Post Views: 5,148. • Hip ROM 0-90 degrees Weeks 6 - 9 • Cane as needed, D/C when gait is normal • Continue to caution against hip flexion > 90 degrees • Continue to sleep on back • D/C pillow between legs while sleeping • Continue appropriate previous exercises • Progressive abductor strengthening – In standing – Sidelying 4)Rotate your operated leg outward. In the modified Hardinge approach, access to the hip joint was achieved through an abductor mus-cle split; the gluteus medius was split longitudinally at the junction of the anterior third to posterior two-thirds of the muscle width and the split was not Do not cross or turn surgical leg/ toes outward. REHABILITATION GUIDELINES FOR TOTAL HIP REPLACEMENT(DIRECT LATERAL APPROACH DO NOT: 1)Cross your legs when lying or sitting. The hip joint is then dislocated and the acetabular socket and femur are exposed for preparation and insertion of the prosthesis components. Anterior and Posterior Lateral Hip Precautions Following total hip replacement surgery, certain positions cause undue stress on your hip and could cause the prosthesis to dislocate. This approach has been modified in the transgluteal approach by Bauer et al. 2)Pivot on you operated leg when turning(in standing), take small steps instead. Modified Hardinge Anterolateral Approach to the Hip Joint. Hardinge Approach for Bipolar Hip Hemiarthroplasty. In the lateral approach (also known as a Hardinge approach), the hip abductors (gluteus medius and gluteus minimus) are elevated – not cut – to provide access to the joint. Precautions Posterior approach: No hip flexion > 90 º no hip internal rotation or adduction beyond neutral. Medial approaches ... Precautions should also be taken not to damage the superior gluteal nerve. Southern Approach [3] 4. Posterior Approach Gluteus medius is ... Total Hip Arthroplasty Precautions Your surgeon will determine which precautions you should follow to make your recovery safe and comfortable. Do not move surgical leg backward. Encourage normal extension/stride with gait Anterior Hip Replacement Lateral Approach (also called Hardinge appraoch) This approach is from the side of the hip. Anterior Lateral Hip Precautions. Limit passive extension and external rotation. These tendons may not heal properly after they are reattached leading to chronic pain, trochanteric bursitis and limping. approach to the hip on their anatomical observation that the gluteus medius and vastus lateralis are in di- rect functional continuity through the thick tendinous periosteum covering the greater trochanter. e AdvocateAuroraHealth For Your Well -Being make healthy happen . Posterior approach a. Related Posts. 3)Sleep on your operated side for 6-8 weeks to avoid irritation to your hip. Choosing the optimal surgical approach can minimize these risks and therefore improve the outcome of THA. (1979), the direct lateral ap- proach by Hardinge (1982). Use leg lifteror helper to bring leg out to the side. Modified lateral ( Hardinge approach) Rehabilitation Implications Advantages - Risk of dislocation is low, 0.5% ( posterior capsule is left intact ) Disadvantages - Abductors are incised. It requires detaching the gluteal tendons and muscles from the top of the femur. No combination of above motions allowed for 6 weeks post-op Direct anterior approach: Active hip extension and external rotation is allowed. Courtesy: Vinay Kumar Singh, NIMS and EVAA Hospitals, Jaipur, India. Title: x19191_Anterior_Hip_Precautions.indd Totals can be anterior approach (no hip precautions and WBAT) – Anterior lateral approach (Hardinge), hip precautions 6 weeks – Posterior approach (Kocher-Langenbach), hip precautions 6 weeks • If right leg, driving almost immediate with Anterior approach, 4 weeks typically for other 2 Do not move surgical leg out to the side. Direct Lateral /Hardinge b. Antero-Lateral /Watson Jones 3. Surgical approaches in THA include anterior, lateral [anterolateral (Hardinge) and direct lateral (Watson-Jones)], posterior (posterolateral and posterior) and posterior-2 …

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