Care of Patient after Hip Replacement

• Total Hip Replacement - replacement of both acetabulum and head of femur with prostheses
• Post op Management of Total Hip Replacement

  • Put between legs: 2 pillows especially when turning to sides
  • MAINTAIN PRINCIPLE: Abduction
  • AVOID  PRINCIPLE: Adduction, External Rotation, Hip flexion
  • HOB: Flat most of the time
  • Max HOB: 20-30 angle
  • Keep feet flat on the floor
  • Toilet Seat or chairs: Raised - NEVER low
  • DO NOT cross legs
  • NEVER bend down to put on shoes - use "SLIP ON" shoes
  • Gait: Three-point walking gait to AVOID weight bearing
  • Assess for Infection
  • Ambulate when: 2-4 days post op