Moger: Joint replacement information

Some considerations to take into account when confronted with joint replacement surgery.

I recently attended a very informative workshop regarding joint replacement surgery presented by Kelowna General Hospital physiotherapist Laura Dyck.

As a fitness instructor and personal trainer working with seniors, I felt it would be helpful information for those considering or on the list for joint replacement surgery.

Here are a few quick stats:

• more women than men undergoing joint replacement

• KGH has five surgeons doing joint replacement surgery

• there were approximately 14 to 15 surgeries per week

• 850 joint replacement surgeries were done at KGH in 2014

There are many indications for joint replacement including congenital or childhood hip problems; acute or old fractures which lead to post-traumatic osteoarthritis; and inflammatory arthritis

About 85 per cent of hip and knee  replacements are due to degenerative osteoarthritis.

Some of the signs that you may need to joint replacement include:

• pain

• decreased activity including exercise and activities of daily living

• physical deformities

• decreased range of motion

• poor sleep pattern

• chronic fatigue or depression

• decreased quality of life

The goals of joint placement include:

• relieving pain

• providing motion

• reacting to a deformity

• realigning of the joint for an improved quality of life

It used to be that a new joint would last 10 to 15 years, but now joint replacements are lasting 20 to 25 years.

Some precautions a  physiotherapist will educate you on following a hip replacement’s three-month post-operative period will include:

• no internal hip rotation

• no hip flexion beyond 90 degrees

• no hip adduction

Some precautions to consider after a total knee replacement include:

• no kneeling or knee bends

• no twisting of the knee

• weight bearing only as tolerated

It’s very important to keep your knees moving as soon as possible so scar tissue does not lay down haphazardly.

Once you’re healed three months plus, the exercise progression for a total hip or knee replacement should focus on muscle strengthening, increasing aerobic capacity, improving balance and gait, increasing range of motion and special attention to functional activities.

After a knee replacement, it is very important to strengthen the quadriceps muscles and also maintaining and progress in the knee flexion and extension.

When it comes to having a hip replaced, it’s especially important to strengthen the hip abductor muscles, including the gluteus medius and minimus.

After receiving joint replacement surgery, staying active and following a specific exercise routine after surgery is important to prevent deconditioning.

“It should be stressed with both hip and knee populations that arthroplasty components are subject to loosening with time,” according to the Canadian Physiotherapy Association recommendations on post joint replacement surgery.

“Compliance with the regular exercise program and joint protection principles will increase the lifespan of the fixation and delay for the need for surgical revision”

It is also important to note that a pre-operative exercise program can greatly improve postoperative outcomes after joint replacement as well.

For more information on joint friendly pre- and post-operative exercise classes on land and in warm water, please call 250-317-3508.

Just Posted

Caged: Kelowna Falcons suffer 6th straight loss

The Falcons look for revenge Saturday night after a 15-5 loss

Grievance dismissed: Kelowna bus driver loses case after texting on job

An arbitator ruled that Tim Wesman’s phone usage was a “a reckless disregard for public safety”

UPDATE: Dog bitten by rattlesnake in West Kelowna “going to be OK”

The dog, Bella, is recovering after being bitten on a hike at Rose Valley Trails

Okanagan-Shuswap weather: Sun and heat continue Saturday

Environment Canada forecasts highs of 30 C throughout the Okanagan Saturday

Kelowna RCMP hope for Christmas miracle in June

The pair of wallets were found inside the mall sometime around the 2018 holiday season

10 facts about Father’s Day

Did you know that the special day for dads was first celebrated in 1910?

Northern B.C. family remembers murdered Indigenous woman with memorial walk

Still no closure for Ramona Wilson’s family 25 years later

Vernon seeks additional fetal alcohol syndrome support B.C.-wide

“We are making a difference but we could make even more of a difference”

B.C. university to offer mentorship program for former youth in care

Students using the provincial tuition waiver program will soon be able to form a community at KPU

Gambler 500 hits Okanagan back roads

Hundreds of off road enthusiasts are rallying in the South Okanagan this… Continue reading

Cyclists competing in one of the toughest bike races on the planet pass through Fernie

Divide riders looking strong as they finish first leg of 4160 km race

You might not know these B.C. records are public

Hired a lawyer to file a civil claim? Those are published online

Jury finds Kelowna man guilty of second-degree murder

A Kelowna jury found Steven Randy Pirko guilty of the second-degree murder

Revamped B.C. Lions set to battle veteran Winnipeg Blue Bombers

The Lions’ first test of the season will be a big one

Most Read