Features of rehabilitation after hip replacementRehabilitation after hip arthroplasty is a long process of recovery with physical exercises and other supportive procedures. Diseases of joints, including hip joints, are one of the most common and at the same time dangerous. The fact is that any damage to the joints has its consequences, the most terrible of which is loss of efficiency. In fractures or any other damage, the joints also often become unusable. In severe cases, an urgent operation is required to restore a habitual way of life to a person.
Endoprosthetics are very popular today in cases of severe joint deformities. The removal of the joint, and then its replacement with a prosthesis - the only way out with rheumatoid arthritis, joint tumors and severe hip fractures. Rehabilitation after endoprosthetics takes about 14 weeks, during which the patient must fully develop the joint and prepare it for daily workloads. For this, it is necessary to perform a whole set of exercises, which is appointed by the attending physician.
The length of the rehabilitation period after the operation depends on several factors. Among them - the age and physiological characteristics of the patient. As a rule, the older a person, the slower he heals various wounds, etc. When replacing the hip joint, one should constantly be under the supervision of a doctor so that there are no problems with restoring the motor function. In order to get used to the prosthesis, you need to start moving soon after the operation, but the recovery should go on a certain schedule. The fact is that immediately the load on the endoprosthesis is contraindicated. A special treatment is made, according to which the patient lives for about 3 months.
Rehabilitation after hip arthroplasty is divided into 5 phases( including the zero phase).Follow all the doctor's recommendations, then you quickly get to your feet. Not everyone knows why a hip replacement is needed. As practice shows, doctors do not see any other way out at the last stages of degenerative joint diseases.
Otherwise, you risk remaining an invalid. It is important to remember that the operation is done only when the conservative method of treatment has proved useless.
Development of the disease in the hip joint
Why use the hip joint? Its main function is the connection of the trunk and lower limb( legs).The joint is the link between the pelvic bone and the femur, that is, thanks to it, a person is able to move.
The hip joint is one of the main elements of the whole organism, so any damage to it has serious consequences. If we talk about fractures of the neck of the hip, then immediate surgical intervention is required, since the joint itself will not be restored. Medicines will also be useless.
Hip joint pathologies appear for various reasons. The genetic predisposition also plays a role. The risk group includes people who have repeatedly received joint injuries. Any deformation revealed at the initial stage of pathology development leads to further destruction of the cartilaginous tissue and bone.
Arthritis breaks the joint head, which leads to disability
The most common indication for endoprosthetics is the severe form of arthrosis( a disease that destroys the joint head).Osteoarthritis of the hip joint is characterized by the following symptoms:
- Painful sensations during movement and with loads on the joint.
- Reduces the amplitude of motion in the affected joint.
- A crunch in the joint, with the heavier the stage of the disease, the more pronounced the crunch.
Due to the fact that the symptoms are pronounced, the disease can be recognized in the early stages of development. In the clinic, you will need to undergo an X-ray examination to confirm the diagnosis and identify the severity of the disease. Then the doctor prescribes appropriate treatment, which consists of the use of painkillers, non-hormonal anti-inflammatory drugs, chondroprotectors, physiotherapy and sanatorium treatment.
An effective method of treatment of arthrosis is homeoosinia - the introduction of acupuncture points of homeopathic remedies according to a certain scheme.
In more advanced cases, a hip replacement can not be avoided.
Endoprosthesis of the hip joint
Today, operations of hip arthroplasty are conducted quite often. Total replacement is called replacing both parts of the damaged joint( cup and head) with artificial joints. It is not so difficult to create a copy, because the joint design is not difficult. It is known that the classical total endoprosthesis consists of a leg, a cup and a head. In this case, the globular head is located on the stem, and then inserted into the other part - the cup.
After total hip replacement, the rehabilitation process is strictly under the supervision of the doctor. Remember that the operation of endoprosthetics does not always proceed successfully. In rare cases, it is possible to get an infection or develop an allergic reaction. In the first case, it is necessary to take antibiotics, in the second case, the outcome depends on the reaction of the body to the artificial prosthesis. Today, medicine has taken care of reducing allergies - prostheses are made of safe materials. Prosthetic hip joint - an outlet for many people suffering from its dysfunction.
Endoprostheses can be made of metal and plastic, ceramics and plastic, pure ceramics or metal. All materials do not cause any harm to the tissues and do not cause discomfort.
