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hip replacement
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hip replacement - September 9, 2002 4:58:00 PM
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nensey
Posts: 9
Joined: February 2, 2002
From: newyork
Status: offline
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patient with hip replacement which side is the side to transfer from bed to chair, patient is lying supine in bed.I recalled is the good side, but than i get the involved side in adduction which is contraindicated for posterior approach, please explian.
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Re: hip replacement - September 10, 2002 1:18:00 AM
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OSUPT
Posts: 45
Joined: April 15, 2002
Status: offline
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If you're using a pivot on rear technique, having the patient get out of bed towards the surgical side will help you avoid breaking the hip adduction precaution. When in doubt, it's sometimes helpful to try it out yourself first and see what techniques make the most sense to you before trying it with the patient.
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Re: hip replacement - September 10, 2002 5:03:00 PM
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PTupdate.com
Posts: 1490
Joined: October 8, 2001
From: Pittsburgh, PA USA
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Each method will have its risks and rewards. Put the surgical side closest to the bed and you risk them rotating on a planted foot during the pivot. I place the strong leg closest, so that they can pivot and control the transfer.
John Duffy, PT OCS [URL=http://www.PTUpdate.com]www.PTUpdate.com[/URL]
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Re: hip replacement - September 14, 2002 1:29:00 PM
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jma
Posts: 2432
Joined: August 24, 2000
From: NY
Status: offline
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Hello,
What worked for me when I was doing my affiliation at an acute care hospital was to use a walker for the transfer. I had the patient get out with the good leg leading and having them barely toe touch with the affected LE and have them use the UE to bear all the weight while the good LE did the pivot transfer. Never once was the surgical side compromised. Of course, the patient had to be shown how this would be done with us showing and explaining first.
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