Total Hip Replacement — Cementless

Orthopaedic Associates of Maine

Weight-Bearing

TDWB first few weeks per physician; increase WB 25%/wk starting 4-8 wks; ambulate without device by 8-12 wks

Key Restrictions

TDWB first few weeks; hip precautions 1-12 wks: IR to 0° only, adduction to 0° only, flexion to 90° only; no hip IR during rotation exercises (ER to 30° only); stationary bike must not exceed 90° hip flexion; no adduction past midline

Timeline & Phases

0-4 wks (TDWB, crutches/walker, basic exercises, hip precautions), 4-8 wks (increase WB 25%/wk per MD, cane, mini-squats, bridges), 8-12 wks (ambulate without device, aquatic program)

Notes

Strict hip precautions maintained 1-12 wks (IR 0°, adduction 0°, flex 90°); golf when off 2 crutches ~3-4 months; chip/putt ~3 months; driving ~4 months; golf cart recommended first 6 months