What Should I Expect after Hip Replacement Surgery?

Artificial hip arthroplasty has become an important method for treating hip joint damage caused by various diseases. Only superb surgical techniques can be combined with perfect postoperative rehabilitation to obtain the best results. Rehabilitation after artificial hip joint replacement has become an integral part of the operation. Through the methods such as postoperative contraction of the affected limb, continuous passive movement exercises, joint mobility training, transfer exercises, walking exercises, and up and down stairs exercises, etc., it can prevent postoperative complications, improve the range of hip joint activity, and restore walking ability. purpose.

Basic Information

Visiting department

Rehabilitation physiotherapy

Multiple groups

Patients after artificial hip replacement

Common locations

hip joint

Rehabilitation assessment after hip replacement

1. Single function assessment: swelling, pain, limb length, range of joint movement, muscle strength, balance function, gait, etc.

2. Evaluation of postoperative position of artificial hip joint.

3. Hip function score.

Rehabilitation goals after hip replacement

1. Prevention of long-term bed complications: deep vein thrombosis, pressure ulcers, lung infections, urinary tract infections, etc.

2. Improve and restore the range of hip joint motion, strengthen muscle strength, rebuild joint stability, prevent joint dislocation, and reduce hip pain.

3. Restore the patient's independent ability of daily living activities and improve the quality of life.

Rehabilitation after hip replacement

Postoperative rehabilitation procedure:

Postoperative position

Lie supine, with hip abduction of 20 ° -30 °, neutral ankle joint position, prevent hip dislocation, passively move knee and ankle joints, and begin muscle contraction exercises for the lower extremities.

2. 1 day after surgery

Actively exercise the healthy side joints and perform active back extension and plantar flexion exercises for the affected ankle and toes, as well as isometric, isotonic contraction exercises for the quadriceps, massage around the sacrum, knee and back of the calf, and take deep breathing 4. Pull-ups to prevent pulmonary complications.

3. 2 days after operation

Hip flexion and extension exercises should be performed under the guidance of a doctor. Hip flexion should be <60 ° to prevent prosthesis prolapse due to excessive movement. The time is limited to 30 minutes.

4. 3 to 7 days after surgery

Strengthen the isometric contraction of the quadriceps muscle, and hold it for 10-15 seconds, repeat 10-20 times, the knee cushion uses the knee as the fulcrum, lift the leg from the bed for knee extension, keep it for 10 seconds, repeat 10-20 times The ipsilateral hip and knee joints are passively moved, and the joints continue to move passively, starting from 0-30 °, increasing by 5 ° -10 ° day by day, until 90 °, 1 hour / time, 2 times / day. The bed movement training was performed with the help of others, and the training was performed in the outreach and neutral position of the affected limb.

5. Week 2 after surgery

Raise the straight leg by 30 ° with the help of it, hold it for 10 seconds, repeat 20 to 30 times, gradually transition to active straight leg lift, support leg and stand balance exercises, support three-point walking and rotation on the parallel bar, and support double crutches Walking, three-point walking based on leg support.

6. Week 3 after surgery

Sit in the supine position with two lower limbs stepping on bicycles 20 to 30 times, suffering from hip flexion within 90 °, 10 times as a round, 1 minute rest between groups; quadriceps and hip abductor progressive resistance training, four points support half The bridge movement is maintained for 10 seconds, repeated 10 to 20 times, the center of gravity of sitting and standing shifts and walking training. During this period, the patient got out of bed and started to practice walking, walking with a walking stick or walking device to prevent falling. When walking, the healthy limbs go ahead, the affected limbs keep up, and then the crutches are moved forward. 2 to 3 times a day, 10 to 20 minutes each time, pay attention to keep your legs apart and shoulder width, hip joints turn with the body when turning, to avoid sudden hip joint rotation.

7. Late postoperative period

Avoid hip adduction and internal rotation for 6 months, support double crutches 3 months after surgery, and gradually transition to single crutches. The time for abandonment varies from person to person. Generally, walking can be abandoned when walking is stable and painless after 6 months. Review 3 or 4 times a year.

Rehabilitation health education after hip replacement

1. The patient should not bend or stretch the hip joints more than 90 ° while moving, avoid weight bearing, do not sit on a low stool, do not do squats, do not excessively internally rotate or externally rotate the lower limbs, and do not sleep sideways.

2. When going upstairs, the healthy limbs go up first, followed by or at the same time, when going downstairs, the limbs come down first, followed by the affected limbs, and the healthy limbs last.

3. Try to avoid the following actions: stand up from the sitting position when the hip is in adduction and internal rotation; when the knees are close and the feet are separated, the body is tilted toward the affected side to get things, answer the phone, etc .; ; When entering the toilet, the toilet bowl is too low, or the sofa is too short, and the hip on the healthy side is too straight, and the adduction and rotation position is too straight.