Hip Replacement Precautions for Back Approach | Posterior Approach
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- Опубліковано 2 сер 2024
- If you had a hip replacement or is planning to have a hip replacement, you might need to watch this video In order to know what to expect after your surgery.
Once you have a hip replacement, there are precautions that you need to observe for proper healing and avoid hip dislocation. Usually your doctor will tell you to observe this precautions for six weeks. As occupational therapist we remind you or educate you about this precautions.
For a posterior approach hip replacement, or from the back approach, there are three main precautions that you need to remember.
First no bending over 90° that includes bending your trunk or bringing your knee up which makes angle of your trunk and thigh lesser than 90°. When sitting down maintain a 90° angle with your trunk in your thigh. When you are about to stand up or sit down, keep the leg with a hip replacement straight. In getting in and out the bed, use a leg lift. You don’t need to buy one. Use an old belt. Make a loop and put your foot through then used to pick up that leg keeping the knee and the entire leg straight on and off the bed. When you need to pick up an object from the floor observe the golfer stance. Or you can use a reacher.
Second precaution is do not cross your legs. This will dislocate your hip more than anything else. So do not bring your leg in which you had a hip replacement across midline. You will usually see this when you are getting in and out the bed. So when you get in the bed make sure that you are scooted far enough where are you can bring your leg up without crossing the midline. Also, when you are sleeping you can sleep on your side if you have a pillow between your legs which will place your hip in neutral position. If you sleep on your back make sure that you keep your hips in neutral position as well and if you need to, put a pillow between your legs. You will also see crossing the legs when you’re putting on your lower body garments such as putting on your pants, putting on your socks or your shoes. Use assistive devices in order to do this task.
Third precaution is do not internally rotate your hip. Your guide will be your foot or your knee. Make sure your foot and or your knee won’t turn in words. Usually this happens when you turn to the opposite side. So when you have a right hip replacement and you need to turn to your left, do not plant Your right leg with turning to the left. Instead, step towards the left.
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Disclaimer:
This video should not replace the necessity of visiting your doctor or getting your occupational therapy session done. Please consult your primary care physician before doing any of this. The video is for educational purposes only.
By performing any fitness exercises, you are performing them at your own risk. Skills and wellness will not be responsible or liable for any injury or harm you sustain as a result of our fitness program.
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I had Posterior hip replacement 14!days ago. I had to use leg lift to get in bed for a number of days. Now I’m able to swing leg over into bed. I have been sleeping on my back. Also put a pillow slightly under leg that had surgery. I woke up one night on my side how I normally sleep before surgery. Ortho told me sleep on my back. Next day I felt a lot of pain. Then four days later my surgery left is swollen from knee down. Foot really swelled. I called and told go to ER might be blood clot. Everything turned out good. Doctor told me too active. I told him about Tuesday on side when I woke up. Have been in pain since and not very active. I also stopped taking two pain pills prior to waking up on side. Had to take them again. Also doctor said three weeks with cane. Orthopedics told me no three months with walker. I used walker for four days then went to using a cane.
Great video, it was concise and straight to the point. I appreciate your content!
Thank you for explaining all these precautions
thanks very informative
Teşekürler.
This is very useful and practical information. You’re the best! 👍
Awe. Thank you
Thank you. Very good info!
You are welcome
Great video. Thank you
Glad you liked it!
Thank you for your advice for after hip surgery.
You are welcome
Thanks for this info..first like
Thank you too. Wohooo
Actually, excellent presentation of important procedures. My joint dislocated itself at the six week post op time. Set me back, but finally got hooked up with an excellent PT / Rehab group. The hospital support is lousy, very unprofessional, very slow emergency response (held me for twelve hours before attempting a failed reduction. Awful experience with that hospital during reduction procedures. Really unbelievable practices. The accreditation process should really take a hard look at them.
I had a hip replacement because I fell, being a stroke survivor , I was listening to the therapist of the caution shown by you but, over a year later of doing bridging and lying on my affected side while sleeping. I could do half squats and bend affected leg to wear my my sock and shoe putting it up on my other leg. Guess, the above action had help me put the ball and socket joint back to its proper place
You can bridge if your sugery has posterior approach
Very useful video! I’m one week post op from a total left hip replacement and feeling pretty good!
That is awesome. Keep doing your exercises
This is super useful. Thank you.
Im happy it helped
@@SKILLSANDWELLNESShi sir
Great info. Easy to understand 😊 7:50
Thank you and you are welcome
I wish I saw this vid for R hip.
May 3, 2023 is L hip replacement, I'm READY now!
Awesome. Chose the video that is appropriate as to where the surgical site will be. From the front or from the back
I'm a paraplegic and I had a hip replacement on my left side 3 weeks ago. My hip dislocated twice and ended up having another surgery to add a cup to help. It's very hard for me to transfer in my wheelchair and keep that leg straight and not rub my bottom on my tires. There are no videos out here for a independent paraplegic like myself to give us the best way to handle a new hip replacement. Being that I can't feel, it was 3 weeks before I even knew I had a fractured hip. My PT didn't give any helpful instructions. She just told me to continue to do my daily duties and not use this as an excuse just lay in the bed. I did get your normal basic instructions like not cross your leg, sleep with an pillow between your legs and not let your toes point inward. But obviously I was doing something wrong because my hip came out twice and now I'm hoping to God it won't happen again. At least the PT I had after the second surgery gave me some helpful advice but I'm not still 100% sure if I'm doing everything correctly. Also, my wheelchair has my leg up higher than a 90° angle so there's that
I think you are doing it right as if now. But it will take weeks of observing your hip precautions and therapy. Even athletes take time to heal. Dont feel bad. You are in your way to getting better
Hey i dislocated my hip joint 3 months ago nd surgery was done a plate nd screw i have 🙄 i walking little bit with walker cause i tired soon
Recently I had hip replacement on both hips! How do I pick up things that I dropped ...which I do often!
Please use a reacher or kitchen tongs. That should guve you enough length to reach down.
@@SKILLSANDWELLNESS Thanks. I bought a reacher...helps me lot. I have delicate situation where after my operation, I had a stroke, my right side is paralysed, I follow your video...they help me a lot, especially the mirror exercises. God bless you. I am fighting against all the odds, your videos gives me result!
Hi, friend..! Are these precautions going to be for life or only until the surrounding tissues of the hip heal?
Only when you are still healing. The doctor would clear your precautions during your follow up and will determine the next steps. But it is not for lifetime.
@@SKILLSANDWELLNESS thank you my friend..!
Thanks for asking my question, am 1month Post Op,no pain after 3wks but the affected leg feels long and heavy,so far so good
If you do it by mistake without dislocating the joint, but just feel pain, is it bad ?
I hope not. But i would still advise getting an x-ray to be safe
Can you side sleep on the operative leg? Example my operative leg is right leg, can i side sleep to the right side? And one more what should you do if my hip dislocated?
Yes, but you need to put a big pillow or cushion between your knees to prevent stress on the new hip components. I waited five weeks until I tried this.
And I rested on the good leg side.
Thanks for the video but I thought posterior was on the side ?
With hip replacement? More towards the back
@@SKILLSANDWELLNESS Thank you
Is this temporary or permanent restrictions? Because it will be little bit shame when we are doing these in public especially If he is young
Usually your doctor will advise you to observe the precations for 6 weeks. Bit it wont be permanent
Are that ruls forever,or just for some weeks?
Usually weeks and the doctor will tell you when. But make sure to ask on the next appointment
@@SKILLSANDWELLNESS thanks, for answer and good video!