Frequently Asked Questions - All FAQs

FAQs - All FAQs
The common rule is:
Two crutches have to be used as long as it is needed and felt by the patient himself. The physiotherapist also can decide to discontinue the need of two crutches. In normal circumstances this means:
- 4 to 6 weeks for a classical total hip prosthesis or revision.
- 1 to 3 weeks for a resurfacing procedure.
Everything depends on the patient himself, is different from surgery to surgery. In a young patient with a resurfacing, two crutches can be left at 1 or 2 weeks. In an older patient (>75) with classic THA this becomes 4 to 6 weeks.

The use of one crutch starts as indicated above. The change from 2 crutches to 1 crutch depends normally on the possibility of weight bearing on the operated limb, the confidence of putting weight on the limb, and the disappearance of pain with weight bearing.

Walking without crutches starts when the disturbed gait disappears, and full weight bearing on the operated limb is no problem anymore.
Almost full weight bearing is allowed after every total hip prosthesis. (1 or 2 days postoperative)
Normally this makes no difference if a primary “cemented”, “uncemented” prosthesis, or a revision procedure has been done.
MY RULE IS:
- Or a prosthesis is immediately stable and full weight bearing is allowed
- Or the prosthesis is NOT initially stable and full weight bearing will NEVER be allowed.
This means that it is rare (some revision cases) that only partially or non-weight bearing will be prescribed (to protect bonegrafts).
Almost full weight bearing is allowed after every total hip prosthesis. (1 or 2 days postoperative)
Normally this makes no difference if a primary “cemented”, “uncemented” prosthesis, or a revision procedure has been done.
MY RULE IS:
- Or a prosthesis is immediately stable and full weight bearing is allowed
- Or the prosthesis is NOT initially stable and full weight bearing will NEVER be allowed.
This means that it is rare (some revision cases) that only partially or non-weight bearing will be prescribed (to protect bonegrafts).
One day after a resurfacing you can get out of bed and start walking.
In a classical total hip prosthesis this is also 1 day.
In a severe revision case this can mean 2-5 days.
The day after surgery walking is encouraged in a resurfacing.
With a classical THA this is also 1 day, starting to walk with two crutches or a frame.
Even with a normal revision case FWB is allowed when people start walking.
The day after surgery walking is encouraged in a resurfacing.
With a classical THA this is also 1 day, starting to walk with two crutches or a frame.
Even with a normal revision case FWB is allowed when people start walking.
The day after surgery walking is encouraged in a resurfacing.
With a classical THA this is also 1 day, starting to walk with two crutches or a frame.
Even with a normal revision case FWB is allowed when people start walking.
It is advisable to bring your own crutches to the hospital. For overseas patients it is better to buy the elbow crutches at the hospital (app. 25 EUR).
It is advisable to bring your own crutches to the hospital. For overseas patients it is better to buy the elbow crutches at the hospital (app. 25 EUR).
It is advisable to bring your own crutches to the hospital. For overseas patients it is better to buy the elbow crutches at the hospital (app. 25 EUR).