When will the patient receive full benefit after hip arthroplasty?
Typically by 3 months, the patient will have regained most of his or her strength across the joint and ROM. By 1 year, the patient usually will have achieved full benefit from the operation. 51. Describe a general management approach in a patient with total hip arthroplasty. schedule management Day of surgery Deep breathing exercises, incentive spirometry, active ankle ROM exercises Postop day 1 Quadriceps isometric exercises, gluteus muscle isometrics (depending on surgical approach), maintain hips in abduction, active assisted and knee flexion exercises as tolerated Postop day 2–6 Begin ambulation with a walker or crutches, progressive gait training, begin reconditioning exercises to unaffectd limbs; transfers to the unaffected side Week 1-2 Add light resistance excercises; hip flexor stretches; emphasize transfers – and begin on affected side Cemented THA WBAT Bony ingrowth Toe-touch weight bearing for 6 wks; advance to weight bearing as tolerated Trochanteric If secure reattachment