Rehabilitation after hip arthroplastyThe attending physician after a hip replacement advises to keep an active lifestyle at home. But this does not mean that it is necessary to heavily burden the operated leg in the first month. Rehabilitation after the replacement of the hip joint, as a rule, takes about 3 months, 2 of which should not be devoted to gymnastics exercises.
In the first two months you will walk on crutches, try to develop a leg: sit down gently, go to bed, do basic movements. Do not try to stand on the operated leg unless 3 months have passed. This time, take a little load, which you will increase every month. It will be useful to sit on a chair, hanging legs. If you are standing on crutches, then try to take your foot off the endoprosthesis to the side. Thus, you force the muscles to work, speeding up the healing process.
How to get out of bed? The sequence is this: first, lower the healthy leg, and then put it under the patient and gently guide down, to the floor. It is not recommended to lie down on the unoperated side without a special roller. In addition, do not turn sharply the whole body, the movements should be cautious, smooth. During the rehabilitation period after joint replacement, it is forbidden to put one foot on the other, and also sit on a low surface, as there is a risk of dislocation of the endoprosthesis head.
If you do not have any infection, do not use antibiotics. In case of pain( especially in the first month after the hip joint prosthesis), one should take painkillers.
Rehabilitation after surgery involves the following exercises:
- When you firmly stand on crutches, gradually take the operated leg back and stand in this position for 3 seconds. Back try to keep it straight. Exercise should be repeated 10 times, but try not to load your foot at first.
- Gently lift the knee of the operated leg. Do this slowly, for a few seconds. Then return the leg to its original position.
- When you stand directly, and the foot and knee will be propelled forward, take your foot to the side. After a few seconds, return it to its previous position.
The process of rehabilitation after hip replacement takes a long time and requires a lot of patience. However, if you successfully pass this period, you will walk without problems for the next 15 years( the expiration date of the prosthesis).
Recovery after hip arthroplasty
More recently, many patients with hip arthrosis( coxarthrosis), or fractured neck femora, were doomed to complete disability due to loss of ability to move independently. Fortunately, the introduction of new technologies in medicine has allowed patients to avoid this fate, and to live up to their previous full life. One of these technologies is total hip replacement( TETS), when the entire hip joint( head, neck of the hip, cartilage surface of the acetabulum) is replaced with a synthetic prosthesis. But in order for the synthetic joint to work just as well as "the native one", it is important not only to carry out the operation at the class level. It requires competent postoperative recovery or rehabilitation after endoprosthetics. And it depends not only on the doctor, but also on the patient.
problems Read the article:
Supratellar bursitis of the knee joint
TETS itself is a rather complicated technical and traumatic operation. The skin and muscles are dissected, the bone-cartilaginous tissues of the worn out joint are removed. Then the leg of the prosthesis is fixed in the canal of the femur. Severe operating injury is accompanied by pain, the release of biologically active substances from tissues to the blood. In turn, this leads to a change in the functioning of the heart, lungs, coagulating blood system. Preoperative preparation and anesthesia eliminate all these negative consequences, but only to a certain extent.
It goes without saying that people go to endoprosthetics, to put it mildly, not from a good life. Strict indications are needed for such an operation. Such indications include the destruction of joint structures due to coxarthrosis or hip fracture. With coxarthrosis, due to long-term motor disorders, atrophic changes in the muscles of the lower limb and back are developed, and the work of the pelvic organs is disrupted. The load on the spine increases, which leads to the development of lumbosacral osteochondrosis and radiculitis.
Do not forget that the vast majority of patients operated on for TETS are elderly and senile. This means that they have varying degrees of disability in the functions of the heart, respiration, and endocrine system. In some patients, the disorders are decompensated, and after the operation are aggravated. In addition, the operation itself and the postoperative bed regimen lead to disruption of the peristalsis( contractions) of the intestine until the development of atonic intestinal obstruction. It should not be forgotten that in the elderly, the ability to regenerate, heal damaged tissues during surgery, is significantly reduced. Immunity is weakened, resulting in favorable conditions for infection.
Thus, postoperative problems after hip arthroplasty are as follows:
- Patient worried about postoperative pain
- Exacerbated atrophy of muscles
- Cardiopulmonary insufficiency worsened
- Bowel function disrupted
- Great risk of cerebral strokes due to blood pressure jumps
- Blood clotting disorders maylead to thrombosis of the veins of the lower extremities and to an extremely serious condition - pulmonary embolism of the
- PosleAn operative wound can serve as an entrance gate for infection.
