Anterior Hip Replacement: Post-Operative Physiotherapy Protocol
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PHASE I— IMMEDIATE REHABILITATION – Usually 1-2 weeks
Goals
Protect integrity of repaired tissue
Restore independent mobility
Reduce pain and swelling
Precautions
Crutches for first 1-2 weeks – wean to 1 crutch in OPPOSITE HAND
No extension activities beyond neutral extension with extension
No crossed legs
Specific Exercises:
Straight line walking
Clams or Side leg raises (Abductor strengthening)
Supine abduction in bed
Mini Squats
Core stabilisation
Calf pumps
PHASE II— INTERMEDIATE REHABILITATION – 2-6 weeks
Goals
Restore range of motion
Restore hip strength
Normalise gait without aid (crutches)
Precautions
Avoid active hip extension and external rotation
No distance walking – aim 2-4000 steps/day
Specific Exercises
Supine hip abduction
Clam shells
Dynamic gait progression – side stepping, tandem, low hurdles
Forward step ups/downs
Hydrotherapy and upper body exercises with pool buoy between legs
PHASE III— ADVANCED 6 weeks+
Goals
Restoration of muscular endurance/strength
Restoration of cardiovascular endurance
Optimize neuromuscular control/balance/proprioception
Precautions
No precautions
Specific Exercises
Treadmill – inline walking 20mins 2 x per day
Advanced strength training – squats/lunges as tolerated
Side to side lateral agilities
Resume normal sports drills/training at 8-12 weeks