replacements to be placed in the hip with the minimal ...
Hip and Shoulder Replacements by Dr Liew and Dr Yu - A chat between surgeons - Adelaide, Australia
Просмотров 472Год назад
In this video, the first of this series, we have our 2 surgeons discussing some of the operations they love best. Dr Chien-Wen Liew (Hip and Knee replacements) and Dr Raymond Yu (Shoulder, Elbow, Hand) discuss the similarities and differences between hip and shoulder replacements. Being the two larger joints of the lower limb and upper limb, they can often be considered for replacements due to ...
What is the Rotator Cuff Tendon - and how is it injured?
Просмотров 209Год назад
🤨What is the rotator cuff? This group of tendons and muscles is the driver of shoulder movement - and allows the shoulder 💪 to be the most mobile joint in our body! It allows us to lift and rotate our arm above our heads, and when it gets damaged or diseased, it can lead to pain, weakness and poor arm function 😞. Dr Raymond Yu is an Orthopaedic Shoulder Surgeon specialising in the treatment and...
Am I too young for a hip or knee replacement
Просмотров 1,8 тыс.Год назад
Are you too young for a hip or knee replacement? In this video we explore some of the key principles in determining age as a factor when you are on the younger side of 55. Current evidence from the Australian joint replacement registry shows excellent longevity when it comes to the survivorship of hip and knee replacements with an approximate 92% survival after 20 years. Find out more by visiti...
Am I too old for a hip or knee replacement?
Просмотров 832Год назад
In this video, we briefly discuss a more sensitive topic - Age! Whilst it's true that age is important, it is certainly not the sole factor in determining someone's suitability for a joint replacement. For all my more elderly patients out there - this is for you! For answers to questions from patients - please visit this link, or write in the comments below. www.drchienwenliew.com.au/hip/am-i-t...
What is Shoulder Replacement Surgery?
Просмотров 318Год назад
Do you or someone you know suffer from debilitating shoulder pain? Shoulder pain may be due to a number of possible causes. This includes shoulder arthritis, large rotator cuff tears or traumatic injuries. Shoulder replacement surgery (arthroplasty) may be a surgical solution in some instances. Dr Raymond Yu discusses Shoulder Replacement Surgery, including indications for surgery, types of rep...
Helpful information for Patients of Dr Mike Smith who have just undergone a procedure
Просмотров 686Год назад
Kim, from Dr. Mike Smith's rooms, discusses some of the common questions she received from patients following their procedure
Kim discusses how to interpret a Surgical Information Letter for patients staying the night.
Просмотров 99Год назад
Please find a helpful video on how to interpret your surgical paperwork if you are spending the night in hospital following your procedure with Dr. Mike Smith
Dr Smith's PA, Kim, discusses how to interpret the Informed Financial Consent
Просмотров 1,4 тыс.Год назад
The Informed Financial Consent (IFC) is a valuable document that discusses the costs associated with a surgical procedure being performed by Dr. Mike Smith (Foot | Ankle Surgeon).
Kim, from Dr. Mike Smith's admin team, discusses how to interpret the surgical booking paperwork
Просмотров 1,6 тыс.Год назад
Kim, from Dr. Mike Smith's (Foot | Ankle Surgeon) admin team, discusses how to interpret the surgical booking paperwork
Kim, from Dr. Mike Smith, discusses how to interpret an Informed Financial Consent
Просмотров 69Год назад
Kim, from Dr. Mike Smith, discusses how to interpret an Informed Financial Consent
Kim, from Dr. Mike Smith (Foot | Ankle Surgeon) discusses frequently asked questions.
Просмотров 1,1 тыс.Год назад
Kim, from Dr. Mike Smith (Foot | Ankle Surgeon) discusses frequently asked questions.
Keyhole anterior cruciate ligament (ACL) reconstruction technique.
Просмотров 380Год назад
Keyhole anterior cruciate ligament (ACL) reconstruction technique.
How important is structured rehabilitation in managing anterior cruciate ligament injury?
Просмотров 157Год назад
How important is structured rehabilitation in managing anterior cruciate ligament injury?
Managing dressings post-operatively
Просмотров 91Год назад
Managing dressings post-operatively
Enhanced accuracy during total hip replacement surgery
Просмотров 2,7 тыс.Год назад
Enhanced accuracy during total hip replacement surgery
How to delay seeing an orthopaedic surgeon even when you have hip and knee arthritis
Просмотров 1,3 тыс.Год назад
How to delay seeing an orthopaedic surgeon even when you have hip and knee arthritis
Nutrition and Joint Replacements
Просмотров 1,1 тыс.Год назад
Nutrition and Joint Replacements
More about your upcoming operation
Просмотров 1,9 тыс.Год назад
More about your upcoming operation
Can I run after a total hip replacement
Просмотров 38 тыс.Год назад
Can I run after a total hip replacement
Can I kneel after a Total Knee Replacement
Просмотров 86 тыс.Год назад
Can I kneel after a Total Knee Replacement
Dr Mike Smith Foot Ankle Surgeon - Helpful Tips prior to your appointment
Просмотров 285Год назад
Dr Mike Smith Foot Ankle Surgeon - Helpful Tips prior to your appointment
Dr Mike Smith - Adelaide Foot | Ankle Surgeon: 'Why i prefer the Keyhole Bunion surgery technique"
Просмотров 2,4 тыс.Год назад
Dr Mike Smith - Adelaide Foot | Ankle Surgeon: 'Why i prefer the Keyhole Bunion surgery technique"
Dr Mike Smith discusses his preferred Keyhole Bunion Surgery technique
Просмотров 533Год назад
Dr Mike Smith discusses his preferred Keyhole Bunion Surgery technique
Want to learn more about Keyhole Bunion Surgery? Dr. Mike Smith discusses the common questions.
Просмотров 314Год назад
Want to learn more about Keyhole Bunion Surgery? Dr. Mike Smith discusses the common questions.
Dr Mike Smith -Adelaide Surgeon Difference between bunion deformities and 1st MTP joint arthritis
Просмотров 1,9 тыс.Год назад
Dr Mike Smith -Adelaide Surgeon Difference between bunion deformities and 1st MTP joint arthritis
Dr Mike Smith Foot Ankle Surgeon - How to prepare for upcoming Foot surgery
Просмотров 551Год назад
Dr Mike Smith Foot Ankle Surgeon - How to prepare for upcoming Foot surgery

