Hip Precautions: Difference between revisions
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== Introduction == | == Introduction == | ||
Hip precautions are a common component of standard postoperative care following total hip replacement surgery<ref>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</ref> 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 Precaution'''s''' == | ||
== | == 1.General Rule == | ||
* Never cross legs or ankles 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. <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 | |||
* 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<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 | |||
* 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<ref name=":0" /><ref name=":1" /> | |||
== Bathing/Toileting == | |||
* 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.<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 descending, step first with the leg that you had surgery on. | |||
== 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. | |||
== Getting into/Riding a car == | |||
* 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 | |||
== Walking == | |||
* 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. | |||
== Resources == | == Resources == |
Revision as of 01:56, 7 April 2019
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Top Contributors - Lucinda hampton, Kim Jackson, Adu Omotoyosi Johnson and Lauren Lopez
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]
1.General Rule[edit | edit source]
- Never cross legs or ankles 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.
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.
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
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.
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
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 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 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