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It is designed for rehabilitation following an anterior approach total hip arthroplasty. Modifications to this guideline may be necessary depending on physician-specific instruction or other procedures performed. This evidence-based anterior total hip arthroplasty guideline is criterion-based.
An anterior approach uses an incision that typically starts at the iliac crest and extends down toward the top of the thigh (less commonly, you will find a horizontal incision). The anterior muscles are then divided to display a window to the hip joint and muscles are typically not cut.
Post-Op Instructions for Hip Arthroplasty – Anterior Approach. Jacob B. Stirton, MD. DIET. Begin with clear liquids and light foods (jello, soups, etc). Progress to your normal diet if you are not nauseated. WOUND CARE. n your operative dressing until your first post-operative visi.
Hip abduction restrictions. Limited Precautions: Either posterior or direct anterior approach. Avoid any extremes of movement or uncomfortable positions. Global Precautions: Combination of both anterior and posterior precautions, described above.
Proper activation and recruitment of all hip and core musculature without compensation required prior to initiating strengthening. Neuromuscular re-education for balance and correction of faulty mechanics. Therapeutic exercise for lower extremity strength (double and single limb) Outcome Testing.
With advancements in modern medicine, there have been several effective surgical approaches developed for THA, including anterior, posterior, anterolateral, posterolateral, and lateral approaches. The surgeon will determine the best surgical approach to use for each individual.
Total hip replacement (THA) post-operative protocol. Total hip arthroplasty (THA), also known as a total hip replacement is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic hip joint.