Комментарии

  • @paulbraswell6380
    @paulbraswell6380 2 дня назад

    Guess I can't continue to referee basketball... shame

  • @wambsganz8
    @wambsganz8 7 дней назад

    What about water aerobics. Shit would not be so jarring

  • @stantheman5350
    @stantheman5350 9 дней назад

    Thank you for that clear explanation.

  • @brooklynknightss
    @brooklynknightss 13 дней назад

    This is the exact material my surgeon used! I had mine done two weeks ago! NYU orthopedics in Manhattan

  • @grahamgallas7285
    @grahamgallas7285 16 дней назад

    What equipment will I need at home post my TKR ?

  • @adrianplaskitt8857
    @adrianplaskitt8857 26 дней назад

    Do you have any actual data or is it just your opinion. Anecdotally there are many people running on hip replacements. Are there studies that show a higher rate of failure in runners?

    • @orthopaedics360
      @orthopaedics360 26 дней назад

      @@adrianplaskitt8857 it’s generally regarded in mechanical studies that repetitive impact loading increases the wear particle volume which is a surrogate measure of wear leading to potential revision. As you can imagine, comparing patient cohorts in a matched trial over decades is difficult. For other studies, you can find them online as well: pmc.ncbi.nlm.nih.gov/articles/PMC3462849/

    • @adrianplaskitt8857
      @adrianplaskitt8857 26 дней назад

      ​@@orthopaedics360 Thanks for your reply - I do appreciate it. I have just had a THR at age 58 and my surgeon has the opposite opinion to you - he is quite enthusiastic about returning to running, feeling the benefits of cardiovascular health, well being, and overall bone health ( density and other joints) outweighs any increased wear in modern prostheses which are expected to last 30 years. So it is interesting to hear other opinions and review the evidence. I would have thought that hip surgery had been around for long enough now that we would be starting to get a feel if there was an association between early revision and running rather than relying on surrogate endpoints, but I guess the technology changes so fast and younger people are getting done now that it probably wouldn't be relevant anyway. Thanks for your information about running technique - I always try and run on the grass or natural surface so hopefully that will also have a moderating effect on wear. All the best.

