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Birmingham Hip Resurfacing
Rehabilitation
Dr. Rogerson's Birmingham Hip Resurfacing patients will
participate in rehabilitation at Meriter Hospital and a program
called HipHab. Meriter
offers an innovative approach to rehabilitation with a 7-day
program that seamlessly moves you from hip resurfacing surgery
to a rehabilitation stay to home. Meriter's program is modeled after
proven programs in Europe to ensure the best-possible outcomes.
After surgery, patients experience HipHab, a rehabilitation stay
in their own apartment home. Patients are steps away from an
expansive Aquatic and Wellness Center for land- and water-based
therapy. An added benefit is that the apartment homes are
located in the heart of downtown Madison, which offers ample
opportunities for dining, cultural and leisure activities.
Below you will find an overview of Dr. Rogerson's Hip
Rehabilitation Program. If you have any questions, please
contact our office at (608) 231-3410.
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Rehabilitation Schedule |
Your Healthcare Team
Early Rehab
| HipHab
| Home-Like Accommodations
Downtown Madison Living
Continued
Rehabilitation at Home
Continuing
Support When You Return Home
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Meriter and Dr. Rogerson have developed a
comprehensive, proven rehabilitation program to start you on the road to
recovery. The 7-day program moves you seamlessly from surgery to home.
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Pre-op Visit
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- Several weeks before your
surgery, you will have a clinical appointment with
Dr. Rogerson, Renee or Joanna, Certified Physician
Assistants.
- Several weeks before your
surgery, you will also visit HipHab. Your visit will be
divided into three sessions, each 30-45 minutes:
- Housing Tour -
You will tour an apartment home, and learn about meal
and amenity options available during your rehabilitation
stay.
- Physical Therapy
Session - You will tour the Aquatic & Wellness
Center, and review pre-surgery exercises and stair
climbing techniques. You will also be fitted for your
crutches.
- Occupational Therapy
Session - The therapist will provide instruction on
adaptive equipment that you will use to assist in your
daily living activities. The therapist will also provide
instruction on bed, toilet and car transfers during
rehabilitation.
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Pre-Surgery Day
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- You will check into HipHab on the day before your surgery. This allows you and
your coach/caregiver time to settle into your apartment
home. (It is strongly recommended that your spouse, a friend
or a family member stay with you during rehabilitation to
serve as a caregiver.)
- You may meet one or two
other people who are scheduled for surgery on the same day
as you, and also meet patients who had surgery the week
before.
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Day 1
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- If you wish, you and your
coach/caregiver may drive to Meriter Hospital. If you would
like assistance, HipHab will discuss the best way
to transport you to the hospital.
- Dr. Rogerson will perform
your surgery in a special high air flow filtration operating
suite with hood filtration systems for the surgical
personnel. This minimizes the risk of surgical site
infection.
- After surgery you may be
allowed to walk to the commode, with assistance.
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Day 2
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- The day after your surgery,
you will begin physical therapy and occupational therapy at
Meriter Hospital.
- A nurse will provide
instruction for incisional care to you and your
coach/caregiver.
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Day 3
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- Around noon, your
coach/caregiver will provide transportation to HipHab. If you wish, our staff can also arrange
transportation.
- That afternoon, you will
receive a 1-on-1, land-based physical therapy evaluation and
exercise session.
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Day 4 and 5
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- You will participate in a
mix of one-on-one land-based exercise sessions and group
aquatic therapy.
- You will attend one or two
occupational therapy sessions, as needed.
- You will have time to enjoy
the recreational opportunities downtown.
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Day 6
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- You will receive a 1-on-1,
land-based exercise session. Staff will review exercises you
can continue at home, and provide recommendations for
continued rehabilitation.
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Day 7 |
- A staff member from Dr.
Rogerson's office will remove your staples in the morning.
Staff will contact you regarding the time that works best
for you.
- You will leave HibHab with a comprehensive plan for continuing your
rehabilitation.
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The healthcare specialists
within Meriter Hospital, HipHab and our clinic work
collaboratively to ensure a seamless rehabilitation experience for all
Birmingham hip resurfacing patients. This expert team will support you throughout
your surgery experience, which includes:
Dr.
Rogerson
Dr. Rogerson is currently the only surgeon in Wisconsin approved to use
the Birmingham Hip Resurfacing System, the only FDA approved hip
resurfacing device. To learn more about Dr. Rogerson, visit the About
Dr. Rogerson section.
Dr.
Rogerson's Staff
Renee Burke and Joanna Hutchins, Certified Physician Assistants, will work with you throughout the process. In
our office,
Cathy Goetz will help with scheduling issues and Kathleen Goodman will
handle financial questions. To learn more about Dr. Rogerson's staff, visit
Our Team.
Meriter Hospital
During and after surgery, you will be cared for by a veteran group of
nurses. Physical and occupational therapists will also start your
rehabilitation program before you transition to HipHab.
HipHab
Physical therapists and occupational therapists will be instrumental in
your rehabilitation. In addition, hospitality staff will be available
for questions related to accommodations and amenities.
One of the critical success
factors for a positive outcome is following the rehabilitation process.
In order to help achieve the goals for a successful hip resurfacing
procedure, you must actively participate in the rehab process and work
diligently on your own, as well as with the therapists, to achieve
optimal results.
Physical Therapy
Your recovery program usually begins the day after surgery. Our physical
therapists will teach you some simple exercises that will strengthen the
muscles in the hip and lower extremity. You will be taught the following
exercises while laying down:
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- Gluteal Sets: Tighten
and relax the buttock muscles.
- Quadricep Sets: Tighten
and relax the thigh muscles.
- Ankle Pumps: Flex and
extend the ankles.
- Heel Slides: Bend your
knee up.
- Leg Lifts: With
assistance, raise your whole leg.
- Knee Extensions:
Straighten the lower part of your leg.
- Hip Abduction: Move your
whole leg out to the side.
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Following the
recommendations on the Precautions page, your physical therapist will
also teach you proper techniques to perform such simple tasks as:
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Moving up and down in
bed.
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Going from lying to
sitting.
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Going from sitting to
standing.
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Going from standing to
sitting.
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Going from sitting to
lying.
Although these are simple
activities, you must learn to do them safely so that the hip does not
dislocate or suffer other injury.
Another important goal for early physical therapy is for you to learn to
walk safely with light forearm crutches or another device. Your surgeon
will determine how much weight you can bear on your new hip, and your
therapist will teach you the proper techniques for walking on level
surfaces and stairs with the assistive device.
Occupational Therapy
An occupational therapist will also visit with you to teach you how to
perform activities of daily living safely. He or she will reinforce the
hip precautions you should follow.
After
your hospital stay, you will transition to HipHab. With
HipHab, aquatic therapy in our warm water pool is just
steps away from your apartment home.
One of the largest pools of its kind in the area, the Warm Water Therapy
Pool measures 20' x 40' with depths ranging from 3'6” to 5'. Heated to a
soothing 92 degrees, the therapy pool is completely accessible by ramp
or swimlift. There is also a lap pool heated to 86 degrees for your
therapy program, if recommended by your physical therapist.
Physical Therapy
You will begin with supine sitting and standing exercises, with a focus
on isolated muscle movements for re-education. You will progress to
stair climbing, distance walking and balance activities, as tolerated.
Aquatic therapy will provide you with a variety of exercises that focus
on posture and smooth muscle movement. You will experience decreased
pain in the warm water to help you progress more quickly through
rehabilitation.

