Hip Precautions: Difference between revisions
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== Hip Precaution'''s''' == | == Hip Precaution'''s''' == | ||
== | == General Rule == | ||
* Never cross legs or | * Never cross legs or ankle on sitting, standing or lying down | ||
* Avoid bending your leg greater than 90 degrees | * Avoid bending your leg greater than 90 degrees | ||
* When sitting or standing from a chair, bed or toilet you must extend your operated leg in front of you. <ref>http://www.sunnybrook.ca/content/?page=musckuloskeletal-hip-replacement-walking</ref> | * When sitting or standing from a chair, bed or toilet you must extend your operated leg in front of you. <ref>http://www.sunnybrook.ca/content/?page=musckuloskeletal-hip-replacement-walking</ref> | ||
== | == Dressing == | ||
* Do not stand when dressing, you can either sit at the edge of your bed if it is stable or on a chair | * Do not stand when dressing, you can either sit at the edge of your bed if it is stable or on a chair | ||
* Never bend over, raise or cross legs when dressing | * Never bend over, raise or cross legs when dressing | ||
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* When undressing ensure you remove clothes from the surgery side last<ref name=":0">Cabrera JA, Cabrera AL. Total hip replacement. In: Frontera WR, Silver JK, Rizzo TD, eds. ''Essentials of Physical Medicine and Rehabilitation.'' 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 61</ref><ref name=":1">Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beaty JH, Canale ST, eds. ''Campbell’s Operative Orthopedics.'' 13th ed. Philadelphia, PA: Elsevier; 2017: chap 3</ref> | * When undressing ensure you remove clothes from the surgery side last<ref name=":0">Cabrera JA, Cabrera AL. Total hip replacement. In: Frontera WR, Silver JK, Rizzo TD, eds. ''Essentials of Physical Medicine and Rehabilitation.'' 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 61</ref><ref name=":1">Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beaty JH, Canale ST, eds. ''Campbell’s Operative Orthopedics.'' 13th ed. Philadelphia, PA: Elsevier; 2017: chap 3</ref> | ||
== | == Sitting == | ||
* Never sit for too long in the same position, you can change position every 30 minutes interval | * Never sit for too long in the same position, you can change position every 30 minutes interval | ||
* Always ensure your feet are 6 inches (15cm) apart | * Always ensure your feet are 6 inches (15cm) apart | ||
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* Avoid sitting on chairs that are too low, use pillow if necessary<ref name=":0" /><ref name=":1" /> | * Avoid sitting on chairs that are too low, use pillow if necessary<ref name=":0" /><ref name=":1" /> | ||
== | == Bathing/Toileting == | ||
* Use a special tub seat for sitting in the shower | * Use a special tub seat for sitting in the shower | ||
* Use a rubber mat on the tub or shower floor. Ensure to keep bathroom floor clean and dry | * Use a rubber mat on the tub or shower floor. Ensure to keep bathroom floor clean and dry | ||
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* Ensure you use an elevated toilet seat. It will be difficult to get up safely if the seat is too low.<ref name=":0" /><ref name=":1" /> | * Ensure you use an elevated toilet seat. It will be difficult to get up safely if the seat is too low.<ref name=":0" /><ref name=":1" /> | ||
== | == Ascending/Descending stairs == | ||
* When ascending, step first with the unaffected leg (the side that was not operated on) | * When ascending, step first with the unaffected leg (the side that was not operated on) | ||
* When descending, step first with the leg that you had surgery on.<ref name=":1" /> | * When descending, step first with the leg that you had surgery on.<ref name=":1" /> | ||
== | == Lying in bed == | ||
* Do not sleep on the side of your new hip or on your stomach. Ensure you place a pillow in between your thighs if you are sleeping on the other side.<ref name=":0" /> | * Do not sleep on the side of your new hip or on your stomach. Ensure you place a pillow in between your thighs if you are sleeping on the other side.<ref name=":0" /> | ||
== | == Getting into/Riding a car == | ||
* Ensure you get into the car from street level, not from a curb or doorstep | * Ensure you get into the car from street level, not from a curb or doorstep | ||
* Ensure the car sit is not too low, use pillow if necessary | * Ensure the car sit is not too low, use pillow if necessary | ||
* Don’t go for long car rides, stop get and walk at about every 2 hours<ref name=":0" /><ref name=":1" /> | * Don’t go for long car rides, stop get and walk at about every 2 hours<ref name=":0" /><ref name=":1" /> | ||
== | == Walking == | ||
* Ensure you use your crutches or walker until your doctor or physical therapist tells it is OK to stop using them | * Ensure you use your crutches or walker until your doctor or physical therapist tells it is OK to stop using them | ||
* Do not bear over the amount of weight your doctor or physical therapist tells you to bear on the operated hip | * Do not bear over the amount of weight your doctor or physical therapist tells you to bear on the operated hip |
Revision as of 18:01, 8 April 2019
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Introduction[edit | edit source]
Hip precautions are a common component of standard postoperative care following total hip replacement surgery[1] Depending on individual health and mobility a prior surgery, one may need to maintain these precautions for 60-90 days and some as far as 6 months.
