Rehabilitation Following Total Hip Arthroplasty Surgery

Enseki, Keelan R.; Berliner, M.

doi:10.1097/tgr.0b013e318292e8dc

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…The posterior surgical approach requires post-operative, posterior hip movement precautions. These precautions limit hip flexion to 90 degrees or less (no bending at the waist), avoid excessive hip adduction (no crossing of legs), and limit excessive hip internal rotation (no twisting at the waist or pointing toes inward) (Enseki and Berliner, 2013).…”

Section: Thr Surgical Approachesmentioning

confidence: 99%

“…Opponents of the lateral surgical approach described post-operative insufficiency in the abductor muscles because they have been cut and manipulated during the surgery and the possibility for superior gluteal or femoral nerve injury (Petis et al (2015). Patients undergoing lateral surgical approach of THR procedures do not have post-operative movement precautions (Enseki et al 2013).…”

Section: Thr Surgical Approachesmentioning

confidence: 99%

“…Opponents describe the surgery as complicated by lack of direct visualization of the femur and acetabulum, and as having a risk of femoral nerve damage. Enseki et al (2013) described this surgical approach as not consistently requiring postoperative movement precautions. Surgeon preference and individual cases dictate when these precautions are recommended; precautions would limit the motions of extension (bending leg backwards) and external rotation (pointing toes outward).…”

Section: Thr Surgical Approachesmentioning

confidence: 99%

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The Relationship Between Osteoarthritis, Hip Arthroplasty, and Post-Operative Ambulation Distances

Ings

2015

Preprint

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<p>Osteoarthritis, total hip replacements, and post-operative ambulation distances are three interrelated concepts that lead patients from diagnosis, to intervention, and to the first indications of recovery post-operatively. The purpose of the project was to quantify the ambulation distances of patients with one of three surgical approaches for total hip replacements (THR). The timeframe for measurement was from the day of surgery (day 0) through the second post-operative day (POD 2) comparing different surgical approaches with length of ambulation distances. Pre-operative elective joint replacement educational classes, may play a role in post-operative recovery, which provided the rationale for including them in this project. Electronic health records of 20 patients from each of the three surgical approaches (anterior, posterior, and lateral), were retrieved; data regarding the ambulation distances were averaged for each surgical approach. The results revealed no advantage, in terms of average ambulation distance, of one surgical approach over another. All members of the healthcare team strive to provide patient centered, quality care in the most fiscally responsible manner. Increasing post-operative ambulation distances after a THR may contribute to earlier discharge and economic benefit to the healthcare system. A replication study with a larger sample may yield additional findings and guide the advanced nurse practitioner in developing an evidence based approach to post-operative care of THR patients.</p>

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Section: Thr Surgical Approachesmentioning

confidence: 99%

Section: Thr Surgical Approachesmentioning

confidence: 99%

Section: Thr Surgical Approachesmentioning

confidence: 99%

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