At time of discharge, you can expect to be able to transfer with
increased ease in and out of bed, on and off surfaces, and in and out of
the car. You will be able to walk with forearm crutches safely and
manage stairs with decreased pain. You will be provided with a thorough
home exercise program and recommendations for continued therapy.
Occupational Therapy
You will participate in 1-2 group sessions to review total hip
precautions as they relate to your activities of daily living and
mobility. Your therapist will provide instruction for the use of
adaptive equipment needed to perform daily living skills.

A distinct benefit of HipHab is that you and your caregiver stay in a private,
furnished apartment while you are participating in rehabilitation. By
staying at HipHab, you will experience a level of care that
cannot be duplicated by standard outpatient physical services.
Each one-bedroom apartment is modified for our Birmingham hip
resurfacing patients, and features a kitchenette and a full-size bed.
At HipHab, you will enjoy having these amenities easily
available:
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Dining at Seasons Restaurant and
Henry Street Cafe
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Performances and programs at our
Grand Hall
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Internet access through our
Library & Technology Center
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Garden plaza
Massage services and guest passes for
the Aquatic & Wellness Center are available for an additional cost.
When you're not
participating in rehabilitation, you will be able to experience the best
that downtown Madison living has to offer. Many of Madison's cultural
and entertainment treasures lie just outside the doors of HipHab.
You can conveniently access restaurants, libraries, museums, the
Overture Center for the Arts and Monona Terrace. Also, events like the
Farmers' Market, Concerts on the Square and Jazz at Five are all nearby.
Patients have found that strolling around the Capital Square is an
enjoyable way to practice walking.
Following surgery, a
physical therapist may help you with your rehabilitation program. In
addition to the exercises done with the therapist, you should continue
to perform your hip exercises on your own. It is also important to
continue to walk on a regular basis. An exercise and walking program
helps strengthen your hip muscles and makes activities of daily living
easier to manage.
You will continue to build on the exercises you learned at Meriter. If
an exercise is causing pain that is lasting, reduce the number of
repetitions. If the pain continues, contact your physical therapist or
physician.
While at home, you will continue to walk with the assistive device
unless otherwise directed by your care providers. During the first few
months following surgery, you must also follow the hip precautions and
weight-bearing instructions you received. It is recommended that you not
drive unless you have been approved by your doctor.
Once Dr. Rogerson has
cleared you for water rehabilitation on your own, you may want to visit
the Winged Water Walker website for another great idea on further
strengthening. Click on this link to their website:
www.wingedwaterwalker.com (To purchase water wings, click on
"See Other Views." Then click on the scrolling banner on the bottom.)

When you return home, Dr.
Rogerson's staff will work with your local healthcare providers to
ensure that you continue progressing with your rehabilitation.
If you live near Madison, HipHab offers outpatient
rehabilitation services to further assist you in your recovery. Options
include:
Return to Hip Resurfacing Main Menu
Back to Patient Education - Hip
1/22/2007
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SERVICES | PATIENT EDUCATION
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CLINIC INFORMATION |
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