    • @orthopaedics360
      @orthopaedics360 25 дней назад

      @@adrianplaskitt8857 Thats great. Ultimately, it's up to you. Whilst it is true that running does have benefits, the question is - if there is at least some evidence that it's not good, then why not do other forms of exercise. I encourage weights, cycling, swimming etc which are just as good as running for cardiovascular health and bone/muscle strength. That way you can have all the benefits with none of the potential downsides.

  • @barbarasimmons5777
    @barbarasimmons5777 Месяц назад

    Thank you . 😊

  • @maxinefowler8591
    @maxinefowler8591 Месяц назад

    Thank you for the time and effort you put into this video. Excellent and very helpful!

  • @barbaracomer7228
    @barbaracomer7228 Месяц назад

    I’m a little frightened….last week I was told I need right knee revision….my replacement knee is only 9 years old. Now I understand that a revision takes longer to rehab compared to my original replacement…. I’m a widow this time around….I’m praying for less pain & a quicker return to my normal life!! Any advice????

  • @dapperdoggy
    @dapperdoggy Месяц назад

    What about birmingham hip resurfacing? It seems to be very similar to a natural hip socket.

  • @pamelakrueger7353
    @pamelakrueger7353 2 месяца назад

    Wish you would show a picture of your curved outer incision

  • @pamelakrueger7353
    @pamelakrueger7353 2 месяца назад

    Doctor do you prefer staples or glue to close the incision? I hear using glue shows the least once healed.

  • @Teleman01
    @Teleman01 2 месяца назад

    Is it OK to kneel if you use a knee pad?

  • @Zaituni-s8c
    @Zaituni-s8c 2 месяца назад

    I'm one year but I don't run

  • @tota8064
    @tota8064 3 месяца назад

    By after you mean right after the surgery or forever?

  • @wendellhoward4090
    @wendellhoward4090 3 месяца назад

    What about a 2 mi run

  • @erikat4977
    @erikat4977 3 месяца назад

    What about Euflexxa?

  • @erikat4977
    @erikat4977 3 месяца назад

    Can you please give examples of the glucosamine, turmeric liquid supplements

  • @8180634
    @8180634 3 месяца назад

    If you're active, look into hip resurfacing as an option to full replacement. You CAN go back to high impact activity after resurfacing. The name resurfacing isn't a good name, it's similar to a full replacement but they put a new ball on your existing femur instead of putting a metal rod down the center of your femur. Too much to put here, just start researching the difference, if you're active.

  • @PammyBunny
    @PammyBunny 3 месяца назад

    38 here in Scotland 🏴󠁧󠁢󠁳󠁣󠁴󠁿 and just been diagnosed with hip OA. These videos are very informative - thank you! Any advice on the potential of having to get a THR redone later in life if I get this done now/at a younger age?

  • @terenayburch1403
    @terenayburch1403 4 месяца назад

    I need you infomation please

  • @pinsirigodamunna8835
    @pinsirigodamunna8835 4 месяца назад

    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.

  • @pamelabrooks1944
    @pamelabrooks1944 4 месяца назад

    Thank you. I had this surgery done a little over a year ago. Nice to be free of pain!

  • @stevebot
    @stevebot 4 месяца назад

    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.

  • @robertbutler8004
    @robertbutler8004 5 месяцев назад

    I had two hips replaced one in 2023 the second in 2024 in both cases I was in the Hospital for two nights.