The main directions of rehabilitation
Measures to restore motor functions and prevent postoperative complications are complex. Needless to say, the main emphasis is on curative physical training( LFK), which is designed to ensure the optimal operation of the newly acquired joint and the entire lower limb. In addition to exercise therapy, other therapeutic measures are carried out using drugs from different groups, as well as physiotherapy procedures.And the first such action is postoperative analgesia, during which they combine non-narcotic( Renalgan, Dexalgin) and narcotic( Morphine, Promedol) funds. To prevent severe pulmonary heart failure, patients are prescribed cardiac remedies( Mildronate, Riboxin, ATP).This patient shows inhalation( inhalation) of oxygen. Oxygen in a moistened form is fed through a special breathing apparatus.
Another important point is the prevention of thrombotic complications, which often develop in patients in the elderly after surgery. At the same time, in the veins of the lower extremities, the parietal thrombi form, which, when detached, are brought into the pulmonary artery by a current of blood and clog it. Blockage of the main trunk of the pulmonary artery can cause instant death. To prevent this from happening, in the first few days after the operation, such patients are bandaged with an elastic bandage and subcutaneously injected with funds preventing blood clotting( Fraksiparin, Clexan).To eliminate postoperative atony of the intestine, assign injections of Proserin, Ubretid. Necessarily prescribe antibiotics( Ceftriaxone, Metrogil).
Principles of exercise therapyThere is a misconception that exercise therapy after endoprosthetics of the hip joint can be carried out only in the late postoperative period, and in the early days you need a strict rest. This erroneous tactic can lead to contractures( persistent limitations of the volume of movements) and to thrombotic complications. Therefore, some, the most simple loads, are carried out already in the first day after the operation, on leaving the anesthesia. In the exercise of exercise therapy should be observed the principle of phase, when the exercises themselves are done in several phases.
Zero phase - in the first day after the operation, when the following types of exercises are performed:
- Bringing and lifting the foot up and down several times every 10 minutes.- The so-called.foot pump
- Ankle rotation in both directions 5 times
- Short-term, for 10 min, the tension of the anterior quadriceps femoris
- Knee flexion with simultaneous pulling of the heel
- Cuts of the buttocks with subsequent tension for 5 seconds
- Retreatment of the operated leg to the side and returnin the starting position
- Raising the straightened leg for a few seconds.
First phase of
The first phase, 1-4 days after surgery - the so-called.strict care. At this time, you are allowed to sit on a hospital bed or chair, and then move with crutches or special walkers. Important: when planting, do not bend the limb in the hip joint more than 900, do not cross the legs. On the contrary, lying on the bed, try to take your foot to the side. For this, you can put a pillow between your legs. The main types of exercises in this phase are performed in the standing position:
- Leg bending in the knee and hip joints
- Straightening of the leg in the hip joint and drawing it back
- Retracting the leg to the side.
The second phase of
The second phase of rehabilitation or deceptive opportunities - 5 days - 3 weeks after the operation. Many patients at this time feel a surge of energy, they were tired of stiffness and inaction. But the joint is not yet strong, and muscle atrophy persists. This phase shows the movement loads - movement on a horizontal surface, but not more than 100-150 m.or climbing and descending the stairs. Climbing the stairs, you should lean on a cane or on a crutch. At the same time, at the higher step, first put a healthy leg, then operated on, and then - a cane. When descending the stairs, everything is done in the reverse order.
The third phase of
The third phase of rehabilitation, the "beginning of work" - after 1-2 months.after operation. At this time, the implanted joint "caught on", and the muscles and ligaments are so strong that you can smoothly increase the load, and carry them out at home. Exercises in this period are similar to the previous ones, but they are performed with burdening. As a weigher, an elastic band can be used. One end of the tape is tied to the operated leg at the ankle level, and the other to the fixed object, for example, to the door handle, followed by bending, straightening and retraction.
During this period, you can increase the duration of walking tours - for half an hour 3-4 times a day. Even exercises on a stationary bike are shown. In this case, do not forget one rule - the emergence of pain is a signal to stop training. At the same time, do not stay for more than an hour, sit in a fixed position. The above rule of the right angle must also be observed. In general, during each hour should be a little, for several minutes, walk around.
In the course of rehabilitation after endoprosthetics, the exercise therapy necessarily combines with physiotherapeutic procedures, among them - darsonval, phonophoresis, magnet, amplipulse. Thanks to these procedures, the edema is finally eliminated, the muscles are stimulated. The final stage of rehabilitation of hip arthroplasty is a stay at mud resorts.
