Clinical Reference

A Precautionary Tale of Hip Precautions

Therapy Insights Member Exclusive
Print Resource — US Letter — 4 pages

Population:

Adult

Discipline:

OT

Diagnosis:

Orthopaedics

References:

  • Barnsley, L., Barnsley, L., & Page, R. (2015). Are hip precautions necessary post total hip arthroplasty? A systematic review. Geriatric orthopaedic surgery & rehabilitation, 6(3), 230-235.
  • Crompton, J., Osagie-Clouard, L., & Patel, A. (2020). Do hip precautions after posterior-approach total hip arthroplasty affect dislocation rates? A systematic review of 7 studies with 6,900 patients. Acta Orthopaedica, 91(6), 687-692.
  • Restrepo, C., Mortazavi, S. J., Brothers, J., Parvizi, J., & Rothman, R. H. (2011). Hip dislocation: are hip precautions necessary in anterior approaches?. Clinical Orthopaedics and Related Research®, 469, 417-422.
  • Lee, G. R., Berstock, J. R., Whitehouse, M. R., & Blom, A. W. (2017). Recall and patient perceptions of hip precautions 6 weeks after total hip arthroplasty. Acta Orthopaedica, 88(5), 496-499.
  • Lightfoot, C. J., Coole, C., Sehat, K., Brewin, C., & Drummond, A. (2022). Clinicians’ experiences of discontinuing routine hip precautions following total hip replacement surgery: a qualitative analysis. Disability and Rehabilitation, 44(16), 4227-4232.
Do hip precautions prevent dislocations after surgery? All evidence points to: Nope. Load up on all of the evidence-based research on this topic and be a leader in your facility and your community to move towards person-centered, evidence-based care when it comes to hip replacement recovery.
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