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General Guidelines/Precautions: SBA for transfers, bed mobility, ambulation for household distances, dressing, showering and toilet transfers with least restrictive assistive devices or modifications.
Anterior Lateral Hip Precautions. Do not move surgical leg out to the side. Do not move surgical leg backward. Do not cross or turn surgical leg/ toes outward. Use leg lifter or helper to bring leg out to the side.
Total Hip Arthroplasty (Anterior Approach) Rehab Protocol General Summary/Recommendations General Precautions: • WBAT, with use of assistive device (AD) as needed (crutches, walker) • No crossing legs (crossing ankles is okay) • Use good bending/lifting mechanics (keep back straight and bend at knees)
Anterior Approach. Total hip replacement is a surgery to replace worn or damaged parts of the hip joint. The surfaces of the joint are removed and replaced with an artificial joint. This surgery can relieve pain and improve movement in your hip joint. You may need a total hip replacement if:
Anterior Precautions: No hip extension or hip external rotation beyond neutral. No bridging, no prone lying, and none of the above motions combined. When the patient is supine, keep the hip flexed at or above 30 degrees. Pillow under the patient’s knee or raise the head of the bed. Direct Anterior Precautions: No full bridging. Lateral Precautions:
An anterior approach uses an incision that typically starts at the iliac crest and extends down toward the top of the thigh (less commonly, you will find a horizontal incision). The anterior muscles are then divided to display a window to the hip joint and muscles are typically not cut.
Provide environment for proper healing of incision site and prevention of postoperative complications. Minimize pain and swelling- use of cryotherapy as needed. Improve functional hip ROM to within hip precautions- focus on extension to neutral. Improve functional strength and endurance.
Follow Anterior Hip Precautions a. No lunges for 6 weeks- excessive hip extension in weight bearing could result in dislocation. b. After 6 weeks, patients may perform lunges as long as motion is in the straight plane. Avoid combinations of motions such as extension with abduction or hip rotation. 2. Gait – WBAT a.
HIP PRECAUTIONS – ANTERIOR & POSTERIOR. Avoid these activities for 4-6 weeks or as prescribed by your surgeon. Be sure to be mindful of movements and activities you take for granted during this time. Please follow these suggestions. Do not drive until it is approved by your doctor. Do not lift any heavy objects.
This booklet is designed to provide information and advice about your hip surgery and to aid your recovery and rehabilitation during your stay at the James Paget University Hospital and once you are discharged home. The aim of your surgery and post-operative advice is to reduce your pain, reduce stiffness and improve the movements in your hip ...