Joined: October 13, 2003
I got a 92 y.o. pt with a Dx of femoral neck ORIF resulting from fall. As I was going through the eval, I as told that the SNF told her she was not allowed to bend at waist. A little confused by this, I faxed the doctor for clarification: did she or didn't she have a THR? answer: "Bipolar" is all that he wrote back. At first I thought he meant the pt was bipolar, but I didn't see what that had to do with my question. luckily someone else told me there was such a thing as a bipolar hip replacement. I did some digging, but I could find nothing that tells me if someone with this procedure is under hip precautions!
Joined: September 25, 2008
Yes, Its easier to identify if hip precautions are needed based on the type of approach for the surgery but since there aren't many anterior approaches; you can assume unless heard otherwise follow the hip precautions.
Joined: March 15, 2006
If they have to dislocate the hip to do the surgery, they should be under hip precautions. you avoid the position of dislocation just like you would with a shoulder. With an ORIF for example, you would not have "hip precautions" because the hip joint is intact and stabile