POSTERIOR HIP PRECAUTIONS: Keeping patient's safe after posterior hip replacement surgery!

[@TheOTMinute]

Thanks for watching the OT Minute. If you are new here feel free to drop a comment or like to let me know if you found this helpful!

[@dcf379]

Thank you. I am due to have posterior in the UK in a months time. More helpful to watch video and someone talking than just reading a list of do's and don'ts :)

[@TheOTMinute]

Im so glad it was helpful. I wish you a speedy recovery!

[@jacieschneider8931]

Love that you give real examples

[@TheOTMinute]

I hope they helped:)!

[@catherinenyberg2493]

I loved your video. My THR is in 5 days. You told me more than my surgeon ever did.

[@TheOTMinute]

I hope your recovery is going well and that you got more info! Thanks for watching!!

[@andygonzalez243]

Thank you for this channel. As an OTA student this is so helpful. I am specifically learning about this topic at this moment in class. Can we find you on IG as well?

[@TheOTMinute]

Thanks so much for watching and I am so happy to hear it is helpful! I am not very active on IG but you can find me @theotminute

[@AsiaCelinee]

Can you ask your professors what if the hip abductor wedge is not readily available? What can you use to substitute for the time being: rolled up towel, rolled pillow for transfers?

[@jamesduprey2719]

Just had posterior. Everything going well at 7 weeks. Great surgery. Want to point out one precaution that I think is Bull Crap. "Crossing the unaffected leg over the effected leg. NO? I don't think so. It has nothing ergonomically connected to the surgery. The affected leg remains completely straight and the unaffected leg simply crosses over the ankle of the affected leg for comfort. It does nothing. No issues for me. But they sold me on a major NO NO to do that. Have to say again, it's just me. I did it. No problems.

[@kasturiramanath8641]

How long after Hip replacement do i need to follow these precautions? I had my posterior Hip replacement surgery 5 months back

[@TheOTMinute]

Hey thanks for reaching out. I recommend following up with your physician for your specific situation or to look back at the information they provided post surgery. Generally speaking precautions are for the duration of the healing process.

[@gabethomson6568]

Just had a physical dysfunction skill check today, and posterior THR was the card I pulled. I lost points because my explanations were not sufficiently client centered, specifically I said “flex the trunk”. Any suggestions for translating to these precautions into more client centered terms? Great video, thanks!

[@TheOTMinute]

Hey Gabe, Thanks for watching. Great question! I know my professors also had a big emphasis on using everyday terms to try to communicate these concepts. Personally I used phrases such as "don't bent your hip more than 90 degrees. Keep in mind your hip bends when you bring your chest towards your knees AND when you bring your knees up towards your chest so be careful to not bend your hip more than 90 degrees when doing this" and for adduction..."don't cross your legs you feet" and for internal rotation...."keep your toes and knee pointing straight ahead at all times especially avoid turning your toes inwards towards your other foot." I hope that helps.

[@gabethomson6568]

@@TheOTMinute wow thank you, great advice!

[@shaikalavudeen3867]

@@TheOTMinute how many weeks we need to follow up 90 degree rule sir.

[@TheOTMinute]

@@shaikalavudeen3867 Great question! Usually that time frame is set by the surgeon. It can vary.

[@carolschedler3832]

When teaching someone the 90 degree precaution, don't assume they know what that is. Good visuals are sometimes best to help patients understand. It was easy to remember not to bend forward, but SO MUCH furniture breaks the 90 rule AFTER your weight is is committed 😮. My PT actually had "ME" repeat my precautions before each pt session and it was very helpful. Thanks for the vid! Going for second side in 5 months!

