OsteoArthritis Service Integration System
Education - Pre-Op Education Multimedia
Learn about living with osteoarthritis at the click of a button. Follow the links below to watch video clips about hip and knee surgery, your recovery, and how you can manage everyday activities while protecting your joints.
These video clips are available online for your information only. They are intended for people who have attended or are planning to attend OASIS Pre-Hab or Pre-Op Education Sessions.
Information about Joint Replacement Surgery
Watch these clips to learn more about hip and knee surgery and how to take care of yourself after surgery.
- Knee surgery –Dr. Bas Masri describes what happens during total and partial knee replacement surgery. Bilateral (both) knee replacement surgery is also discussed.
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- Hip surgery – Dr. Nelson Greidanus describes what happens during hip replacement surgery.
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- Hip Resurfacing – Dr. Jonathan Fenton describes what happens during hip resurfacing surgery.
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- Alternatives to Standard Hip Replacements – Dr. Clive Duncan describes different types of hip replacement surgeries and prosthetic hardware:
- Hip resurfacing (Birmingham hip)
- Metal on metal (large ball)
- Ceramic hip replacement
- Minimally invasive surgery
View Clip
- Hip Replacements – Common Questions – Dr. Clive Duncan discusses the answers to many commonly asked questions including:
- How long will the joint last?
- Does age matter?
- What are the pros and cons of a metal on metal hip replacement?
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- Heparin Injections – This clip shows how to give yourself a heparin injection. This blood thinner is prescribed to most patients for the first 10 to 35 days after surgery. Talk to your surgeon or nursing staff if you have questions or concerns.
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Managing Everyday Activities
These clips show you how to do simple everyday activities after surgery while following your precautions. Precautions are rules about how you can move your new joint.
You will have to follow precautions for the first 3 months after hip or knee surgery. They are different for everyone. Always talk to your surgeon about what you can and cannot do after joint surgery. Here are some general guidelines:
- Hip Precautions: As the clip shows, don’t bend forward or lift your legs up to compress the angle between your body and your legs to less than 90 degrees. Don’t cross your legs or ankles. Don’t twist your leg or torso.
View Clip
- Knee Precautions: don’t squat, kneel, or twist the joint.
You will have a chance to practice the activities shown in these video clips before leaving the hospital. A physiotherapist and/or an occupational therapist will help.
The patient in the following clips has been given "weight bear as tolerated" orders from their surgeon. Some patients will not be allowed to put that much weight on their new joint. Your surgeon and physiotherapist will let you know how much weight you can put on your new hip or knee after surgery. Talk to your surgeon if you have questions or concerns.
In the following clips, the leg with the rolled-up pant leg is the surgical leg, the leg that has been operated on.
- Sitting – As the clip shows, your chair should have arm rests and the seat should be 2" above your standing knee height. When sitting, your hips should be higher than your knees. To sit safely:
- Back up to the chair until you feel it behind you
- Extend your surgical leg
- Reach back for the armrest
- Sit down
View Clip
- Walking with a standard walker – As the clip shows, move your walker forward, then move your surgical leg. Follow with your strong leg.
View Clip
- Walking with a 2-wheeled walker – As the clip shows, move your walker forward, then move your surgical leg. Follow with your strong leg.
View Clip
- Walking with crutches – As the clip shows, move your crutches forward, then move your surgical leg. Follow with your strong leg.
View Clip
- Walking up and down stairs with crutches – As the clip shows, to go up stairs you start with your strong leg. Follow with your crutches and your surgical leg. To go down stairs, start with your crutch, then your surgical leg steps down, followed by your strong leg. Use the handrail for support when going up and down the stairs.
View Clip
- Getting into and out of bed – If possible, get into bed on the side that will allow you to move your strong leg onto the bed first. Make sure your bed is 2" above your standing knee height. As the clip shows:
- To get into bed, back up until you feel it behind you
- Extend your surgical leg, reach back to the bed, and sit down
- Slide your body as far across the bed as possible
- Lift your surgical leg onto the bed
- Lean back and do not cross your legs (to follow hip precautions)
- To get out of bed, slide your body to the edge of the bed
- Stay leaning back and do not cross your legs (to follow hip precautions)
- Slide your surgical leg off the side of the bed and swing your body around
- Extend your surgical leg and stand up using your stronger leg for support
View Clip
- Getting in and out of a car – As the clip shows, follow these steps for getting in and out of a car:
- Your support person pushes the passenger seat as far back as possible and tilts the seat back into a reclined position
- Your support person puts a cushion on the seat to raise the height of the seat (to follow hip precautions)
- Approach the car with your back to the passenger seat
- Put one hand on the dashboard, one hand on the back of the seat, and extend your surgical leg
- Sit down and slowly bring your legs into the car. Be careful to follow hip precautions
- Reverse these steps to get out of a car
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- Getting dressed using a long-handled reacher – This clip shows how to use a long-handled reacher to put on and take off a pair of pants while following hip precautions. A long-handled reacher is required after hip surgery and recommended after knee surgery.
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- Using a sock aid – This clip shows how to use equipment like a sock aid, long-handled shoe horn and long-handled reacher to put on and take off socks while following hip precautions. A sock aid is required after hip surgery and recommended after knee surgery.
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- Using a toilet – As the clip shows, set up your toilet so that it is 2” above your knee height. Use a raised toilet seat with arm supports or a close counter to assist you to sit and stand.
- Back up to the toilet until you feel it behind you.
- Reach back for the arm supports.
- Extend your surgical leg.
- Lower yourself to the seat.
View Clip
- Bathing, using a tub transfer bench – As the clip shows, use a bathtub transfer bench to get in and out of a bathtub after surgery.
- Set up the tub transfer bench so that the seat height is 2” above knee height
- Back up to the bench until you feel the bench behind you
- Place your hand on the back of the chair
- Extend your surgical leg
- Lower yourself to the bench
- Slide across the bench
- Swing your legs in to the tub but do not break hip precautions by bending your hips past 90 degress
- If you have had hip surgery, do not reach forward for the taps as this will break hip precautions. Instead, use a hand held shower hose and turn on the water before you get in the tub.
View Clip
- Managing Your Osteoarthritis DVD – This DVD features individuals with osteoarthritis sharing their self-management strategies for staying active through exercise, pain management, nutrition and joint protection. The DVD complements the various free education sessions provided by the OASIS program.
View Clip
To order Managing Your Osteoarthritis DVD, visit VCH website or click on the following link: http://vch.eduhealth.ca/.
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