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bipolar hip precautions

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bipolar hip precautions - June 28, 2009 2:01:19 AM   


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Joined: October 13, 2003
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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!

Anyone know?

Post #: 1
RE: bipolar hip precautions - June 29, 2009 3:44:47 PM   


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Joined: September 25, 2008
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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.

(in reply to l_a)
Post #: 2
RE: bipolar hip precautions - June 29, 2009 5:25:14 PM   
Tom Reeves DPT ATC


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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

(in reply to Myostrain)
Post #: 3
RE: bipolar hip precautions - July 8, 2009 9:30:47 PM   


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Joined: September 14, 2002
From: Arizona
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In the future look at the scar to determine the type of procedure done if your not quite sure.

(in reply to Tom Reeves DPT ATC)
Post #: 4
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