[@stephengrant8505]

For how long should they not break 90? I’m 5 yrs out and 43 yrs old from a car accident. I have 5 plates and 18 screws in the socket…. Please advise as my Dr has retired since and new Drs think I need to be 85 🤔🤦🏻‍♂️ I should also stage I’m posterior

[@koshergirlful]

I have a question. If the surgeon orders the patient to have the abductor pillow while in bed and sitting chair. You you go in the room to perform a eval, however there is no abductor pillow, it cannot be found and pt has no idea where the pillow is. What should you do? Start the ot profile, transfer them to a chair and place pillow between knees or aks nursing about the doctors current orders?

[@TheOTMinute]

Great question and probably a pretty common situation. I know I have had the same thing happen with cervical collars and other orthoses that weren't in the room when they had been noted in the chart. Personally I generally start by asking the nurse first because sometimes they have updates that are not in the chart yet or they may know where someone stuffed it if I missed it. I like to start there because many times that may give clarity to the situation. It may also give the nurse or me time to call your medical supplies department to get one to the patient while I am getting background/occupational profile info. What a great practical question...any other thoughts or things that you would do?

[@koshergirlful]

@@TheOTMinute I thought it would be to contact the nurse too. But I just thought it was odd the pt had no idea where the pillow was and while on FW the OT still transfered the patient and educated on precautions. I can defiantly see that rationale with a TLSO brace. But with the abductor pillow was a little tricky.

[@sue4231]

How long after THR do you need to maintain the precautions for posterior? 2 months? 3 months? When is it safe to get into and out of a standard bathtub?

[@TheOTMinute]

Those are great questions however you will need to speak to the surgeon for specific instructions on how long precautions persist. An OT referral from your doctor may be helpful in assessing when it is safe to enter/exit your bathtub.

[@routmaster38]

At 86 Im due a posteria hip replacement.I wanted an anterior procedure but adviced not to as it takes too long.

[@danielledelacio8992]

Thank you for your video on posterior hip replacement precautions. I found it very helpful and answered all but 1 question…. How long can I Not bend more than 90 degrees?

[@TheOTMinute]

Great question! I recommend reaching out to your surgeon to see what they recommend for your individual situation. I hope you are healing up well and quickly!:)

[@tanusharma4164]

Sir all these precautions are for lifetime or only for starting 2-3 months

[@rvcool2646]

I think it's for 2 to 3 months its my 76th day and my doctor allow me to sleep on both side nd no need to put pillow between the leg while sleeping but the 90 degree rule is still the same also my doctor allow me to get in and out bed my self its the second day i doing all the things by my self but its little bit painful nd stiffness too

[@tanusharma4164]

@@rvcool2646 ok thanx but u r not sure about 90 degree rule that we hv to follow it for ever or we can bend our leg above than 90 degree after few months

[@rvcool2646]

@@tanusharma4164 i think after few months doctor will allow i had and accident nd broken my hip joint socket in july 23

[@rvcool2646]

@@tanusharma4164 when did your surgery was done?

[@tanusharma4164]

@@rvcool2646 1 aug

[@afarro]

How long after hip replacement these restrictions for? Please clarify ! If these are permanent then the surgery is useless.

[@TheOTMinute]

They are not permanent but to know how long the precautions will be in place I recommend speaking with the surgeon who will be doing the surgery.

[@nickshields7258]

Usually restrictions are relaxed after six weeks

[@rvcool2646]

Hi it's my 76 day yesterday i met my doctor and he allowed me to up and down bed by my own and he also allow me to side sleep in both side i asked him to the pillow between legs and he said now no need to put pillow between your legs so my question is i put pillow between my legs or not?

[@dheredia2789]

He said no need!

[@moviePlug9823]

What components of function will you assess after your patient undergone a hemi athroplasty ?

[@Judy-fi7ce]

Very good video.I'm two weeks post op for THR. I would suggest you speak a little slower. Thanks.

[@mrmr314]

This guy is an occupational therapist - still a student and not even qualified yet - and he is NOT an orthopaedic surgeon.

[@janetdavis4724]

A half presentation

[@maryp.1635]

Patients are always patients NOT clients... Big difference and deeper meaning. NEVER call patients in your care CLIENTS- liberal minded and inappropriate.