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  1. Hip resurfacing is a surgical procedure designed to address hip OA while preserving more of your natural bone. Unlike traditional total hip replacement surgery, where the entire femoral head is

  2. Surgery. Total Hip Arthroplasty (Replacement) is a complex procedure that involves the removal and replacement of both the head of the femur and the acetabulum. First, an incision is made, most commonly, along the back or side of the hip. Next, the hip joint is exposed and the head and neck of the femur are removed.

  3. This protocol applies to the standard total hip arthroplasty/hemiarthroplasty and hip resurfacing. In a revision total hip arthroplasty, or in cases where there is more connective tissue involvement or bone grafting, Phase I and II should be progressed more cautiously to ensure adequate healing.

  4. This guideline is designed to progress the individual through rehabilitation to functional activity participation. The therapist may modify the program appropriately depending on the individual’s goals for activity following total hip arthroplasty.

  5. 1.1 This document is a statement of current best practice in primary total hip replacement (THR) and metal-on-metal hip resurfacing (MOMR) in the United Kingdom (UK) in all settings. It has been approved by the Council of the British Orthopaedic Association (BOA) and by the Executive and Members of the British Hip Society (BHS).

  6. The purpose of hip hemiarthroplasty, THA, and hip resurfacing is to reduce pain, restore function and correct deformity by improving the biomechanics of the hip joint. This is done by replacing the damaged joint with a prosthetic implant, realigning the soft tissues, and eliminating structural and functional deficits.

  7. PHYSICAL THERAPY PROTOCOL HIP REPLACEMENT AND HIP RESURFACING. Please instruct patients on safe methods of ambulation, sitting, reaching, bathing and personal care. . Avoid and educate patient upon risky extreme positions for dislocation: Combined hip extension and external rotation – Anterior approach.

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