Determination and Significance of Femoral Neck Anteversion

Femoral neck anteversion (FNA) describes the normal torsion or twist present in the femur. Femoral neck anteversion is defined as the angle between an imaginary transverse line that runs medially to laterally through the knee joint and an imaginary transverse line passing through the center of the femoral head and neck (Fig. 1).1,2 In adults without pathology, the femur is twisted so the head and neck of the femur are angled forward between 15 and 20 degrees from the frontal plane of the body.1,2 In some instances, the FNA angle is directed forward or backward well beyond this angle. Some researchers38 suggest that FNA angles outside this 15- to 20-degree average are a contributing factor in many different orthopedic problems in the lower extremity that are commonly seen by physical therapists.


Pre-Op Excercises

Created by Peter Schultz MSPT, OCS, CSCS of Dynamic Sports Physical Therapy
(and fellow surface hippy)

To download the latest PDF version click here

Pre-op exercises to do to strengthen your hip prior to hip surgery.


Pool Exercises

Swimming laps is one of the best things you can do to strengthen your heart and lungs. If you're a decent swimmer and enjoy lap swims, spend a few minutes a day at it to warm up for toning and stretching. Otherwise, walking or running in the pool is just as effective. It may sound easy, but just try it! If you go in up to your shoulders and run, you'll get your heart rate up with no problem. It may be very difficult to sustain at first, but try to build up your time to at least twenty minutes. One very important thing to remember is to keep your feet as fully planted as possible while you do your pool exercises, especially when walking and running. If you tiptoe (which people tend to do without realizing it), your calves will be killing you the next day. Keep those heels down!


Dr. Vijay Bose Preoperative

Birmingham Hip Resurfacing Surgery - Preoperative investigations
Preoperative  preparation Protocol

(For Dr. Vijay C. Bose patients)

Joint Replacement surgery
has seen many recent developments and now gives consistently gratifying results using appropriate implants in the respective age groups. However it is a major surgical undertaking and must be given the utmost care and preparation. It is never an emergency procedure and thus the patient must be in an  ‘Best possible condition’ at the time of the surgery.