Total Joint Replacement — Total Hip Arthroplasty (Direct Anterior Approach)

Lahey Hospital & Medical Center · L. Specht MD; R. Wilk MD; J. Agrillo PT; S. Barrera OT; M. Dynan PT

Weight-Bearing

Generally WBAT with AD for primary THA, unless otherwise indicated by MD

Key Restrictions

Active hip ext and ER allowed; limit passive ext and ER; no yoga x 6 wks; all precautions lifted at 6 wks unless specified by surgeon

Timeline & Phases

5 phases: Phase I (0-1 wk, hospital), Phase II (1-3 wks, transitional), Phase III (3-6 wks, OP early), Phase IV (6-12 wks, OP intermediate), Phase V (3+ months, return to high level activity)

Notes

Single document covers anterior, posterior, and lateral approaches; includes OT consultation; criterion-based progression; D/C criteria: no pain with ADLs, LE strength >=4/5, indep reciprocal stairs

Surgeon / Author

L. Specht MD; R. Wilk MD; J. Agrillo PT; S. Barrera OT; M. Dynan PT

Published

Approved March 2014; Review Date March 2015