Total Joint Replacement — Total Hip Arthroplasty (Anterolateral Approach)

Dr. Matt Byington DO (Prairie Orthopaedic & Plastic Surgery) · Dr. Matthew R. Byington

Weight-Bearing

Generally WBAT with walker x 3-6 wks then cane x 3-6 months; non-cemented hips: protected WB with walker 3-6 wks then cane 3-6 months; exception for intra-op fracture or severe osteoporosis

Key Restrictions

No hip ABD past neutral; no hip IR past neutral; no hip flex >90 deg (flex may increase >90 at 6 wks); adhere to precautions min 8 wks; abduction pillow x 4 wks; elevated toilet seat x 3 months; protect from hip abduction x 6 wks (anterolateral approach)

Timeline & Phases

Preop phase + postop sub-phases: Day 1-2 (inpatient), Day 3-45, 6 wks+; long-term goals at Wk 6 (cemented) or Wk 12 (non-cemented); 10-20 visits expected

Notes

Anterolateral approach; includes cemented vs non-cemented timelines; detailed hip precautions section; recommended long-term activity chart (very good/good/needs skill/with care/avoid); driving usually at 6 wks; includes preop walker fitting and instruction

Surgeon / Author

Dr. Matthew R. Byington