43165
document
Evaluation of reducing postoperative hip precautions in total hip replacement : a randomized prospective study . Currently , many rehabilitation protocols for total hip replacements ( THRs ) include activity restrictions to prevent postoperative dislocation . There is increasing demand for more efficient and safe rehabilitation protocols . This randomized prospective study evaluates the need for hip restrictions following a modified anterolateral procedure . From 2004 to 2008 , 81 patients seeking elective THRs were randomly assigned into a standard rehabilitation group or an early rehabilitation group . The standard group included restrictions to avoid hip flexion > 90 degrees and avoidance of riding in a car for the first postoperative month . The early group had no flexion or car riding restrictions . Forty-three patients were in the standard group and 38 patients were in the early group . There were no significant demographic differences between the 2 groups . All patients completed the Short Form 12-question Health Survey and Harris Hip Score preoperatively and at 4 weeks , 1 month , 3 months , and 1 year postoperatively . The time-points at which the patient first drove and ambulated with a cane , without a cane , and without a limp were also collected . No incidents of dislocation occurred . Patients in the early group were faster to ambulate with only a cane ( P=.03 ) , without a cane ( P < .001 ) , and without a limp ( P=.003 ) . They also drove earlier ( P=.02 ) . Pace of recovery was the only significant difference between the 2 groups . The early rehabilitation protocol increases the pace of recovery compared to a pathway with hip precautions without increasing complications .
43166
Intervention_Physical
restrictions to avoid hip flexion > 90 degrees and avoidance of riding in a car for the first postoperative month
43167
Intervention_Physical
no flexion or car riding restrictions
43168
Intervention_Physical
early rehabilitation protocol
43169
Outcome_Other
time-points at which the patient first drove and ambulated
43170
Outcome_Physical
dislocation
43171
Outcome_Other
ambulate with only a cane
43172
Outcome_Other
without a cane
43173
Outcome_Other
without a limp
43174
Outcome_Other
drove
43175
Outcome_Physical
Pace of recovery
43176
Outcome_Adverse-effects
complications
43177
Participant_Condition
total hip replacement
43178
Participant_Sample-size
81
43179
Participant_Condition
THRs
43180
Participant_Sample-size
Forty-three
43181
Participant_Sample-size
38