Total hip replacement: how long can we do the contraindicated things ?

[Ontogenese]

Dear all ,

we all have a knowledge that THR patient was not allowed to peform excessive hip flexion (namely pass 90 degree), adduction (past neutral) , internal rotation (for posteriolateral approaches).

But for how long that this kind of contraindication can be weaved and we can tell patient that you can treat your op hip as the normal one, rather than taking extra care on it ? and we as physiotherapist need to train those mm in order to maintain mm balance of both LL.

would any one please give advice on this one ?

Six weeks are needed for the tissue recovery. During this period the hip has the greatest risk of dislocation. People should be well aware of the restrictions of this new hip. After these first six weeks, the chances of dislocation are significantly reduced, however, still present.

Oh, by the way, Lübbeke et al (2009) recently found that preoperative instruction may reduce postoperative dislocation.

Regards, Thomas