Early Recovery Outcomes in Patients Undergoing Total Hip Arthroplasty Through a Posterior Approach With Modified Postoperative Precautions

Patients Achieving 90°/45°/0° Intraoperative Stability Do Not Require Hip Precautions Following Posterior Approach Total Hip Arthroplasty: A Prospective Randomized Study

“…Multiple systemic literature reviews of the utilization of hip precautions after posterior approach THA conclude that the presence or absence of precautions has no significant impact on dislocation rates [14,22]. Similarly, these results are supported in both prospective and retrospective trials in conjunction with randomized and nonrandomized studies following dislocation rates after modified, minimal, or no hip precautions are prescribed [20,22]. Most notably, a prospective randomized trial published in 2020 analyzed the rate of dislocation following posterior approach THAs after the utilization or absence of formal precautions [19].…”

“…Press-fit components included ML Taper (282), Avenir (39), TM primary (2), and DJO modular (1) and were necessarily positioned based on femoral anatomy. Cemented components included Advocate (20) and LDFX (2) and were positioned with a goal of 15 of anteversion. Hips were trialed for soft tissue balance, leg length, and stability.…”

“…Hip precautions are widely used despite a dearth of clinical studies to support them [16,19]. Studies of modified hip precautions [20], and preliminary results of a recent prospective randomized trial showed no benefit to hip precautions in posterior THA [19], but few other randomized controlled trials have been performed. We conducted this randomized controlled trial to help provide additional level one data regarding the utility of hip precautions.…”

A Systematic Review of the Use of Commercial Wearable Activity Trackers for Monitoring Recovery in Individuals Undergoing Total Hip Replacement Surgery

“…Lebleu et al [ 31 ] prescribed personalised, daily exercises, and feedback through a tablet. Patients in the study of Goeb et al [ 39 ] were instructed to avoid the “leg-shaving position” as a postoperative precaution. Studies ranged from approximately 4 to 390 days in duration, with an average length of 113 days.…”

“…Studies found that the data from commercial wearable activity monitors will be beneficial in different aspects. Including predicting the recovery process, motivation to increase mobility [ 29 , 40 ], remote monitoring [ 39 , 40 ], increasing patients' performance [ 29 , 31 ], providing personalised care [ 31 ], and eliminating the need for self-reported data [ 39 ]. Furthermore, wearable activity monitors may measure ambulation more reliably [ 40 ] and accurately [ 32 ] than self-reported assessments, and they also make it possible to train and track frail elderlies at home [ 36 ].…”