After a posterior approach total hip replacement, what should a client avoid?

After a posterior approach total hip replacement, avoiding hip flexion greater than 90 degrees is crucial for several reasons. This limitation is primarily related to the surgical technique and the structures involved. The posterior approach involves cutting through specific muscle and soft tissue, including the gluteus maximus and possibly the short external rotators of the hip. Post-surgical healing requires that the integrity and stability of these structures be maintained to prevent dislocation of the hip joint.

When the hip is flexed beyond 90 degrees, there is an increased risk of impinging on the femoral head and the surgical site, potentially leading to dislocation, which is one of the most common complications following this type of surgery. Maintaining proper positioning is essential for ensuring a successful recovery and minimizing the risk of complications, hence the emphasis on avoiding this range of motion during the early stages of rehabilitation.

While the other options might pose concerns, they are either not as immediately critical or more dependent on individual recovery status. For instance, although hip abduction and standing are considerations in rehabilitation, they are not as critical as managing the risk of dislocation associated directly with hip flexion restrictions after a posterior approach. Similarly, running or jogging may be contraindicated, but this is usually determined later