Total Hip Replacement 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. Please watch this video on a total hip replacement.
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
- Don’t cross 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
- Don’t cross 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
- Off work for approximately3-6 weeks
- No golfing for 6-12 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. To schedule an appointment with JOI Rehab for Physical Therapy, please call 904-858-7045.
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