hip fractures and arthroplasties

eval for hip fractures

• review precautions and weight bearing status

• occupational role requirements and expectations

• ADL (dressing, bathing, transfers)

• ROM and strength of UEs

intervention for hip fractures

• bed mobility/bedside ADL

• UE strengthening

• functional ambulation & transfers with appropriate weight bearing

• practice assistive device use In the home

• practice occupation based actities

total hip joint implant

replaces acetabulum and femoral head

hemiarthoplasty

partial hip replacement

• replaces femoral head

eval for hip arthroplasty

• profile

• assess ADL; focus on dressing, bathing, transfers

• ROM and UE strength

• conduct other assessments as needed

intervention for hip arthroplasty

• educate on hip precautions

• instruct on long-handled equipment

• transfer training

• occupation based activities

posterolateral hip precautions

• do not flex beyond 9-

• do not adduct or cross legs

• do not internally rotate

• do not pivot at hip

• sit on raised chair & toilet

• transfer sit to stand by keeping operated hip in slight abduction and extended out in front

anterolateral hip precautions

• do not externally rotate

• do not extend him

• precautions vary