Post-Operative Care and Rehabilitation After Hip Replacement Surgery

Artificial hip joint

Dear Director Chen: My uncle has been experiencing hip joint pain for a long time and recently has been unable to walk.
An orthopedic surgeon has performed a total hip replacement surgery.
What should we pay attention to after the surgery? Is rehabilitation necessary?

Yizhong, 20~29 year old female. Ask Date: 2007/07/06

Dr. Chen Xianchang reply Rehabilitation

Hello, thank you for your inquiry.
Here are my responses and recommendations:
1.
After total hip arthroplasty, it is important to avoid hip flexion beyond 90 degrees and internal rotation, as these movements can lead to hip dislocation.

2.
On the third postoperative day, laser therapy can be initiated to promote recovery, and you can start performing isometric contractions of the leg muscles (without moving the joint) to facilitate muscle engagement.

3.
Please consult a rehabilitation physician as soon as possible to begin your rehabilitation program.

Reply Date: 2007/07/06

More Info

After undergoing hip replacement surgery, post-operative care and rehabilitation are crucial for a successful recovery. Here are some key considerations and recommendations for your uncle's post-operative care:

Immediate Post-Operative Care
1. Pain Management: It's normal to experience pain after surgery. Doctors typically prescribe pain medications to help manage discomfort. It's important for your uncle to communicate with his healthcare provider about his pain levels so that adjustments can be made if necessary.

2. Wound Care: Keeping the surgical site clean and dry is essential to prevent infection. Your uncle should follow the surgeon's instructions regarding how to care for the incision, including when to change dressings and signs of infection to watch for (such as increased redness, swelling, or discharge).

3. Mobility Assistance: Initially, your uncle will likely need assistance with mobility. He may be provided with a walker or crutches to help him move around safely. It's important to encourage him to use these aids to prevent falls.

Rehabilitation and Physical Therapy
1. Importance of Rehabilitation: Yes, rehabilitation is crucial after hip replacement surgery. Engaging in physical therapy helps to restore strength, flexibility, and range of motion in the hip joint. It also aids in regaining independence in daily activities.

2. Timing of Rehabilitation: Rehabilitation typically begins within a few days post-surgery. Early mobilization is encouraged to prevent complications such as blood clots and to promote healing. Your uncle should follow his physical therapist's guidance on when to start specific exercises.

3. Exercises: The rehabilitation program may include gentle exercises to strengthen the muscles around the hip and improve mobility. Common exercises include ankle pumps, leg lifts, and gentle stretching. It's important to avoid high-impact activities and movements that could strain the hip joint, such as crossing legs or bending the hip beyond 90 degrees.

4. Use of Assistive Devices: Initially, your uncle may need to use assistive devices like a walker or cane. These devices help provide stability and support as he regains strength and confidence in his mobility.

Lifestyle Modifications
1. Avoiding Certain Movements: After surgery, your uncle should avoid certain movements that could lead to dislocation or strain on the hip joint. These include crossing the legs, bending the hip beyond 90 degrees, and twisting the body while sitting or standing.

2. Home Modifications: To facilitate recovery, consider making modifications at home. This could include removing tripping hazards, using non-slip mats, and ensuring that frequently used items are within easy reach.

3. Diet and Nutrition: A balanced diet rich in protein, vitamins, and minerals can support healing. Staying hydrated is also important. If your uncle has any dietary restrictions or concerns, he should consult with a nutritionist.

Follow-Up Care
1. Regular Check-Ups: It's important for your uncle to attend all follow-up appointments with his orthopedic surgeon. These visits allow the doctor to monitor the healing process and address any concerns.

2. Monitoring for Complications: Be vigilant for signs of complications, such as increased pain, swelling, or changes in mobility. If any concerning symptoms arise, your uncle should contact his healthcare provider promptly.

Conclusion
In summary, post-operative care and rehabilitation after hip replacement surgery are vital for a successful recovery. Your uncle should actively participate in his rehabilitation program, adhere to mobility guidelines, and maintain open communication with his healthcare team. With proper care and commitment to rehabilitation, he can expect to regain mobility and improve his quality of life.

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