Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 It has been 2 1/2 years and I can get way past the 90 degree with no problem. My MD said as long as it was comfortable and the knee was turned outward (after your muscles have had time to repair and keep everything in place). I would guess I can go half again...say 135 degrees with no pain and no dislocation. He said if you go slowly you will feel the limit before you exceed it. I think a lot depends on how strong your muscles are for stability of the joint and also probably the kind of joint they put in. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 with some types of hip replacement there is a higher risk of dislocation but not to the extent that you need to follow the 90 degree rule forever. It depends as much on how much you put into doing your exercises and building up the muscles to hold the lovely new joint in place. I followed the rule for a few months post op and now do pretty much what I like. I probably wouldn't attempt to sit full lotus though :-) Best wishes Pamela On 13/04/2011 17:58, BARB wrote: > > , do you mean that we are suppose to follow that > 90 degree rule forever? BARB in Florida > > Re: can you kneel? > > , is your 90* rule still in effect? BARB in Florida > > . > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Can I ask which type of hip replacement requires this? I remember my PT mentioning something about conventional hip replacement surgery had quite a few restrictions during the recovery process only, but with a direct anterior approach there are no restrictions at all. On Apr 13, 2011, at 1:36 PM, Pamela wrote: > with some types of hip replacement there is a higher risk of dislocation > but not to the extent that you need to follow the 90 degree rule > forever. It depends as much on how much you put into doing your > exercises and building up the muscles to hold the lovely new joint in > place. > > I followed the rule for a few months post op and now do pretty much what > I like. I probably wouldn't attempt to sit full lotus though :-) > Best wishes > Pamela > > On 13/04/2011 17:58, BARB wrote: > > > > , do you mean that we are suppose to follow that > > 90 degree rule forever? BARB in Florida > > > > Re: can you kneel? > > > > , is your 90* rule still in effect? BARB in Florida > > > > . > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Posterior approach is normally considered to have the highest risk but it's advocates disagree! After that lateral and anterior-lateral need precautions. Fewer or no precautions as you move round to direct anterior. But you still have to take the individual into account particularly their level of strength Sent from my iPhone On 13 Apr 2011, at 20:43, Weal <goddessrenee@...> wrote: > Can I ask which type of hip replacement requires this? I remember my PT mentioning something about conventional hip replacement surgery had quite a few restrictions during the recovery process only, but with a direct anterior approach there are no restrictions at all. > > > > > On Apr 13, 2011, at 1:36 PM, Pamela wrote: > >> with some types of hip replacement there is a higher risk of dislocation >> but not to the extent that you need to follow the 90 degree rule >> forever. It depends as much on how much you put into doing your >> exercises and building up the muscles to hold the lovely new joint in >> place. >> >> I followed the rule for a few months post op and now do pretty much what >> I like. I probably wouldn't attempt to sit full lotus though :-) >> Best wishes >> Pamela >> >> On 13/04/2011 17:58, BARB wrote: >>> >>> , do you mean that we are suppose to follow that >>> 90 degree rule forever? BARB in Florida >>> >>> Re: can you kneel? >>> >>> , is your 90* rule still in effect? BARB in Florida >>> >>> . >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 my surgeon calls mine a lateral approach using the Hardinge method...... I do believe if I had to have another I will find another surgeon if this one has not changed his approach by then........I have heard too much here about the anterior approach and would look for a good surgeon who does that........my incision is not on the side nor is it on the very front..... someone called it on the 'pocket line'........mine seems more around the front than that to me.......BARB in Florida Re: can you kneel? > > > > , is your 90* rule still in effect? BARB in Florida > > > > . > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Thanks Barb I was curious because there are so many different types of incisions now. I'm very pleased with my direct anterior approach and I had no clue about it until a coworker brought it to my attention. There is only one surgeon in New Orleans that I know of who does this, and my PT was saying just today that I needed to be more patient, because had I needed a hip replacement just 6 yrs ago, I would barely be able to walk at the two week mark. On Apr 13, 2011, at 3:36 PM, BARB wrote: > my surgeon calls mine a lateral approach using the Hardinge method...... > I do believe if I had to have another I will find another surgeon if this > one has not changed his approach by then........I have heard too much > here about the anterior approach and would look for a good surgeon > who does that........my incision is not on the side nor is it on the very > front..... > someone called it on the 'pocket line'........mine seems more around the > front than that to me.......BARB in Florida > > Re: can you kneel? > > > > > > , is your 90* rule still in effect? BARB in Florida > > > > > > . > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Yes as I said the posterior seems to be the most prone to dislocation. But its hard to make definite statements as there are other factors. I mentioned muscle strength previously but i should really have spoken about the strength o specific muscles. Might well not apply to you. But there are other factors such as cup size and whether the cup has a lip and so on. I found lateral approach quite forgiving. I did my best with the hip precautions but defo wasn't perfect and I was pretty unfit at the time of surgery Hope the hip has stabilised now Best wishes Sent from my iPhone On 13 Apr 2011, at 23:29, " maryanne.waspe1@... " <maryanne.waspe1@...> wrote: > Pamela, I had posterior hip replacements, and the last one done 5 months ago > was the 4th hip for that side. I had my first hip done at 37 and I am an > avid swimmer. Thats why I got bent scuba diving. There is nothing wrong with > my muscles, but in November I forgot for one tiny minute that I had pushed > well past the 90- degree rule. And out it popped and it did it again 4 days > later.so there is no way I would do it on purpose.. > > > > -- Re: 90 degree rule > > Can I ask which type of hip replacement requires this? I remember my PT > mentioning something about conventional hip replacement surgery had quite a > few restrictions during the recovery process only, but with a direct > anterior approach there are no restrictions at all. > > > > > On Apr 13, 2011, at 1:36 PM, Pamela wrote: > > > with some types of hip replacement there is a higher risk of dislocation > > but not to the extent that you need to follow the 90 degree rule > > forever. It depends as much on how much you put into doing your > > exercises and building up the muscles to hold the lovely new joint in > > place. > > > > I followed the rule for a few months post op and now do pretty much what > > I like. I probably wouldn't attempt to sit full lotus though :-) > > Best wishes > > Pamela > > > > On 13/04/2011 17:58, BARB wrote: > > > > > > , do you mean that we are suppose to follow that > > > 90 degree rule forever? BARB in Florida > > > > > > Re: can you kneel? > > > > > > , is your 90* rule still in effect? BARB in Florida > > > > > > . > > > > > > Quote Link to comment Share on other sites More sharing options...
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