  • @pamelabrooks1944
    @pamelabrooks1944 5 месяцев назад

    Told me a lot more than my surgeon did. Thanks so much.😀

  • @yahyabahri21
    @yahyabahri21 5 месяцев назад

    What about acetublum fracture surgery

  • @sealisland1
    @sealisland1 6 месяцев назад

    I believe he is referring to Dr. Richard Berger that created the protocol to teach yourself to kneel.

  • @verslalchimie5824
    @verslalchimie5824 6 месяцев назад

    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?

    • @orthopaedics360
      @orthopaedics360 3 месяца назад

      Absolutely fine to cycle as much as you wish! No limit

  • @Politician62
    @Politician62 6 месяцев назад

    Where are you located?

  • @jerrytuck8595
    @jerrytuck8595 6 месяцев назад

    No you cant

  • @debbiec6216
    @debbiec6216 6 месяцев назад

    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 !!!!

  • @chrisward3605
    @chrisward3605 6 месяцев назад

    I broke my hip had new one 18 months ago gone wrong constant pain in my groin and cant walk far im 66

  • @angelinam6855
    @angelinam6855 6 месяцев назад

    this came timely - my bilateral hip surgery is in 2 days. I didn't have to do a urine test - is that normal?

    • @donnairn3419
      @donnairn3419 6 месяцев назад

      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-fi7ce
    @Judy-fi7ce 6 месяцев назад

    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.

  • @riversavage5608
    @riversavage5608 6 месяцев назад

    I think I would be willing to fly to Australia to have you perform the hip replacement.

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

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

    • @riversavage5608
      @riversavage5608 6 месяцев назад

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

    • @kkormanik
      @kkormanik 4 месяца назад

      I just told my husband the same thing! I’d definitely fly there for you do do my hip replacement 😊

  • @riversavage5608
    @riversavage5608 6 месяцев назад

    Which implant would you recommend for an active person who hikes and lifts weights?

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

  • @MrConradd
    @MrConradd 7 месяцев назад

    Excellent! Thank you, doctor

  • @ukbusiness8811
    @ukbusiness8811 7 месяцев назад

    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

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

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

  • @justabill5780
    @justabill5780 7 месяцев назад

    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.

    • @fmaries7000
      @fmaries7000 7 месяцев назад

      TY for this share. 🙏

    • @jkadude2010
      @jkadude2010 6 месяцев назад

      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.

    • @justabill5780
      @justabill5780 6 месяцев назад

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

    • @jkadude2010
      @jkadude2010 6 месяцев назад

      @@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 😀

    • @justabill5780
      @justabill5780 6 месяцев назад

      @@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

  • @trishayamada807
    @trishayamada807 7 месяцев назад

    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.

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

  • @marthagrist438
    @marthagrist438 8 месяцев назад

    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.

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

  • @CROIXsather
    @CROIXsather 8 месяцев назад

    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.

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

  • @MilennialZero
    @MilennialZero 8 месяцев назад

    Cool. Very informative. I had not thought to ask, but this is something I would have thought to ask at some point.

  • @MikeBanks2003
    @MikeBanks2003 8 месяцев назад

    It will soon be OK though--there is a better prosthetic in the design stage.

  • @dv6701
    @dv6701 8 месяцев назад

    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!

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

    • @dv6701
      @dv6701 6 месяцев назад

      @@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.

  • @AntonHu
    @AntonHu 8 месяцев назад

    Ah, 'run' as in as a hobby or sport. So it's OK to run across the road, at least!

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      Absolutely fine to run across the road!

  • @anthonycosta1776
    @anthonycosta1776 9 месяцев назад

    How about 7 -100 yard runs on grass?

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

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

  • @mrmr314
    @mrmr314 9 месяцев назад

    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.

    • @orthopaedics360
      @orthopaedics360 6 месяцев назад

      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.

  • @Serinussamurai590
    @Serinussamurai590 9 месяцев назад

    Sweetheart I'm having Hip replaced . 2nd hip !! I heal quickly. Running long distances SMH ❤😘