Hip pinning surgery is used to treat fractured hips, especially in the elderly. Metal pins are inserted to fasten the fractured segments together. Whereas allowing a hip fracture to heal on its own can take 8 to 12 weeks of lying in bed, once the hip is pinned, you can generally move out of bed after 1 day and begin the rehab procedure shortly thereafter, according to Orthogate.org.
Range of Motion
The first thing a physical therapist will develop after hip pinning surgery is your range of motion. To exercise your range of motion at home, you'll need a flat table and a partner. Lie on your back on the table with your legs extended. Have your partner take hold of your injured leg and gently pull it straight out to the side until it stops due to pain or tightness, and not beyond that point. This increases your hip adduction ability. You can increase your rotation ability by having your partner bend your knee up until it forms a 90 degree angle with your lower leg. Your partner should then gently rotate your leg outward and pause, then rotate it inward across your body and pause.
When rehabilitating a pinned hip, it can be difficult to get a conditioning workout due to your limited movement capacity. One of the best ways to keep fit without reinjuring your hip is to swim laps in a pool. Once your hip is healthy enough for swimming, the water provides both resistance and buoyancy, which gives allows you to exercise with a reduced load on your hip. You can also pedal on a stationary bike once your hip can handle the range of motion.
Once your range of motion is established and you can bear weight and move around, you should attempt more advanced exercises that translate to daily life. Hold on to a rail and squat down until your upper legs are parallel to the ground. This simulates getting up and down from a seat. Next, walk up a flight of stairs, then walk back down. You can also head outside and take a walk on uneven ground such as hills. These exercises will improve your balance and weight bearing ability.
- Orthogate.org: Hip Pinning Surgery for a Fractured Hip
- ALSPhiladelphia.org: Range of Motion Exercises: www.alsphiladelphia.org/Document.Doc?id=819