Total Hip Replacements Early Limitations
By Katie Trumble DPT/ATC
Early Limitations following total hip replacement surgery
Total Hip Replacement
A total hip replacement (THR) is a major surgical procedure performed to relieve individuals suffering in pain due to arthritic changes in the hip. With this surgery there are specific post- operative precautions to help prevent complications and allow for optimal recovery. The two most common surgical techniques for a THR are the anterior approach and the posterior approach, and with these two different surgeries there are different precautions.
Posterior Approach Hip Replacement
The posterior approach is a technique that is performed through the back of the hip with the precautions being:
- No hip flexion past 90° – no bending forward to tie your shoes or sitting on a low chair height
- No crossing the leg past mid-line – no crossing your legs or laying on the opposite side
- No turning the toes inward past mid-line – no turning towards the same side when walking
Anterior Approach Hip Replacement
The anterior approach is a technique that is performed through the front of the hip with the precautions being:
- No extending your leg past neutral – no stepping down stairs with the opposite leg and limitations with sleeping on your stomach
- No turning your toes out excessively – no turning to the opposite side when walking and being careful with sleeping positions
- No crossing the leg past mid-line –no crossing your legs or laying on the opposite side
With both of these techniques, the precautions are in place to keep the hip from dislocating following surgery. Typical functional limitations for both surgical types are as follows:
- No driving for 2-4 weeks
- No dancing for 4-6 weeks
- No golfing for 6-12 weeks
- Off work for approximately3-6 weeks
- Using an elevated toilet chair/sitting on elevated surfaces for up to 3 months
As with all surgeries, return to daily activities is dependent upon tissue healing time, restoration of functional strength and mobility. Often time participation in a formal physical therapy program can ensure that you recover in a safe and efficient time frame. For further discussion on hip replacement recovery call JOI-2000
Where is Telemedicine frequently used?
All JOI Physicians, Physical Therapists and Occupational Therapists now offer Telemedicine services for virtual visits from the convenience of your home. If you feel that it is best to stay in your own home during this time, we can still provide orthopaedic Telehealth services for you. Through the download of the free Zoom app on the your phone, tablet or laptop. Our physicians and Telehealth for Physical Therapy can evaluate you and provide the care you need.
- To schedule a new patient or follow up patient appointment with your MD, please call (904)JOI-2000 or read more here about our orthopedic telemedicine providers.
- To schedule an appointment for physical or occupational therapy, call 904-858-7045 or call any of the 12 area JOI Rehab Centers.
JOI Physicians are currently offering ASAP Fracture care. Make an appointment by calling (904)JOI-2000. This is a new option for patients who would like to avoid the emergency room if they have suffered a fracture or soft tissue injury. To learn more about this service, read this article about fracture and injury care.