Remember your hip precautions keep the angle at your hip greater than 90. Anterior total hip arthroplasty rehabilitation guideline. Your hip joint works like a ball and socket, with the upper portion of your femur thigh bone as. Total hip arthroplasty tha is a common and effective treatment of hip osteoarthritis. The following information will teach you about sexual positions that can be safe and comfortable. Your orthopedic surgeon has recommended a total hip replacement to lessen your pain and make walking easier. Do not bend forward while sitting in a chair, causing more than a 90 bend in your hip. Anterior total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Your body must have time to heal around your new hip to provide proper support and control of your leg movement. Total hip arthroplasty lateral approach rehab protocol. Hip precautions after total hip replacement thr you will need to follow hip precautions for 3 months unless your surgeon tells you differently. The top of the thigh femur bone ball fits into a part of the pelvis called the acetabulum socket, allowing the joint to move smoothly in multiple directions. Total hip arthoplasty tha is a very common procedure in orthopedic surgery.
Table of contents introduction 2 the complete care program 3 specialty care coordinator preoperative total joint education class overview of total knee replacement 4 overview of total hip replacement 5 preparing for surgery 6. In most instances, the acetabulum is left intact and the head of the femur is replaced, using components similar to those used in a total hip replacement. Advocateaurorahealth for your well being make healthy happen. Total hip replacement is an effective procedure that can help you get back to enjoying everyday activities. Total hip replacement how the hip joint functions the hip joint is a ballandsocket joint, where your femur thigh bone joins with your pelvis.
Ankle pumps gently point toes up towards your nose and down towards the surface. Revision total hip replacement is a more complex procedure and takes longer to perform than primary total hip replacement. Contact your health care provider if you believe you have a health problem. Hip precautions after total hip replacement posterior surgery do not bend your hip more than 90 degrees. If you have been issued with a raised toilet seat, then sit and stand as you would with a chair but hold the rim of the toilet seat with one hand, using your crutch or stick in the other hand to lift yourself up. See recommendations on progressing beyond the use of a canewalker below. Young, healthy, or active hip patients can progress as tolerances allow. A patients guide to total joint replacement and complete care. Total hip joint replacement gait instructions david f. Keep a pillow between your legs and against the outside of the operated leg.
Posterior hip precautions dont bend your hip past a 90 degree angle. These precautions help you heal and reduce risk of hip dislocation. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a metal socket with a smooth liner that is attached to. Being informed will help you feel confident about your decision to have a total hip replacement surgery. Johns hopkins hip and knee replacement program patient education. Posterior hip precautions duke orthopaedic surgery. Be sure to follow any guidelines from your health care provider. In the netherlands, 25,642 primary tha implants were performed in 20. Typically, your surgeon recommends that you adhere to these. To care for your new hip and keep it from sliding out of position, youll need to follow a few general rules at first. Total hip replacement is a surgical procedure that replaces the hip joint with artificial parts called prostheses. Are hip precautions necessary post total hip arthroplasty. Stationary bicycle seat high to maintain hip precautions 11. Hip with prosthesis your new hip technological advances have made it possible for your painful hip to be replaced with a prosthesis artificial hip.
Many patients and families find it helpful to learn as much as they can before the surgery. You should not have intercourse until at least 3 weeks after your surgery to allow for some healing. Please follow your precautions until cleared by your. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. Keep your shoulders at or behind your hips figure 2. Hip precautions are a common component of standard postoperative care following total hip replacement surgery1 depending on individual health and mobility a prior surgery, one may need to maintain these precautions for 6090 days and some as far as 6 months. Total hip replacement protocol northwestern medical center. If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Total hip replacement rehabilitation protocol outpatient physical therapyphase i weeks 1 6 postop patient is evaluated weekly in outpatient pt unless deemed otherwise, or in inpatient setting evaluate and document. If only one part of the joint is damaged or diseased, a partial hip replacement may be recommended. Total hip arthroplasty protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance.
