Therapy protocol for hip ORIF and THR

Message Topic Search Topic Options Post Reply Create New Topic Printable Version Translate Topic

   Our user asked: "I am wondering if someone can explain to me the differences in protocol for therapy after a hip ORIF compared to a total hip replacement? Are the exercises that can be performed the same? Does it matter if or when weights can be used and does one heal faster than the other or is one more effective than the other?"

Ask a PT Response: "The lower level mat exercises for a hip ORIF and a total hip replacement (THA) are very similiar. The biggest difference is with exercise progression. Often times after an ORIF, the surgeon will require that the patient have either a non weight bearing status or a partial weight bearing status. This precaution will, therefore, not allow for the patient to perform exercises which require weight bearing ie. calf/heel raises in standing, partial wall slides, etc. On the other hand, patients who have undergone a THA will usually have a weight bearing as tolerated status which will allow for the patient to perform exercises in weight bearing. I hope this clears things up. Thanks for using CyberPT."

Author	Message Topic Search Topic Options Post Reply Create New Topic Printable Version Translate Topic
Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Topic: Therapy protocol for hip ORIF and THR Posted: Jul 28 2009 at 4:48pm
	Our user asked: "I am wondering if someone can explain to me the differences in protocol for therapy after a hip ORIF compared to a total hip replacement? Are the exercises that can be performed the same? Does it matter if or when weights can be used and does one heal faster than the other or is one more effective than the other?" Ask a PT Response: "The lower level mat exercises for a hip ORIF and a total hip replacement (THA) are very similiar. The biggest difference is with exercise progression. Often times after an ORIF, the surgeon will require that the patient have either a non weight bearing status or a partial weight bearing status. This precaution will, therefore, not allow for the patient to perform exercises which require weight bearing ie. calf/heel raises in standing, partial wall slides, etc. On the other hand, patients who have undergone a THA will usually have a weight bearing as tolerated status which will allow for the patient to perform exercises in weight bearing. I hope this clears things up. Thanks for using CyberPT."

Sponsored Links

			Advertisement
	CyberPT Home Page