How To Avoid A Dislocation After Hip Replacement Surgery - Herman Botero, DO (2024)

by Herman Botero, MD

A hip replacement procedure can alleviate pain and help you regain mobility and independence, but you can’t won’t be able to manipulate your hip in any direction you please. If you move incorrectly or put too much strain on your artificial hip while it is in a compromised position, it can cause the artificial ball to pop out of the joint. This is called a hip dislocation, and although it is a rare complication following a successful hip surgery, a dislocation can cause major issues for the health of your new hip, so you want to do what you can to avoid this type of injury. Below, we share some tips for avoiding a hip dislocation following a replacement procedure.

Avoiding Hip Dislocations After Replacement Surgery

The following is general information, so while it will likely fall in line with the recommendations put forth by your treating physician, you should take their individualized advice over anything you read below. With that said, here’s a look at some of the common recommendations for avoiding a dislocation after having your hip replaced.

  • Sit In Higher Chairs/Avoid Low Seats – Sitting in a higher chair can make it easier for you to transition from sitting to standing and vice versa. When you are sitting in lower chairs or on an overly soft sofa, your hips will be excessively strained as you lean forward and push upwards in an effort to stand up. Make it easier on your hips by sitting in higher and firmer chairs.
  • Don’t Bend Your Hip More Than 90 Degrees – Bending forward more than 90 degrees will put immense stress on your hips and can lead to a dislocation following a replacement procedure. Most doctors recommend that patients avoid bending more than 60-90 degrees for the first 6-12 weeks after their procedure. You may eventually be cleared for this action, but avoid bending over to tie your shoes or pick something off the ground until you get clearance from the doctor.
  • Don’t Cross Your Knees/Ankles – Crossing your legs or knees will push your hip joints outward, which can lead to a dislocation while your connective tissues are working to recover from the trauma of surgery. Avoid crossing your legs or knees during your recovery.
  • Weight Loss – Losing just a little weight can take a fair amount of stress off the hip joint, which may help to decrease dislocation likelihood. Weight loss may not be easy to come by if you’re physically limited during your recovery, so many doctors will just recommend that you eat healthily so that you don’t gain weight and put more strain on your hip.
  • Pillow Between The Legs At Night – Your doctor will likely recommend that you sleep on your back or on your side on the hip that wasn’t replaced. When you’re sleeping on your side, putting a pillow between your legs can help to support your knee and in turn take pressure off your hip.
  • Do Your PT Exercises – Finally, if you really want to reduce your risk of a hip dislocation after a joint replacement operation, make sure that you follow through with your physical therapy exercises. Physical therapy will strengthen the supportive soft tissues, strengthen nearby tissues that help to stabilize the hip, and increase your comfortable range of motion so that your hip can safely move in a number of different directions. Don’t skip your physical therapy exercises, and make sure that you’re doing any home-based exercises recommended by your PT.

If you follow the above tips and you trust your operation to Dr. Botero and his team, we’re confident that you can reduce your risk of a dislocation following a hip replacement procedure. For more information, or to learn more about hip or knee replacement surgery, reach out to Dr. Botero’s office today at (865) 558-4444.

How To Avoid A Dislocation After Hip Replacement Surgery - Herman Botero, DO (2024)

FAQs

How can I prevent my hip from dislocating after replacement? ›

Instructions to Prevent Recurrent Dislocations
  1. Sit in high armchairs and use a high toilet seat (approx. ...
  2. Raise your bed to about 24 inches by placing an extra mattress or blocks under its feet.
  3. Do not bend the hip more than 90 degrees.
  4. Do not cross your knees.
  5. When in bed, keep a pillow between your knees.

How common is it to dislocate your hip after replacement surgery? ›

Dislocation is uncommon. The risk for dislocation is greatest in the first few months after surgery while the tissues are healing. If the ball does come out of the socket, your doctor can perform a procedure (called a closed reduction) that can usually put it back into place without the need for more surgery.

Which movements cause dislocation after hip replacement? ›

Don't Cross Your Knees/Ankles – Crossing your legs or knees will push your hip joints outward, which can lead to a dislocation while your connective tissues are working to recover from the trauma of surgery. Avoid crossing your legs or knees during your recovery.

