For rehabilitation after a posterior approach total hip replacement, which guideline is correct?

For rehabilitation after a posterior approach total hip replacement, which guideline is correct?

• A. Start sprinting in 2 weeks.
• B. Do only passive ROM without active contraction.
• C. Avoid hip flexion greater than 90 degrees; begin gentle isometrics and low-impact functional exercises.
• D. Avoid all hip movements.

Answer: (C)

After a posterior approach total hip replacement, protecting the joint from dislocation is the priority in early rehab. Limiting hip flexion to 90 degrees and avoiding positions that stress the back of the hip helps keep the joint stable as healing occurs. Starting with gentle isometrics—muscle contractions without moving the joint, such as quad sets and gluteal squeezes—and pairing them with low‑impact functional activities allows you to maintain strength and circulation without risking dislocation. These movements support gradual restoration of function while respecting the post‑surgical precautions. Sprinting in two weeks is far too aggressive and unsafe at this stage. Relying on passive ROM alone won’t rebuild strength or respect stability needs. Avoiding all hip movements would lead to stiffness and poor recovery.

After a posterior approach total hip replacement, protecting the joint from dislocation is the priority in early rehab. Limiting hip flexion to 90 degrees and avoiding positions that stress the back of the hip helps keep the joint stable as healing occurs. Starting with gentle isometrics—muscle contractions without moving the joint, such as quad sets and gluteal squeezes—and pairing them with low‑impact functional activities allows you to maintain strength and circulation without risking dislocation. These movements support gradual restoration of function while respecting the post‑surgical precautions.

Sprinting in two weeks is far too aggressive and unsafe at this stage. Relying on passive ROM alone won’t rebuild strength or respect stability needs. Avoiding all hip movements would lead to stiffness and poor recovery.