Total Joint Replacement — Total Hip Arthroplasty (Posterior Approach)

Sanford Health

Weight-Bearing

WBAT with AD; progress to FWB without AD by Phase IV (6-10 wks)

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 0-3 days) -> Phase III (0-3 wks: protected motion + gait training) -> Phase IV (6-10 wks: strengthening + CKC) -> Phase V (10+ wks: advanced strengthening + sport-specific)

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