Frequently Asked Questions - All FAQs

FAQs - All FAQs
For the resurfacing procedure I always use the posterolateral approach for technical reasons. For a classic total hip replacement I changed after having performed 1800 procedures from lateral to posterolateral approach as well. The posterolateral approach does have many advantages: the abductors (gluteus medius muscle) responsible for normal gait remains intact, so less patients suffer from permanent abnormal gait after hip prosthesis. There is a much better view to place the components in a more correctly way (very important for revision surgery). There will be less repetitive muscle damage in revision surgery; there are fewer patients with complaints of trochanteritis (irritation of the bursa) compared to the lateral approach. The only disadvantage of the posterolateral approach is the larger incidence of dislocations in inexperienced hands / learning curve.
The most important is that you give opportunity to the soft tissues to heal, so to avoid dislocations. The most critical period is during the first 6 weeks.
The most important is that you give opportunity to the soft tissues to heal, so to avoid dislocations. The most critical period is during the first 6 weeks.
Everything depends on type of surgery, age and condition of patient.
Young patients, resurfacing procedure: 2 – 5 days
Classic total hip prosthesis, active patient: about 5-7 days
Classic total hip prosthesis, older patient: 7 – 14 days
Revision surgery: 7 – 21 days depending on:
- Type of surgery: replacement of 1 or all components
- Age of patient
Situation at home is also very important! Think about daily meals, dressing assistance …
Everything depends on type of surgery, age and condition of patient.
Young patients, resurfacing procedure: 2 – 5 days
Classic total hip prosthesis, active patient: about 5-7 days
Classic total hip prosthesis, older patient: 7 – 14 days
Revision surgery: 7 – 21 days depending on:
- Type of surgery: replacement of 1 or all components
- Age of patient
Situation at home is also very important! Think about daily meals, dressing assistance …
Everything depends on type of surgery, age and condition of patient.
Young patients, resurfacing procedure: 2 – 5 days
Classic total hip prosthesis, active patient: about 5-7 days
Classic total hip prosthesis, older patient: 7 – 14 days
Revision surgery: 7 – 21 days depending on:
- Type of surgery: replacement of 1 or all components
- Age of patient
Situation at home is also very important! Think about daily meals, dressing assistance …
Normally staples are closing the wound. In young patients (ladies!) and on request the wound is getting closed intracutaneously.
Normally staples are closing the wound. In young patients (ladies!) and on request the wound is getting closed intracutaneously.
Half of the stitches or staples are normally removed after 14 days. The remaining half is removed after 16 days. Depending on the individual patient, one can decide to remove the staples later on. Staples are removed with a special device.
In case of an intracutaneous suture, one only has to cut off one end of the suture. It is not the purpose to remove the complete suture because it is resorbable.
Half of the stitches or staples are normally removed after 14 days. The remaining half is removed after 16 days. Depending on the individual patient, one can decide to remove the staples later on. Staples are removed with a special device.
In case of an intracutaneous suture, one only has to cut off one end of the suture. It is not the purpose to remove the complete suture because it is resorbable.