Management Considerations for PTA

Acute - Protection Phase

• instruct in use of ambulation aid
• instruct in adapting seating surface to decrease hip flexion ROM and WB forces during transitions
• AAROM/AROM in all planes within pain-free range
• consider aquatics or conditioning exercises with minimal joint impact
• observe post-operative hip precautions when indicated
• modalities PRN for soft tissue repair and healing

Subacute - Controlled Motion

• Strengthening (typically gluteus medius, maximus, hip rotators) is progressive with WB/closed chain stabilization as tolerated
• Stretching involved structures which have restricted length
• Soft tissue mobilization to enhance scar mobility
• Postural retraining
• Low impact aerobic exercise
• Patient education in maintaining balance between strength and flexibility
• Patient education in post-operative precautions and signs and symptoms of surgical failure

Return to Function

• Patient-specific. Focusing on return to work or recreation activities at or near previous level of function

 

 

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