S/P Total Hip Replacement
Definition:
In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed and replayed with a metal stem that is placed into a hollow center of the femur. A metal or ceramic ball is placed on the upper part of the stem. The damaged cartilage surface of the socket is removed and replaced with a metal socket.
Symptoms- Hip or groin pain
- Night hip or groin pain
- Hip stiffness
- Swelling, or tenderness in the hip joint
- A sound or feeling ("crunching") of bone rubbing against bone
- Inability to move the hip to perform routine activities such as putting on your socks
Causes- Osteoarthritis
- Femur fracture
- Rheumatoid arthritis
- Avascular necrosis
- Tumor
Treatment- Avoid internal rotation > 0 x 12 weeks
- Avoid adduction > 0 x 12 weeks
- Avoid hip flexion > 90 x 12 weeks
- Body mechanics education
- Passive, then active ROM
- Hip stabilization exercises
- Gait program
- Lower extremity strengthening
S/P Total Hip Replacement Phase I
- Walker Measurement
- Walker Walking
- Walker Transfer Bed
- Passive Heel Slides W Hip ER
- Passive Hip Flexion
- Ankle Pumps
- Weight Shifts
- Straight Leg Raise
- Bridges
- Standing Hip Extension
- Standing Hip Abduction
- Weight Bearing Restrictions
- DVT Clot Instructions
- SP Total Hip Replacement
S/P Total Hip Replacement Phase II
- Squats
- Sit Up Squat
- Step Ups
- Bridge Marching
- Gait
- Single Leg Balance
- Step Overs
- Side To Side Walking
S/P Total Hip Replacement Phase III
- Bridge Marching
- Glute Med Wall Sit
- Step Overs In Mase
- Single Leg Squat And Touch
- T Band Defensive Slides
- Speed Skaters
- Lunge Walk Med Ball Rotation
- 3-Dot Squat 2 Hands
