Post-op care for hip replacement surgery is a delicate process that requires the utmost attention. Many things can complicate a seamless recovery which is why following the surgeon’s instructions is critical. One crucial piece of advice that may be mentioned after a hip replacement is the 90-degree rule which has been created to help reduce the risk of injury while in the healing stage. For more information about joint replacement surgery, contact Orthopaedic Medical Group of Tampa Bay to schedule a consultation.
What Is the 90-Degree Rule?
The 90-degree rule refers to a precautionary measure designed to protect the new hip joint during the early stages of recovery. Specifically, patients are advised not to bend their hip joint beyond a 90-degree angle. This means avoiding movements like sitting in low chairs, bending down to pick something up from the floor, or crossing your legs.
The reason for this rule lies in the anatomy and mechanics of the hip joint after surgery. When the hip bends beyond 90 degrees, it places excessive stress on the joint and increases the risk of dislocation. Dislocation occurs when the ball of the artificial joint comes out of its socket, which can be painful and may require additional medical intervention.
When Does the 90-Degree Rule Apply?
This rule is generally enforced during the first six to twelve weeks after surgery, depending on your surgeon’s recommendations. This timeframe is critical because it allows your muscles, ligaments, and soft tissues to heal and stabilize around the new joint.
How to Follow the 90-Degree Rule
Adhering to the 90-degree rule requires adjustments to daily activities. Here are a few tips:
- Use Elevated Chairs and Toilet Seats: Sitting in a low chair or toilet seat can force your hip to bend beyond the 90-degree limit. Use cushions or assistive devices to raise the height.
- Avoid Certain Movements: Don’t lean forward while sitting or attempt to tie your shoes. Instead, use tools like a long-handled reacher or shoehorn.
- Mind Your Posture: Always sit with your knees lower than your hips to maintain the correct angle.
Why It Matters
The 90-degree rule isn’t just about preventing pain, it’s about ensuring long-term success for your new hip joint. Following this precaution minimizes complications and helps you return to normal activities sooner.
Read our resources that include additional post-op instructions for hip replacement surgery.
Hip Replacement Surgery Complications
Bending too much can stress your hips and lead to dislocation. Dislocation of the artificial hip joint should be treated as a medical emergency as it can lead to further complications. It is never advised to attempt repositioning the piece without medical assistance.
Responding to Hip Joint Dislocation:
- Identify a dislocated hip joint with signs of severe pain, limited mobility, and visible deformities where the hip replacement was performed.
- Seek medical care immediately in response to the signs listed above.
- Avoid repositioning the hip joint while waiting for emergency medical assistance.
- Follow the doctor’s instructions and guidance in repositioning the hip joint back to its original location.
- Follow up with your orthopedic surgeon for an evaluation of the affected area.
- Consider physical therapy as a safe way to regain strength and range of motion in the hips.
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Tips For Preventing Dislocations After Hip Replacement Surgery Monitoring movements in the hip area is an effective way to prevent dislocations after hip replacement surgery. Movements to avoid include sitting on low seats, making sudden turns, turning the feet in, crossing the legs, and bending too far forward as is against the 90-degree rule in hip replacement surgery. |
Receive Top-Notch Hip Replacement and Post-Op Care at Orthopaedic Medical Group of Tampa Bay
For a greater chance of success with hip replacement surgery, schedule a consultation with Orthopaedic Medical Group of Tampa Bay. Our team of skilled orthopedic surgeons performs up-to-date practices and administers detailed instructions for post-op care. Reach out to your local office today to ask about our comprehensive hip treatment services.
