Wild Physio Podcast

#80 Prof. Bill Walter: THR & Hip Resurfacing


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Today I welcome Professor Bill Walter, a specialist hip and knee surgeon with over 20 years of experience and thousands of joint replacements to his name. In this episode, we dive deep into total hip replacement—cutting through common myths, misconceptions, and key decision points for patients and clinicians alike.

Bill shares his insights on THR surgical approaches (anterior vs. posterior), implant choices, and why hip resurfacing is an option for some patients.

We also cover:

  • Whether imaging findings should dictate the timing of surgery

  • Why some patients wait too long for a hip replacement

  • Returning to running and sport after THR and hip resurfacing

  • The role of weight management before surgery

  • Whether a "gold standard" prosthesis or surgical approach really exists

  • Post-operative precautions—how strict do we need to be?

  • Long-term outcomes, including implant longevity at 20+ years

  • Dislocation risk: hip resurfacing vs total hip replacement

A practical, evidence-based conversation packed with clinical insights for anyone managing hip pain, considering surgery, or working in rehab.

https://billwalter.com.au/

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Wild Physio PodcastBy Andrew Wild

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