What are the hip precautions to prevent dislocation? ›

Posterior Approach THA Precautions
  • Do not bend the hip more than 90 degrees.
  • Do not cross legs or feet.
  • Do not roll or lie on your unoperated side for the first 6 weeks.
  • Do not twist the upper body when standing.
  • Sleep on the back for the first 6 weeks.

What stops the hip from dislocating? ›

That ball-shaped head of the thigh bone fits into a socket in the pelvis, allowing for a wide range of motion and that hip joint is supported by several ligaments, tendons and muscles, which work together to maintain stability and prevent dislocation.

What method reduces hip dislocation? ›

Posterior Hip Dislocation Reduction

Have an assistant stabilize the pelvis by grasping the bilateral anterior superior iliac spines and applying gentle posterior force. Apply longitudinal distraction of the injury by grasping the patient's distal femur, bringing the femoral head from behind the acetabular rim.

How hard is it to dislocate an artificial hip? ›

Your prosthetic hip is a large and fairly stable joint. Usually it takes a hard fall, a car crash, or something else of great force to make the thigh bone slip out of its socket (dislocate). But since you have had hip replacement surgery, your hip can more easily slip out of position.

In what position is the hip at greatest risk of dislocation? ›

Specifically, when the leg is straight or the hip and knee are flexed less than 90 degrees with the hip adducted, a common outcome is posterior dislocation of the hip accompanied by a fracture of the posterior acetabular wall.

What can you never do after a hip replacement? ›

The Don'ts
  • Don't cross your legs at the knees for at least 6 to 8 weeks.
  • Don't bring your knee up higher than your hip.
  • Don't lean forward while sitting or as you sit down.
  • Don't try to pick up something on the floor while you are sitting.
  • Don't turn your feet excessively inward or outward when you bend down.

What is the 90% rule with hip replacement? ›

I typically recommend avoidance of bending the hip more than around 90 degrees (a right angle) for the first six weeks and 130 degrees (a six-inch gap or less between the knee and the chest) thereafter.

How do you strengthen your hip after a dislocation? ›

You can also strengthen your hip muscles by performing standing knee raises four times daily. First, stand behind a sturdy chair, and grab its back with both of your hands. Next, gradually raise your injured leg while smoothly bending the knee. However, don't lift the knee higher than waist level.

What is the most common way the hip will dislocate? ›

This injury most commonly occurs during an auto collision or a high-impact fall, workplace or sports injury, especially those that also result in a broken leg or pelvis. A dislocated hip can lead to serious long-term debilitating problems, especially if it is severe or not adequately treated within hours of occurance.

How to reduce the risk of dislocations? ›

How can I prevent a dislocation?
  1. Wear the right protective equipment.
  2. Don't “play through the pain” if one of your joints hurts during or after physical activity.
  3. Give your body time to rest and recover after intense activity.
  4. Stretch and warm up before playing sports or working out.
Mar 1, 2023

How long is the risk of dislocation after hip replacement? ›

The incidence of dislocation has been reported to range from less than 1% to as high as 22%. More than half of dislocations occur in the first three months following primary THR.

What positions prevent hip dislocation? ›

Table 1
Standard precautions
Positions to avoidHip flexion > 90° Hip internal rotation Hip adduction
Functional tasks limited by precautionsLying on one's side Putting on and taking off shoes Sitting on a standard height chair or toilet Reaching to pick up objects from floor Shaving legs Getting up or down from ground
1 more row
Aug 5, 2019

Why does my artificial hip keep dislocating? ›

Early dislocations (within 0–3 months from surgery) typically occur due to a lack of mature scar tissue, a lack of soft tissue tension or patient factors and dislocations that occur later in the post-operative period (after 5 years post-operatively) are primarily due to component malposition and polyethylene wear (23).

Can a cemented hip replacement dislocate? ›

Dislocation rates, cause, and time to occurrence

Studies of primary THA found dislocation rates of 1.7% [5], 4.8% (of 6623 cemented THAs with 22.2-mm femoral heads) [6], and 0.3% to 10% [2].

Can a loose hip replacement be tightened? ›

Loose hip replacements often need to be 'revised' during revision hip replacement surgery, which means removing the parts which are loose and replacing them with new, well-fixed components. This type of surgery is usually more complicated and time consuming compared to a first time hip replacement.

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