Total Hip Arthroplasty Anterior Approach

Authors
Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Inpatient Rehab

Currently, most THA patients are on “home rehabilitation programs” and are discharged the same day.

Precautions

  1. Do NOT extend your leg behind the trunk
    • Do NOT place your leg too far behind the trunk while walking
    • Do NOT bridge
    • Do NOT lie on your stomach
  2. Do NOT turn your surgical leg outward in bed or when turning while walking
  1. Do NOT hyperextend at the hip
  2. Do NOT point the toes in or out
  3. Do NOT cross the legs or ankles
  4. Keep legs shoulder width apart
  5. Keep the surgical leg in front while transferring

AD Gait Training

Forward walking

  1. Slide walker forward
  2. Move the surgical leg inside the walker
  3. bring the non-surgical leg to meet the surgical leg

Backward walking

  1. Non-surgical leg
  2. Surgical leg
  3. Slide the walker

AD Stair Training

“Up with good, down with bad”

Ascending

Lead with your non-surgical leg going upi

Descending

Lead with your surgical leg going down

Exercise program

Citation

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