Are Hip Precautions Necessary Post Total Hip Arthroplasty? A Systematic Review

Geriatric Orthopaedic Surgery & Rehabilitation
Lara BarnsleyRichard Page

Abstract

Total hip arthroplasty (THA) is a common and effective treatment of hip osteoarthritis. Activity restrictions known as hip precautions are widely practiced in rehabilitation post THA, aiming to foster healing and prevent hip dislocation. The focused clinical question was: Does the application of hip precautions in patients post THA versus unrestricted activities significantly decrease the risk of prosthetic dislocation? A comprehensive literature search was conducted for randomized controlled trials or cohort studies with a comparative group and minimum 6 months follow-up, with dislocation as an end point. Retrieved titles were assessed independently by 2 reviewers for inclusion and underwent standardized data extraction. Title search produced 80 potentially relevant articles. Five articles were retrieved for data extraction of which 2 met a prior eligibility criteria. No eligible studies were found that concerned posterior approaches to hip arthroplasty, so the results of this review concern only anterolateral approaches. Neither included study showed any benefit of hip precautions in preventing dislocation. The rate of dislocation after anterolateral THA is low and is not improved by hip precautions. Hip precautions are assoc...Continue Reading

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Citations

Dec 15, 2017·British Journal of Nursing : BJN·Katherine SchultzHemant G Pandit
Oct 16, 2018·Disability and Rehabilitation. Assistive Technology·Cecilia RogmarkLouise Dahlqvist
Feb 12, 2020·Disability and Rehabilitation·Courtney J LightfootAvril E R Drummond
Feb 25, 2020·Disability and Rehabilitation·Courtney J LightfootAvril E R Drummond
Aug 31, 2020·Spine Surgery and Related Research·Daisuke NishiyamaHiroshi Yamada
Jan 25, 2020·Der Orthopäde·M Clarius, L M Clarius
Nov 24, 2020·Disability and Rehabilitation·Rachel T MandelAnthony W Gilbert

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