Hip precautions folLowing THR

[mikemcmahon25]

Hello, Im an orthopaedic physio looking into what exact hip precautions physios are telling patients in order to avoid dislocation following THR and for how long these precautions are for. Just trying to see if there is any consensus out there as there seems to be a lot of variety in the literature.
Looking forward to some interesting replies

[Hessa]

Hi
these are some precaution for post opration:
pt should avoid crossing legs
pt should liy in supine position keeping operated hip in slight abduction & internal rotation.
avoid sitting in low & small chairs
and when sitting keep the knees slightly lower than hips
pt should take shower using proper shower chair
in acending and decending stairs: pt should acend with the sound leg and decend starting with the operated sides.

for the therapist:
PT should avoid excercises that involves adduction, extention & External rotation.
PT avoid combination of fflextion, abduction & External rotation.
Avoid ( even low intensity) isometric contraction of hip Abductors.
( theraputic Excercise , Kinser, 4th edition)

[cyberphysio]

How long one can follow these precautions? i know a person who is right side hemiparesis, parkinson, right side limb length discrepancy for 20 yrs, had done cemented THR due to hip arthritis. Anyone tell how to improve his hip abductor strength (surgery done on 9th feb 07). now he is walking with walker.
PS. he has Rt hemiparesis. his upper limb is weak - power is around 3+,
HIP abductor - 2, flexor - 2+

[Hussam]

Originally Posted by Hessa

Hi
these are some precaution for post opration:
pt should avoid crossing legs
pt should liy in supine position keeping operated hip in slight abduction & internal rotation.
avoid sitting in low & small chairs
and when sitting keep the knees slightly lower than hips
pt should take shower using proper shower chair
in acending and decending stairs: pt should acend with the sound leg and decend starting with the operated sides.

for the therapist:
PT should avoid excercises that involves adduction, extention & External rotation.
PT avoid combination of fflextion, abduction & External rotation.
Avoid ( even low intensity) isometric contraction of hip Abductors.
( theraputic Excercise , Kinser, 4th edition)

yayaaa

thats right!!

flexion over 45 degree iit should be avoided in the early stage after the operation !