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Total Hip Replacement

Download printable Total Hip Replacement Rehabilitation Guidelines

The rehabilitation guidelines contained in this document have been created and approved by the physicians and rehabilitation staff of Agility Orthopedics. There is an expectation that patients will only be advanced beyond the timelines designated in this document with the written permission of the physician. Also, physicians should be notified immediately if patients are not progressing according to the described timelines.

Precautions

  • Gait training with crutches/cane on stairs and flat surfaces (WBAT)
  • No hip flexion beyond 90 degrees for 12 weeks
  • No hip adduction past neutral/midline for 12 weeks
  • No hip internal rotation for 12 weeks

Days 0-4

  • Patients are hospitalized for 2-4 days
  • Instruct in concept of RICE and Pain Management
  • Bed mobility and transfer with minimal assistance
  • Ambulate with assistive device
  • Home Exercise Program 1-2 times per day:
    • Ankle pumps
    • Quad sets
    • Glut sets
    • Supine Hip Abduction
    • Heel Slides

Weeks 1-4

  • Continue use of assistive device
  • PROM of hip abduction, hip flexor, quadriceps and hip external rotation if needed
  • Continue exercises described above and add the following:
    • Short Arc Quads
    • Long Arc Quads
    • Balance/Proprioception weight shift
    • Gait training
    • Postural cues/re-education during functional activities

Weeks 4-8

  • Wean off assistive device
  • Begin scar massage when incision is healed
  • Improve ROM within precautions
  • Progression to driving depending on operative side
  • Continue exercises described above and add the following:
    • Stationary bicycle for strength and endurance not to exceed 90 degrees of hip flexion
    • SLR series – Straight leg raise not past 90 degrees of hip flexion, hip abduction, hip extension
    • Front and lateral step ups
    • Sit to Stand exercise to increase hip extension strength
    • Calf Raises
    • Mini Squat
    • Bridging
    • Side Stepping
    • Marching
    • Hip external rotation to 30 degrees
    • Terminal knee extension

Weeks 8-12

  • Discontinue assistive device
  • Return to light recreational activities
  • Advanced balance/proprioceptive training
  • Increase resistance with above exercises
  • Continue exercises described above and add the following:
    • Ascend and descend stairs in step over step pattern
    • Provide patients with open/closed chain exercises that are appropriate for individual needs
    • Initiate endurance program (walking/pool)
    • Focus on muscle hypertrophy

Weeks 12-16

  • Return to recreational sports/activities: golf, tennis, walking, or biking
  • Continue exercises described above and add the following:
    • Return To Work tasks
    • Carrying, pushing, or pulling
    • Squatting or crouching

What Our Patients Have to Say

I can not stop raving about how good this place is for healing and getting your mobility back after an injury. You will make a good decision to attend this place of business and you will be in good, qualified hands to regain your strength back. Everyone is extremely nice and professional. I would recommend it to anyone who is in need of physical therapy. They do a terrific job and leave you feeling as though you can overcome any obstacle.

Kristen B.

If you’re an athlete this is the place to go. These people really know what they’re doing. I went here for a torn MCL a month ago. They x-rayed my knee as soon as I got there. Dr. Zahner is as professional as they come, very straight forward and helpful. Would’ve been a very long road to recovery had I not found this place.

Austin S.

Agility Orthopedics are great! I followed Dr. Zahner to Agility from where he was before at North Suburban Orthopedics! Everyone at Agility is very professional and very nice and are willing to answer any questions you may have! This was not the case at the other place! I would recommend Agility to anyone!

Judy W.

I was treated by Chase Conway for an issue with my elbow, and I can confidently say he was extremely professional throughout the entire process. He was direct and focused on exactly what I needed, always demonstrating precision and a clear understanding of what he was doing. He took great care of my elbow, which was a major concern for me, and his expertise made all the difference.

Kesia L.

First visit. Dr. Sherman was kind, compassionate, an active listener to my concern/issue, and had excellent patient/provider relations. He discussed the treatment plan and walked me through the whole procedure. Above and beyond his knowledge, his exemplary bedside manner should be an example to others.

Rob Q.

As always, I enjoyed my visit with Dr Kapassi. He took the time I needed, to listen to my issues, from the last visit I made last year. After asking several questions related to my health, he gave me a few options regarding treatment. I told him I'd like to consider those options. He agreed. At no time did he rush me or made me feel as if I wasting his precious time.

Janice H.

Very pleased with the prompt scheduling and medical guidance from Dr. Zahner, I've been having left hip issues for some time now, 3 months ago I visited a different Dr and was not happy so I went to Dr Zahner for 2nd advice. He was very thorough and offered several helpful scenarios, (not a potential hip replacement) 5 Stars and 2 thumbs up from this 63 year old triathlete!

Bob B.

I have been going to Agility Orthopedics for years now. As a Disabled Veteran, I refused to be seen at the VA. These are the people I trust to complete their due diligence when helping patients, taking our concerns to heart and ensuring patients safety/health are priority 1!! Highly Recommend!!

David B.

Dr. Anderson was able to see the actual problem I had within minutes that other doctors I had seen were unable. He's super friendly and the physical treatments he had me doing has helped me enormously. I can't say enough nice things about the man.

Brian R.