"We really reinforce and make sure the patient is independent and has a full understanding of what the precautions are prior to discharge." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, reviews some common precautions for patients to take after surgery to ensure the surgery is successful.
Janet Cahill: Following total hip arthroplasty, the three precautions that we follow here are no hip flexion beyond 90 degrees. Which means no sitting on a any low chair or soft couch, no crossing your legs, and then the last one is no internal rotation so turning your toes or kneecaps inward.
Dr. Sculco: Because the ball is smaller, intrinsically there is less stability in the system. You get too much flexibility, theoretically it could dislocate.
Janet Cahill: So that's why we really reinforce and make sure the patient is independent and has a full understanding of what the precautions are prior to discharge.
Dr. Sculco: But for the most part soft tissues heal around this and the hip is very stable.
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