Do patients need prophylaxis for deep venous thrombosis (DVT) after hip replacement?
The incidence of DVT after hip surgery is greater than 50% in most reports. It is standard to give some form of prophylaxis, which can include mechanical adjuncts such as support hose and pneumatic compression devices, and should be continued throughout hospitalization. Pharmacologic prophylaxis includes warfarin, heparin, and aspirin. 56. Why should abduction pillows be utilized? When? For how long? An abduction pillow prevents dislocation of the hip prosthesis (adduction, internal rotation) while the patient is sleeping or resting in bed. It is used for the first 6–12 weeks. 57. What is the sequence of ambulatory aids usually given to patients after THA? Parallel bars (days 1–2), crutches or a walker (first 6 weeks), and one crutch or cane (next 6 weeks). Greater than 70% of patients are ambulatory without an assistive device at the end of 3 months. 58. Give four goals of occupational therapy after THA. 1. Reestablish basic activities of daily living (ADLs) with modifications that k
