Total Joint Replacement — Total Hip Arthroplasty (Posterior Approach)

Sanford Health

Weight-Bearing

WBAT with AD; progress to ambulation without AD in Phase IV (wks 6-12)

Key Restrictions

Posterior precautions: no hip flexion >90, no IR beyond neutral, no adduction beyond neutral for 6-12 wks; long-term restriction on high-impact activities (running, jumping, kicking, heavy labor)

Timeline & Phases

Phase I (pre-op education) -> Phase II (inpatient, immediate post-op) -> Phase III (wks 0-6: protected motion and muscle activation within hip precautions, NuStep/bike) -> Phase IV (wks 6-12: motion and strengthening, resistance bands/weights, wean AD, driving per physician) -> Phase V (wks 12+: advanced strengthening and physician-approved activities; full hip ROM except IR and flexion at 12-16 wks)

Notes

5-phase protocol with posterior approach precautions; outcome measures: FOTO, LEFS, WOMAC, HOOS JR; high-impact activities avoided long-term; revised 03/2023

Published

2023-03-01