Endoprosthetics of the hip joint. Operation and reabilitation of hip arthroplasty
Indications for operation of hip replacement
The main indications for surgery for hip replacement are patient complaints and clinical x-ray examination data. Complaints of the patient in many respects determine indications for endoprosthetics of joints, in contrast to the diagnosis and stage of the disease.
If the patient feels great, but at the same time radiographically he has 3-4 st.coxarthrosis, he does not make complaints - such a patient does not need surgical treatment.
Operation of hip replacement
In the operation of hip replacement, 2 brigades, anesthesia and surgery, are participating. The operating team includes an operating surgeon and 2 assistants with two operation sisters. An anesthetist and an anesthesiologist work as part of the anesthesia team.Radiographs of a patient with dysplastic coxarthrosis, before and after surgery for total hip replacement with a cementless prosthesis, ceramic-ceramic friction pair.
The standard case of artificial joint implantation takes 1.5-2 hours. The entire period of operation for hip arthroplasty is under anesthesia or spinal anesthesia of the .To prevent infectious complications, an antibiotic is injected intravenously, if necessary, blood is poured or drugs replacing it.
Surgery for hip arthroplasty is performed free of charge within the framework of the
VMP. For medical indications and availability of quotas for referral, operations are conducted at our center using funds allocated under the high-tech medical care program(
). Details on the high-tech medical care program
Rehabilitation after endoprostheticship joint
After the operation, the patient is transferred to the for some time in the intensive care unit for further nablyudeniya. Injection of antibiotics and drugs that prevent blood clotting, lasts 7 days. Between the legs is installed a pillow, which keeps the legs at a certain distance from each other - in the position of the lead.
The ability to move in bed is allowed after the first day of the operation. It is allowed to sit down in bed, do respiratory gymnastics, and perform simple exercises for muscles .Movement on legs with the help of an instructor is possible from the third day after the operation, walking is carried out using crutches. Sutures are removed on the 10th -12th day after the operation.
An extract of the home is usually made after 10-12 days. Returning, it is worth continuing rehabilitation activities, following all the necessary recommendations. If there is a need, then you can continue recovery in the center under the guidance of a trauma doctor.
Household recommendations for patients
At home, several rules should be followed to reduce the risk of all possible complications:
- Do not allow full( or more than a right angle) flexion in the hip joint.
Observe the 4 rules:
- when you sit, your knees should be below the hips, for this, put the pillow on the chair;
- do not cross your legs either in a sitting or lying position;
- do not lean forward, always get up with a straight even back;
- sit on a chair, slightly placing your legs.
- Follow the doctor's recommended mode of movement on crutches;
- Climbing and going down the stairs, stick to the railing;
- Use shoes with a non-slip sole and low heel;
- When visiting a doctor, be sure to say that you have an artificial joint;
- Do not hesitate to contact your surgeon if you have pain in the area after surgery or the overall body temperature has increased.
Of course, most of these recommendations are not life-long, but only last 6-8 months after the operation.
Remember the prosthesis
Do not forget that the endoprosthesis is not eternal. Like any other mechanism, it is inherent in wear. The service life of the prosthesis can reach 15 years.
The wear rate of a prosthesis is largely determined by the patient's own operating conditions. Do not lift the weight and engage in active sports.
It is not recommended to practice sports such as tennis, skiing, etc. Swimming or walking is allowed. It is important not to forget to watch your own weight.
Video calls for surgical treatment of hip fractureYurkov Victor endoprosthetics of the femoral neck Gorbunov AE66 years - endoprosthetics of the femoral neck
What is osteoarthrosis
Osteoarthritis can affect any joints. Most often, DOA develops the knee joints, then the spine. Osteoarthritis of the hip joints is the third most common. The process can be either one-sided or two-sided.
In this case, the cartilage is destroyed in the joint, lining the surfaces of contiguous bones, the articular fluid acquires a tendency to inflammatory processes, there are marginal bony expansions. In later stages, the joint space( the gap between the bones) disappears, and movement in the joint becomes impossible. The causes of the disease are:
- genetic predisposition;
- metabolic disorders( eg, deposits in the joints of uric acid, hydroxyapatite).
