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.
Purchase 3 Phases

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

Purchase Phase

  • 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

Purchase Phase

  • 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

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