These rules apply for a minimum of 12 weeks after surgery. Total hip arthroplasty tha, also known as a total hip replacement is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic hip joint. Hip precautions are instructions about how to move or position your new hip after surgery. Your surgeon will determine which precautions you should follow to make your recovery safe and comfortable. Exercises and activities to avoid after hip replacement. Dont twist your hip inwards keep knees and toes pointed upwards. You will need to be careful to protect your new joint after hip replacement surgery. Gait c orrect any abnormal gait patterns noted hip rom s tay within the precaution limits hip strength. Posteriordirect total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible.
Most often, people need to maintain total hip precautions for approximately 90 days after surgery. Activity restrictions known as hip precautions are widely practiced in rehabilitation post tha, aiming to foster healing and prevent hip dislocation. Tha is an effective option if the patients pain does not respond to conservative treatment and has caused a decline in their health, quality of life, or ability. Sex after hip replacement surgery safe positions you need to protect your hip joint in all activities after your hip replacement surgery. If you move your legs beyond the limits of motion described in these guidelines, your new hip joint. The hip precautions below mainly apply to the posterior or posterior lateral hip replacement procedure. X41744 1216 aahc total hip replacement posterior hip precautions. Normally, the hip functions as a ballandsocket joint. Recommended longterm activities after total hip replacement deandrade, kj activities after replacement of the hip or knee, orthopedic special edition 26. Postoperative hip dislocation is one of the major complications and has been reported in 0. Anterior hip precautions do not step backwards with surgical leg.
How do you make your surgery a positive and meaningful experience. A total hip replacement involves the surgical removal and replacement of the damaged femoral head and acetabulum of the hip joint with a prosthetic implant. To begin, your doctor will follow the line of the incision made during your primary total hip replacement. Apply ice to your incision area for 20 to 30 minutes after exercising to help lessen discomfort. The following hip precautions can assist in preventing undue stress on your new hip and reduce the risk of hip dislocation. This handout provides important information designed to prevent postoperative complications of your hip while your tendons and muscles are healing. Following restrictions to care for your new hip and keep it from sliding out of position, youll need to. It is important that you understand and follow these precautions.
It is designed for rehabilitation following a posterior approach total hip arthroplasty. Remember that each and every person heals differently after total hip replacement surgery, working with your physical therapist is the best way to ensure a safe and rapid recovery after your total hip replacement. Stand from chair without upper extremity assistance dc instructions from the hospital. Hip precautions total hip replacement exercise guide. Total hip precautions after surgery should be followed for 3 months and include.
Try to keep your hip within the safe positions while it heals. Anterior and posterior lateral hip precautions following total hip replacement surgery, certain positions cause undue stress on your hip and could cause the prosthesis to dislocate. Total hip replacement arthroplasty with advances in surgery, preparing yourself for surgery and actively participating in your recovery more time is focused on your recovery in the community or your own home. Stairs with a reciprocal pattern and no railing to assist to ascend. It is recommended to take these precautions 6 months. A total hip replacement is when the top part of the femur and the socket part. Your recovery may be faster if you follow these precautions. Scott, md walking recommendations use your walker or cane as needed for assistance during the first 6weeks after hip replacement surgery.
This total hip replacement handbook a list of all medications and supplements you take, including dose and frequency. At your followup visit, you will be advised whether you can discontinue your hip precautions. It is designed for rehabilitation following an anterior approach total hip arthroplasty. X16590 32014 ahc total hip replacement total hip replacement home exercise program phase i, posterior. Posteriordirect total hip arthroplasty rehabilitation. Perform throughout the day, 10 per hour while awake. This procedure replaces your damaged hip joint with an artificial hip implant. Hip precautions after hip replacement northwestern medicine. Thank you for choosing cleveland clinic for your total joint replacement surgery. Do both ankles at the same time or alternating feet. The cartilage also makes a smooth surface for the ball, or head of the femur to glide. The most common form of partial hip replacement is called a unipolar prosthesis3. Along with doing your physiotherapy exercises, there are many things you can do to help your hip heal. The hip is a ball and socket joint and is formed where the thigh and pelvis meet.
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