Orthopedic Surgery

You have just learned that you will have hip or knee replacement surgery (arthroplasty) at Hôpital Montfort.

To help you prepare, the Therapeutic Services team offers you a series of videos as well as a list of community resources.

Videos to watch before your surgery

The following videos will guide you after your knee or hip replacement surgery. The printed guide you received before your surgery can also help you. These videos do not replace the advices of your healthcare team.

The production of these videos was made possible thanks to the contribution of the Montfort Foundation and the support of the Institut du Savoir Montfort.

Knee Arthroplasty

Also consult :


Hip Arthroplasty (lateral or posterior approach)

Also consult :


Hip Arthroplasty (anterior approach)

Also consult :


Frequently asked questions

Can I use a 4-wheeled walker instead of the 2-wheeled walker?

No. The 2-wheeled walker provides additional stability to allow you to walk while putting weight on your operated leg, as per your tolerance. Being able to put weight on your operated leg in an aligned and supported fashion promotes healing. The 2-wheeled walker has fixed wheels that promotes better balance and leg alignment during the early phases of your recovery. The 4-wheeled walker is a lot faster and has swivelled wheels, which does not offer the stability required after a hip or knee surgery, and may slow down your recovery.

Can I resume driving if my surgery was on the left side?

No. Driving is not permitted after a knee or hip arthroplasty surgery, regardless of the side you are operated on. Your surgeon will tell you when you can resume driving. On average, you will not be able to drive for 4 to 12 weeks (depending on the type of arthroplasty). Furthermore, as long as you are taking narcotic medications for your pain, driving is prohibited.

Can I have home physiotherapy?

Unfortunately, home-based physiotherapy is not publicly funded for this type of elective surgery. You can do your rehabilitation in any hospital offering outpatient physiotherapy services that are part of the provincial program (Bundle of Care). A few examples include the Montfort Hospital, the Queensway-Carleton Hospital, The Ottawa Hospital (Riverside), Kemptville, Cornwall, etc. If you choose to pay for your rehabilitation in a private clinic, you can inquire about home services. You can ask your physiotherapist for a list of clinics or call a physiotherapy clinic near you.

Can I use crutches to walk?

It is possible to use crutches after your surgery if you have good balance and no shoulder injuries prior to your surgery. Your physiotherapist will be able to advise you if this is appropriate for you. 

When can I resume my activities (bicycle, ski, aquafit, etc.)?

Unless indicated by your surgeon, you can continue with your activities prior to your surgery while respecting your pain level. After your surgery, it is recommended to cease these strenuous activities and focus on the prescribed exercises only. Once a physiotherapist at an outpatient clinic completes your initial assessment after your surgery, they will guide you towards resuming your activities. Generally, you will not be allowed to resume water activities, such as Aquafit for 6 to 8 weeks. Please consult with your physiotherapist prior to resuming any strenuous activities and sports following a joint arthroplasty.

When can I resume walking without a walking aid?

Generally, you will use the 2-wheeled walker (or crutches) for up to 4 to 6 weeks, depending on the type of arthroplasty and your general mobility. The strength in your thigh muscle will determine the progress with your gait aids, to ensure maximum stability and leg alignment. Your physiotherapist will guide you to a cane after a few weeks. Thereafter, as per your progress and your personal goals (and preoperative mobility), you will be able to progress without a gait aid. Please consult with your physiotherapist prior to progressing gait aids or removing gait aids. Your physiotherapist will assess your strength and mobility and advise you when it is safe to do so.

Are all the services and equipment discussed covered by my OHIP card?

No. The equipment and convalescence services discussed are not covered by OHIP as this is an elective surgery. However, if you have private health insurance, most of them cover parts or all expenses related to surgery, depending on your coverage. Please call your private insurance to obtain more information in regards to your coverage. You will need a signed prescription by your family physician or surgeon and a proof of payment to receive reimbursement. Furthermore, the government assistive-device program (ADP) does not cover the equipment required for this surgery as this is a temporary need. The ADP only covers long-term equipment needs.

Can I use my electronic device to relieve my pain (such as Dr. Ho’s or TENS machines)?

The use of electrotherapy following a recent arthroplasty surgery is contraindicated. Please consult your physiotherapist prior to using any electronic devices near your new joint.


Community resources

The Therapeutic Services Team provides the following list of community resources to help you prepare for your surgery. This list is not exhaustive and is subject to change without notice.

These links are being provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by Hôpital Montfort of any of the products, services or opinions of the corporation or organization or individual. Hôpital Montfort bears no responsibility for the accuracy, legality or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.

Medical equipment suppliers

Ottawa East

Ottawa Centre

Ottawa West

Gatineau

 

Private convalescence homes

Convalescence fees are established by the residences and may vary. When choosing a residence, ask about the admission process after your surgery, and the documentation you will need to complete beforehand.

Ottawa

Orléans

 

Kanata

 

Nepean

 

Ottawa South

 

Carp

 

 

  • Pre- and post-operative instructions for a knee replacement

Questions and/or concerns

If you have any questions and/or concerns about your knee or hip replacement surgery, you can write to us by filling out the form below. A physiotherapist and/or occupational therapist will contact you as soon as possible.