Total hip replacement is an aggressive and effective form of treating severe hip damage by replacing the hip joint with a prosthesis. This is a major medical procedure that requires an extensive rehabilitation. A critical part of that rehabilitation involves physical therapy. Physical therapy will help to restore range of motion in the hip and rebuild the strength of the surrounding muscles.
Total Hip Replacement
The hip is a ball-and-socket joint that connects the femur to the pelvis. This type of joint allows for a wide range of motion. While the hip absorbs a great deal of body weight, when healthy, it is a strong and stable joint. Total hip replacement is a surgical procedure in which segments of the bone that comprise your hip are removed and an artificial prosthesis is inserted. Hip replacement is an extreme treatment option and is usually reserved for patients with severe hip damage. Conditions that may require hip replacement include arthritis and bone fractures. If your condition causes chronic pain and immobility, hip replacement can be an effective option.
Physical Therapy
Physical therapy exercises will help to regain the use of your hip and the surrounding muscles. Your program will start with range of motion exercises to help gain mobility in the joint. In addition, your therapist will help you get accustomed to using a cane, walker or crutches. You should walk with assistance until your doctor says you do not need to. This usually occurs about four to six weeks after your operation. Eventually you can gradually begin strengthening exercises that rebuild your muscles and allow you to put full weight on your hip. This usually involves adding small, 1- to 3-lb. ankle weights when you do your exercises.
Considerations
During the first several weeks of recovery, you should not put any more than about 50 percent of your weight on the hip. When you ascend stairs, always lead with your strong leg. You should also be conscious of your hip positioning. Do not keep your leg bent for more than one to two hours. In addition, do not cross your legs, turn your feet excessively inward or outward, or bend your hip more than 90 degrees.
Prognosis
Recovery time can vary based on your age and overall health. However, most people can resume normal activities about six to eight weeks after surgery. Certain high-impact activities may be prohibited with your new hip. This should be discussed with your doctor.
According to the MayoClinic.com, total hip replacement is successful more than 90 percent of the time. Most patients experience reduced pain and an increased range of motion with their new hip.
