Our post-op routine for THR patients includes side lying with pillows
between the legs as early as the day of surgery. ( usually 2 hours side ly.
2 hours supine). I don't have exact figures but the majority of
dislocations happen in sitting. Prior to discharge we tell patients they
may lie on their unoperated side with pillows in situ and on their operated
side when comfortable.
For information -
We mobilise the patients with crutches PM on day one or AM on day two ( a
walking frame is used only if the patient is already addicted or as a very
last resort ). Patients are discharged between day 3 and day 7.
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 25 November 1999 08:17
Subject: side lying and dislocation risk following THR
>I am a senior physiotherapist working in
>inpatient orthopaedics for over 20 years, and
>currently starting an MSc in Health Sciences. One
>of the old chestnuts has always been that patients
>cannot lie on either side to sleep for 6 weeks
>after a THR, which most find more than inconvenient
>to say the least! I can find no literature to
>either support or refute this imposition. I would
>be very grateful if all you out there could give me
>your views. If you are aware of any documentary
>evidence regarding this I would love to here of it.
>
>I have previously used physio@mailbase to discuss
>physios working in orthopaedics at weekends but
>replies were slow because I only had limited access
>to e-mail through the hospital library. I now have
>much easier access to e-mail through the University
>of East Anglia but I can only read my e-mail
>weekly. I look forward to some interesting reading
>next week!
>
>
>
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