Effective Rehabilitation Strategies After Hip Joint Surgery

Q: Effective Rehabilitation Strategies After Hip Joint Surgery

Hello： In response to your question, what you refer to as a "crushed hip joint" likely refers to an acetabular fracture. <br>If it is indeed an acetabular fracture, it does not necessarily require treatment with a hip replacement. <br>If the joint surface remains intact, some cas

Postoperative Rehabilitation for Hip Joint Surgery

Hello, doctor.
I was in a car accident in mid-February and my hip joint was crushed.
The doctor did not perform a hip replacement but instead used plates and screws.
It has been over three months since the surgery, and I would like to ask about rehabilitation methods.
Also, I have experienced stiffness in my thigh and lower back pain after being bedridden for three months.
Are there any methods to alleviate these issues?

Yulong, 20~29 year old female. Ask Date: 2004/06/02

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, what you refer to as a "crushed hip joint" likely refers to an acetabular fracture.
If it is indeed an acetabular fracture, it does not necessarily require treatment with a hip replacement.
If the joint surface remains intact, some cases can be managed non-operatively; however, this is quite rare.
Most cases involve damage or cracks in the acetabular joint surface, which require experienced orthopedic surgeons to perform open reduction and internal fixation.

However, acetabular fractures are serious intra-articular fractures, and even with the most skilled surgeon performing the reduction, there is still a high likelihood of developing osteoarthritis in the future.
This secondary arthritis may ultimately necessitate hip replacement surgery.
Therefore, your treatment with plates and screws is not incorrect, but being bedridden for three months seems excessive.
Generally, after an acetabular fracture surgery, patients should remain in bed for 6-8 weeks before starting to get up with the aid of crutches to prevent muscle atrophy or joint stiffness.
In your case, I personally recommend finding an appropriate rehabilitation facility where a physical therapist can assist you with active and effective rehabilitation.
If you are unfamiliar with rehabilitation, you can ask the surgeon who performed your operation for recommendations.
I believe their collaboration will provide you with the best therapeutic outcomes.
Wishing you a speedy recovery!

Reply Date: 2004/06/02

More Info

After undergoing hip joint surgery, particularly in cases involving significant trauma like a fracture, effective rehabilitation is crucial for restoring function and alleviating pain. Here are some strategies that can help you in your recovery process:

1. Early Mobilization
As soon as your doctor gives you the green light, begin gentle movements to promote blood circulation and prevent stiffness. This can include:
- Ankle Pumps: While lying down, flex and point your toes to encourage blood flow.

- Leg Slides: Slide your leg out to the side and back to the center while lying down to maintain mobility in the hip joint.

2. Physical Therapy
Engaging with a physical therapist is essential. They can provide personalized exercises tailored to your specific needs and limitations. Common rehabilitation exercises may include:
- Hip Abduction and Adduction: Lying on your side, lift your top leg upward and then lower it back down to strengthen the hip muscles.

- Quadriceps Sets: While sitting or lying down, tighten the muscles on the top of your thigh and hold for a few seconds.

- Straight Leg Raises: Lying on your back, keep one leg bent and slowly lift the other leg straight up, then lower it back down.

3. Stretching Exercises
To address the stiffness in your thigh and hip, incorporate stretching into your routine:
- Hamstring Stretch: While sitting, extend one leg out and reach towards your toes to stretch the back of your thigh.

- Hip Flexor Stretch: Kneel on one knee with the other foot in front, gently push your hips forward to stretch the front of your hip.

4. Strengthening Exercises
Once you have regained some mobility, focus on strengthening the muscles around your hip and thigh:
- Bridges: Lying on your back with knees bent, lift your hips off the ground while squeezing your glutes.

- Wall Sits: Lean against a wall and slide down into a sitting position, holding for a few seconds to strengthen your quadriceps.

5. Pain Management
For alleviating pain and discomfort, consider:
- Heat Therapy: Applying heat to your thigh and lower back can help relax tight muscles.

- Cold Therapy: Use ice packs on swollen areas to reduce inflammation.

- Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain, but consult your doctor before starting any medication.

6. Posture and Ergonomics
To address your lower back pain, focus on maintaining good posture:
- Sitting: Use a chair that supports your lower back. Keep your feet flat on the floor and your knees at a right angle.

- Sleeping: Use a supportive mattress and consider placing a pillow between your knees if you sleep on your side.

7. Gradual Return to Activities
As you progress, gradually reintroduce daily activities and low-impact exercises such as walking, swimming, or cycling. Always listen to your body and avoid pushing through pain.

8. Follow-Up Care
Regular follow-ups with your orthopedic surgeon or physical therapist are essential to monitor your recovery and adjust your rehabilitation plan as needed.

Conclusion
Rehabilitation after hip joint surgery is a gradual process that requires patience and commitment. By following these strategies and working closely with healthcare professionals, you can effectively manage stiffness, reduce pain, and regain strength and mobility. Remember, every recovery journey is unique, so tailor your approach to your specific needs and limitations.

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