Restrictions after hip joint replacement: still valid as a practice?
published in March - April 2019 - in Il Fisioterapista - issue n.2
Giovanni Maccagni, Nicola Lovecchio

Today, modern surgical techniques make it possible to reduce the invasiveness of operations with a consequent reduction in length of hospital stay and, in turn, fewer complications, resulting in a better quality of life. Despite the full confidence regarding the use of minimally invasive techniques for hip joint replacement, often the exchange of information or sharing of rehabilitation protocols between surgeons, physiatrists and physiotherapists does not follow these technical advances, and so clinicians continue to propose motor restrictions to patients so as to prevent dislocations of the implant. If such restrictions were valid in the early days of orthopedic techniques, now they should be less recommended or even totally abandoned, as they are no longer correspond to the conditions in which the patient arrives at the operation, or the extent of the demolition, or the level of arthro-capsular deficiency produced. This undoubtedly provocative review aims to stimulate clinical reasoning and therapeutic choices based on the real-life context.