S/P Hip Arthroplasty Posterior Approach

Definition:
The posterior (Moore or Southern) approach accesses the joint and capsule through the back, taking piriformis muscle and the short external rotators off the femur. This approach gives excellent access to the acetabulum and femur and preserves the hip abductors and thus minimises the risk of abductor dysfunction post operatively. It has the advantage of becoming a more extensile approach if needed. Critics cite a higher dislocation rate, although repair of the capsule, piriformis and the short external rotators along with use of modern large diameter head balls reduces this risk.
Purchase 3 Phases

Symptoms
  • Pain in the hip and or groin
  • Loss of ROM in the hip
  • Pain with standing, walking
  • Stiffness in the hip with sitting
  • Tenderness in the hip
Causes
  • Arthritis
  • Femur fracture
  • Rheumatoid arthritis
  • Avascular necrosis
  • Traumatic arthritis
  • Protrusio acetabuli
  • Benign and malignant bone tumors
Treatment
  • Avoid hip flexion >70 degrees, hip abduction > neutral, hip internal rotation
  • Hip stabilization exercises
  • Lower extremity stretching
  • Core stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Body mechanics education
S/P Hip Arthroplasty Posterior Approach Phase I

Purchase Phase

  • Walker Measurement
  • Walker Walking
  • Walker Transfer Bed
  • Ankle Pumps
  • Heel Slides
  • Active Hip Flexion
  • Quad Sets
  • Supine Hip ER
  • Weight Shifts
  • Straight Leg Raise
  • Standing Hip Extension
  • Standing Hip Abduction
  • Weight Bearing Restrictions
  • SP Hip Arthroplasty Posterior Approach
  • DVT Clot Instructions

S/P Hip Arthroplasty Posterior Approach Phase II

Purchase Phase

  • Squats
  • Sit Up Squat
  • Step Ups
  • Bridge Marching
  • Gait
  • Single Leg Balance
  • Step Overs
  • Side To Side Walking

S/P Hip Arthroplasty Posterior Approach Phase III

Purchase Phase

  • 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