Characteristic symptom - pain in the area of the projection of the joint, which increase during exercise( walking).The pain syndrome can reach such intensity, that the patient loses ability independently to move. Osteoarthritis can not be cured by conservative methods. With proper traditional treatment, only maintaining the state of remission is possible. So, the replacement of the hip joint is the only way to restore health and keep working capacity. The duration of the operation is 1-3 hours. It depends on what prosthesis is performed - full or partial. The patient is under general or spinal anesthesia. For rapid recovery and optimal treatment results, several hours after the end of the operation, special exercises should be started.
Initial phase( 1 day after surgery)
First of all, a set of exercises is prescribed to improve blood circulation in the legs and prevent the formation of blood clots. Such a gymnastics is performed sitting or lying 3 times a day with both feet, regardless of whether the joint was replaced on one or both sides.
- Static tension of the quadriceps muscle of the thigh.
- Flexion of the leg in the knee.
- Move the foot up and down.
- Raising a straight leg 10 cm from the surface of the bed.
- Take the straight leg to the side.
The first phase( 2-4 days after the operation)
The patient continues to perform the already existing set of exercises. To them are added new ones.
- Raising a leg bent at the knee. The starting position is at the support.
- Take the straight leg to the side in the standing position.
- Take the straight leg back in standing position.
The main goal of this rehabilitation period is to go to full self-service( get up, sit down, walk, visit the toilet yourself).At this time there is a risk of dislocation of the prosthesis. In order to level it, it is necessary to sleep with a pillow between the knees, not to lie down on the operated side and not to keep the knees constantly bent, even if it reduces pain.
Second phase( up to 21 days after endoprosthetics)
Patient needs to continue to increase the load. At the end of the first week, you should learn how to walk neatly up the stairs. When climbing, you first need to step on the operated leg, then healthy, while descending - on the contrary.
The risk of dislocation of the prosthesis is preserved, therefore it is necessary to follow all the recommendations of the previous stage.
Third phase( up to 2 months after surgery)
The phase of active training of the gluteal and femoral muscles. The elastic band acts as a kind of simulator, which allows all exercises to be carried out with resistance( flexion in the hip joint at the support, retraction of the leg in standing position).
The patient should walk frequently and gradually, gradually increasing the time of walking up to 2 hours a day in several stages.
In the department of physiotherapy exercises( in a hospital and polyclinic) the patient is assigned exercises on a stationary bicycle, which perfectly develop muscles, and also pacing on the platform.
Fourth phase( up to 4 months after prosthetics)
This time conceals a hidden danger to patients. Having successfully passed the previous stages of rehabilitation, having learned to walk without a cane, without feeling pain and limitations of mobility, people stop doing exercises. This is a big mistake! Insufficiently strong muscles, especially in the elderly, quickly detune, which increases the risk of injury( falling due to loss of balance, for example).
Exercises to strengthen the leg muscles should be performed regularly for a long time, preferably for the rest of your life. It is impossible to be trained through pain. However, it is not necessary to confuse the pain in the joint with the pain in the muscles( due to the accumulation of lactic acid) and under this pretext to give up exercise. It is necessary to perform half-squats( strictly with a straight back), pacing, drawing a straight leg with resistance or a little burden, walking along a path or practicing on an exercise bike.
You should also follow a balanced diet. The diet should contain a large number of proteins( except for the sick gout), carbohydrates( preferably long ones, ie cereals, whole-grain baking), fats( with sufficient amounts of omega-3 unsaturated fatty acids from seafood).Proper nutrition will not help gain weight to avoid stress on the joint.
A list of medications will be issued by your doctor. It usually includes vitamin complexes and supplements containing glucosamine and chondroitin in therapeutic doses.
Endoprosthetics of the hip with proper rehabilitation allows the patient to return to daily life in the shortest possible time.
One of the largest support joints in the human motor system is the hip. Due to various disorders, changes often occur in it, such as thinning and damage to articular cartilage, the formation of osteophytes, irregularities in the bone.
The most effective method of treatment is endoprosthetics replacement of damaged parts with artificial joint components. In addition to the successful operation itself, a very important part of the recovery is rehabilitation after hip replacement. Even visiting the forum, where they discuss the problem of such operations, you can get this confirmation.
Rehabilitation depends on so many factors. Firstly, great importance is the diagnosis, in which this operation is assigned. If, for example, it is carried out a few days after the fracture of the femoral neck, then the muscles around the hip joint, after the operation, will be able to work properly quickly enough.
And if it is done after several years after the fracture, then those muscles that did not work, atrophied, will be restored much longer. However, there are general principles for the passage of the rehabilitation process after the hip arthroplasty.