Hip Precautions[edit | edit source]
General Rule[edit | edit source]
- Never cross legs or ankle on sitting, standing or lying down
- Avoid bending your leg greater than 90 degrees
- When sitting or standing from a chair, bed or toilet you must extend your operated leg in front of you. [2]
Dressing[edit | edit source]
- Do not stand when dressing, you can either sit at the edge of your bed if it is stable or on a chair
- Never bend over, raise or cross legs when dressing
- Use an aid when donning or shoes (a reacher or a long-handled shoehorn) or socks
- When undressing ensure you remove clothes from the surgery side last[3][4]
Sitting[edit | edit source]
- Never sit for too long in the same position, you can change position every 30 minutes interval
- Always ensure your feet are 6 inches (15cm) apart
- Do not cross your legs
- Avoid rocking chairs, cushion chairs, stools or sofas. Sit in a firm chair with straight back and armrests
- Avoid sitting on chairs that are too low, use pillow if necessary[3][4]
Bathing/Toileting[edit | edit source]
- Use a special tub seat for sitting in the shower
- Use a rubber mat on the tub or shower floor. Ensure to keep bathroom floor clean and dry
- Never bend, squat or reach for anything while showering. Use a shower sponge with long handle and have someone wash the part of your body that are hard for you to reach.
- Ensure you use an elevated toilet seat. It will be difficult to get up safely if the seat is too low.[3][4]
Ascending/Descending stairs[edit | edit source]
- When ascending, step first with the unaffected leg (the side that was not operated on)
- When descending, step first with the leg that you had surgery on.[4]
Lying in bed[edit | edit source]
- Do not sleep on the side of your new hip or on your stomach. Ensure you place a pillow in between your thighs if you are sleeping on the other side.[3]
Getting into/Riding a car[edit | edit source]
- Ensure you get into the car from street level, not from a curb or doorstep
- Ensure the car sit is not too low, use pillow if necessary
- Don’t go for long car rides, stop get and walk at about every 2 hours[3][4]
Walking[edit | edit source]
- Ensure you use your crutches or walker until your doctor or physical therapist tells it is OK to stop using them
- Do not bear over the amount of weight your doctor or physical therapist tells you to bear on the operated hip
- Take small steps when turning.
- Avoid wearing slippers that can make you fall. Go slowly when walking on wet and uneven surfaces.[3][4]
Resources[edit | edit source]
- https://sunnybrook.ca/content/?page=musculoskeletal-hip-replacement-hip-precautions
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536510/
References[edit | edit source]
- ↑ Tran P, Fraval A. Total hip replacement. Recovery and Rehabilitation: Western Health; 2013. Web site http:// www.orthoanswer.org/hip/total-hip-replacement/recovery.html. Accessed April 7, 2019
- ↑ http://www.sunnybrook.ca/content/?page=musckuloskeletal-hip-replacement-walking
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 Cabrera JA, Cabrera AL. Total hip replacement. In: Frontera WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 61
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beaty JH, Canale ST, eds. Campbell’s Operative Orthopedics. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 3