Post-Hip Replacement Positioning: Protecting the New Joint

Standard Posterior Approach Precautions (First 6–12 Weeks)

1. Supine with abduction pillow: Keeps operated leg neutral/abducted; prevents adduction/internal rotation.
2. Avoid: Hip flexion >90°, crossing midline, internal rotation (pigeon-toed).
3. Sleeping: On back with pillow between legs, or on non-operated side with pillow supporting operated leg.
4. Sitting: High chair, knees lower than hips; no low sofas, no crossing legs.
5. Transfers: Use assistive devices; lead with operated leg.

Anterior Approach

Fewer restrictions; surgeon-specific protocol. Always follow your surgeon's instructions as protocols vary by approach, fixation, and patient factors.

General Principles

• Elevate leg to reduce edema.
• Use ice for pain/swelling.
• Adhere to weight-bearing status (WBAT, PWB, TTWB).
• Attend all PT sessions.