The first stage of rehabilitation after operation
On the same day, some exercises are recommended to improve blood circulation in the legs, to prevent the formation of blood clots. They will help strengthen the muscles, improve the movement of the hip joint. Recommended Exercises:
- foot pump to move the foot up and down;
- rotation in the ankle rotate stop alternately left and right;
- exercise for the quadriceps femoris( on the front surface of the thigh strain this muscle for 5-10 seconds;
- knee flexion with heel support to move the heel to the buttocks, while bending the knee and touching the heel of the bed;
- shortening of the buttock muscles; retracting the leg that was operated, aside, and then return it back,
- lift the leg above the surface of the bed
The second stage of rehabilitation - 1-4 days after the operation
On the first day after the endoprosthesis, it is better to lie down, not to get up. On the second day you can start the coursewith the help of walkers or crutches, but for a faster recovery of the hip, there is a condition that must be observed. To avoid dislocation of the endoprosthesis, you can not bend the leg in the hip joint more than ninety degrees
In a dream, to comply with this rule, you can put one or two pillows between the legs. To better undergo rehabilitation, you should not just sit down on your haunches, cross your legs. In the sitting and standing position, the operated leg should be slightly moved aside. In no case should you throw your foot on your leg. From the second day after the operation, when it is already possible to get out of bed, to stand, and it is advisable to perform several more exercises in standing position:
- lifting the knee no higher than the waist, holding a couple of seconds;
- straightening in the region of the hip joint, slowly withdrawing the operated leg back for 2-3 seconds;
- move the leg to the side with the knee forward.
The third stage of recovery - 5-21 days after surgery
By the fifth day after endoprosthetics it is time to learn to walk on the stairs. On the railing should be supported by the hand that is opposite to the operated hip joint. Do no more than one step at a time. When climbing the ladder, you first need to step up with a healthy foot, then the operated leg to put on a step above and rearrange your crutch there.
Going down the stairs, all movements are done in the reverse order. First you need to put the crutch on the lower step, then step down the operated leg, and then put a healthy leg. Going upwards starts a healthy leg, and down - is operated. The most important thing at this stage is for rehabilitation to be successful, not to overload the operated hip joint, to continue to observe the conditions.
Fourth stage of rehabilitation - 4-8 weeks after operation
By this time it is possible to increase the load on the muscles, to train their ability to balance. After all, without the coordinated work of all the muscles that surround the region of the hip joint, this can not be done. In order to abandon crutches, start using the cane, and then walk alone, you should perform the following exercises:
- with elastic band, the resistance of one end is fixed around the ankle of the diseased leg, and the second one to the locked door;
- flexion in the hip joint with resistance;
- foot off with resistance in standing position;
- extension training in the hip;
- exercises on the stationary bike;
- balance training;Dynamic balance training with elastic band on a healthy leg;
- step-down exercises with visual control;
- retraction of the hip joint lying on its side;
- walking forward and back;tilt test;
- test stand up and pass on time.
For a more detailed study of all these exercises, it is enough to visit the online communication forum for people who also need rehabilitation after hip arthroplasty.
Fifth stage of recovery - 9-14 weeks after operation
During this period it is time to finally restore the amplitude of movements in the hip joint, strength and sense of balance. But often by this time, many already drop out to do the exercises, because they already feel healthy. Or vice versa, they think that it is already impossible to achieve more. However, you should continue training.
Muscles need to be kept toned, it will safely go out and various non-standard situations. For example, in case of accidents, on a slippery road, etc. Training is necessary for everyone, and only for those who have undergone an operation of endoprosthetics.
Sixth stage of rehabilitation - more than 3 months
At this stage, it is necessary to conduct a control X-ray examination, after which the doctor will decide, for some professions, to return to the previous regime work. However, for complete rehabilitation, you still need to adhere to some recommendations. Do not give up the cane, do not lift weights above 20 kg, especially when carrying them. You should monitor your weight, preferably not exceed the age norms.
Doing exercises, it is better to do most of them in a prone position. And in the standing position, you can add exercises such as half-squats. But first, leaning on the back of the chair, and then hands on the belt. At 3-4 months you can begin to train the transfer of body weight to the operated leg.
First stand on this leg, leaning on the hands, then on one hand, and then without the help of hands. After that, swimming and skiing are recommended, but only on flat terrain. It is useful to ride a bicycle. However, do not put your artificial joint at risk.
Author of the article: