write

DON'T make this Mistake after Hip Replacement Surgery.

hi I'm Bob from physical therapist Brown

having physical thyroid is really the

most famous physical therapist on the

Internet in our opinion of course Bob

man what do you want to talk about today

well I don't want to talk about hip

replacements okay that's all we got the

skeleton here we got the facing the

right for the camera so we can get right

into it now if you need two hip

replacements because you have pain there

from arthritis typically so the doctor

is gonna explain to you about all the

procedure goes and right here man yeah

yeah this is gonna run the show here Bob

all right like he's you know he's not a

hammer because we need something

close-up shot all right I got it okay

now a lot of people aren't really

familiar with the hip is but you got the

pelvis bone here this panel leg bone and

then the ball and socket right there is

your hip and what they're gonna do is

cut right through here take the ball off

and replace it and actually what's oh

they're gonna saw it's amazing how they

can take the acetabulum of the socket so

all the way around it and then they're

going to cement in a new socket as well

as the ball sometimes they only do one

or the other that's called the Hemi

arthroplasty but we're gonna we're

talking about a complete one and then

they're going to tell you about

precautions what to do and per

specifically what not to do

because if this dislocates after surgery

it's a big problem you do not want that

to happen

and it can easily happen can you show a

dislocation on their brother is that too

tight

oh no we can dislocate this model so

dislocating means basically the hip

comes out of joint right so if you

dislocate the hip literally like this

and you know I say obvi it's not gonna

come off there's enough connective

tissue that's gonna hold it close to

there but it's going to be painful and

they have to get that back in where it

belongs and then the tissues that you

ripped apart from doing the wrong

movements have to heal up again yeah big

dog I've had at least a half a dozen

people the last

years do this so I've had a couple

myself that to go to a restaurant in a

booth interesting yeah so and you can

imagine my mother where after you go

through the precautions no there's two

major surgeries that they're going to do

the most popular one and it's a

posterior hip surgery and that's really

gonna cut in more from the back leg of

the buttock there and I'm here it's

going to be back in here they're going

to get in and do their work and then

there's the anterior and then what that

means is they're going to come in

through the front side anterior beats

front they're gonna cut in here and open

it up from the front okay no but I

firmly skeleton off to the side now and

we're going to go through precautions

posterior if you got a posterior the

most common one and the back one of the

big known hose goes with sinners

well it's get a chair you're Bob okay

this is the one they're gonna tell you

about them loss because it's the most

easiest thing to happen is if you lean

forward

you drop your stand and you lean forward

to pick that up that is a really good

way to dislocate that hip if it's a

posterior procedure okay so no bending

forward here's the hip is at 90 degrees

you do not want to bend forward when

you're sitting or if you're standing

you're not gonna bend over to pick

something up so when you say 90 degrees

Brad you're talking about a right angle

right so exactly so don't put in tendon

Yeah right here so one line runs here

one line right here that's a right angle

as soon as he leans forward that's less

than the right angle and stress in all

those okay the next one posterior you

can't cross your legs okay

this ignore adduction or if you're

sitting like this you don't want to do

this either

there's the midline

that's right down the middle of your

body if this was the hip that was done

we can't go past that midline that's

number two and number three

yes if this is the leg that's done don't

let those toes turn inwards like that

now the biggest problems all still

posterior right right I'll pull the

steer your hip and where this is going

to happen most is if you're standing

then you go right down to the feet Bob

yeah here's a foot that was done and I'm

gonna turn the Walker this way and I

keep my foot planted and right there

okay another matter where I turn show it

doing wrong when spread do it go all the

way through it once you do it wrong here

I'm sure I want to do it right now okay

you simply take take little steps and

keep pointing tolas point of the

direction you're going now small steps

take the stress off and just as a

reference that is exactly how the two or

three that I have had actually

dislocated their hip was they were

standing and they did exactly what you

just showed yeah they stood on the one

leg and then crossed over the other one

now the anterior procedure coming in

from the front this actually has some of

the opposite precautions because they

come in from the opposite side you can

bend over all you want and it's not

going to dislocate because they didn't

come in from the back side okay so

that's nice however this one's kind of

hard to do this to be probably not going

to do this anyway but you're not

supposed to bring your hip back like

this or extend back like that typically

you're not gonna do that anyway is

you're a walk and a normal walk but

you're probably not going to do a

stretch like this after hip surgery so

that's not a big deal

the other one is hip external rotation

we just talked about the hip you can't

point in but now with that anterior you

cannot point out and this one's a little

easier to do because if you're sitting a

lot of people may have a natural

tendency to let

they come out like that so you gotta be

attentive to that foot so the tool is

straight out

do not lick while you can let it go in

you know some people have that natural

tendency I'm one of those people that

desk comfortable I'd really have to be

careful for that okay so and also when

you're watching if you're walking you

get to a right-hand turn and the right

leg is the involvement I'm not going to

point like this and make the turn again

small small little steps the other was

really easy you cannot let your stomach

most people have no interest in Atlanta

in their stomach after your surgery and

the last one this is a very common

strengthening exercise for the DUP

that's called bridging it's used very

commonly but you cannot do this and

bridge up they do not want that to

happen okay like that no Bridget all

right so go so quickly get posterior

coming from the back side no hip flexion

greater than Aang you can bend forward

you cannot cross the midline

in other words crossing your legs and

you don't want the tool to point in

interior opposite you can bend forward

you can have been backwards the foot you

cannot externally rotate or point that

pull it out cannot lay on your stomach

and no bridging okay what do you think

about I would say with all these Brad

I'll make sure to confirm these with

your therapist or your doctor maybe they

might even have a couple other

precautions sure and I've had patients

that are not allowed to go into

abduction at all sure there's that one

right now I would like yeah I'm not

certain why but there there may be

something that they found in the surgery

so these are good to go over with your

visit

are you a physical therapist and then

you can these are all what he says is

correct then you can review it on our

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