Post posterior surgery restrictions

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I am planning to have the right hip replacement posterior surgery in late March. I meet with my surgeon on March 7th to plan a  final surgery date. One concern I have is what you can and can not do after surgery and for how long. I read for posterior surgery you can not bend beyond 90 degrees. Is this for a short period of time or permanent after surgery? Also I read you can't cross your legs or turn foot inward. I do lots of walking at work, and in and out of a car several times a day. Also, some occasional lifting and bending as work. I would not call it heavy manual labor, but mild to moderate. The 90 degree restriction concerns me especially if it is long term. Any information appreciated on posterior post- surgery restrictions and how long they are in place. I am thinking I will be out of work 4-6 weeks minimum and with some modifications when I return to work, at least for awhile. I have two co-workers who had hip replacement and returned in under a month but mostly at desk jobs. 

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8 Replies

  • Posted

    I did not observe the restrictions strictly - but I also didn't attempt to do any manual work either! Walking alone should be fine (assuming, of course, that you are able to walk as far as you need), and getting in and out of a car is ok provided you follow the rules (i bought sort of turntable for my car seat to make it easier to get in and out) - but our advice was to avoid lifting and bending for 13 weeks. That said, if you are lifting properly at work, then you shouldn't be breaking the 90 degree rule anyway! 

    I would definitely agree with 4 - 6 weeks out of work - with an emphasis on minimum! 8 weeks is probably more realistic unless you are very lucky; and even then you may well need adjustments in terms of hours and tasks. I went back at 9 weeks, and all was well physically, but I still get very tired at times, and sometimes ache too. And that's with a very good recovery. Admittedly, I have an additional problem with an ankle, but my work is pretty much desk based, and its the hip that aches! 

  • Posted

    I've had posterior on both hips. The 90 degree limit was in place for me for 12 weeks.

    I used a walker for 4 weeks and a cane for 2. I think the twisting of the hip is the big risk for dislocation. Walking, standing, sitting, and getting in and out of a car shouldn't be much of an issue but you shouldn't cross your legs for 12 weeks.

  • Posted

    Hi Sandy. Like a lot of us I would say don't be too optimistic about the 6 weeks recovery. I was very fit prior to my op. This op is brutal and the recovery is a marathon not a sprint. The restrictions were for me 6 weeks.

    After that I could do what I was comfortable to do. My job sounds similar to yours. It was 8 weeks until I could drive and I was still achy getting in and out of the car. Standing walking and sitting were fine but rising from sitting position took a while. I returned to work at 10 weeks. However it was tiring.

    I am now 5 months post op. Recovery has steady but slow. 2 weeks time I am off for a holiday to Australia. I still ache and have some groin pain which seems to be normal for a lot of us.

    You will be fine but please remain realistic. Don't expect too much too soon. I just wish the medics would be more truthful about the recovery period. If you have the stomach. Watch the op on you tube. It is no walk in the park. But as I say you will recover. Sandra x

  • Posted

    4-6 weeks ?????!!!!!

    Hope that is right for you but that seems idealistic to me ... I was off for 3 months and am now back in work and still not ideal . Massive surgery ... bending , getting in and out is card all restricted and painful for months . Hope you find it totally different but at 6 weeks I was still very immobilised and in pain x

  • Posted

    Hi.i had the posterior approach approx 4wks ago now, i was given no restrictions atall! I even said "what if i drop something on the floor? To which she replied well you pick it up!"

    I was shocked,apparently alot of the restrictions changed late 2016 and i also think alot depends on the surgeon.

    I am now off of all painkillers and on only 1 crutch.the only advice i would give anybody is please listen to your body.

    • Posted

      wow, Kel... interesting ... 

      here we are told how to be careful, especially in first weeks (usually until follow up appointment) with regards to 90 degrees rule, twisting, lifting etc ...pigeon toed ...

      good for you, darling and you are right, listen to your body is very important ...

      big warm hug

      renee

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