HIP PRECAUTIONS INFORMATION
H I P P R ECAUTI O NSI N FOR MATI O N
PAGEHip PrecautionsSitting SafelyFollowing Precautions1-2Hip Safety: Sleeping Positions 3-4Safe SleepingHip Safety: Getting Into andOut of Bed5-6Hip Safety7-8Sitting SafelyHip Safety: Using the ToiletHip Safety: DressingPutting on Socks, Pants and ShoesAfter Hip Replacement:Home SafetyWalkers: BathingGetting Into a Shower Stall and TubHip Safety: Getting Into andOut of a Car91011-1213-1415
H I P P R ECAUTI O NSYour new hip has a limited safe range of motion. Thismeans it can’t bend and turn as much as a naturalhip. So you’ll need to move differently now thanyou did before surgery. This will help prevent yournew hip from popping out of place (dislocating).Your health care team will teach you how to staywithin your new hip’s safe range of motion.Sitting SafelyTo protect your new hip, you must sit with yourknees lower than or level with your hips. To do this,sit in chairs with high seats. Placing a firm pillowon the seat of a chair can also help.Following PrecautionsYou must protect your new hip by followingprecautions (avoiding certain positions andmovements). This will allow your hip to heal andhelp keep it from dislocating. You may also be toldto limit how much weight you put on your operatedleg (weight-bearing). You will learn how to followprecautions when lying, sitting, and standing.Flexion PrecautionDon’t bend overat the waist. Anddon’t sit with yourhips lower thanyour knees.Adduction PrecautionA natural hip allows you to sit with your knees higherthan your hips.Don’t cross youroperated leg overyour other leg. ALWAYS keep yourthighs apart.Internal Rotation PrecautionDon’t turn youroperated leginward (pigeontoe).Your new hip has a limited range of motion. Alwayssit with your knees lower than or level with yourhips.12
H I P SA F ETY:S L E EP I NG P OSI TI O N SYour new hip needs extra care while it heals.Follow your “hip precautions” to help you avoidinjuring it. Use the tips on this sheet to help keepyour new hip safe while sleeping. Be sure to followany guidelines from your health care provider.If You Lie on Your BackRemember Your Hip Precautions Keep the angle at your hip greater than 90 .(Don’t move your knees and chest too fartoward each other.) Do not cross your legs or ankles or let youroperated thigh cross the middle of your body. Do not turn your operated hip or kneeinward.Safe Sleeping Find a position that keeps your hip safe andcomfortable. Use pillows to keep your hip in a safeposition. Follow your health care provider’s instructionsabout which side to sleep on.Keep a pillow between your legs and against theoutside of the operated leg.If You Lie on Your SideUse pillows to keep your hip in a safe position.34
HIP SAFETY: GETTINGINTO AND OUT OF BEDNote: Your operated leg should enter the bed firstand leave the bed last. If you need to, remake thebed so the pillow is on the other end.2. Support YourselfYour new hip needs extra care while it heals. Followyour “hip precautions” and the tips on this sheet tohelp keep your new hip safe. The steps below helpyou get into bed. Reverse them to get out of bed.1. Sit Down Put both your hands on the bed behindyou for support. Lean backward onto the bed.3. Lie Down Stand with your back to the bed. Back upuntil the back of your good knee touchesthe bed. Keep the foot on your operated leg forward. Hold the crossbar of the walker with onehand. Reach back for the bed with the otherhand. Don’t twist. Lower your buttocks onto the bed. Swing one leg, then the other, from the flooronto the bed. As you do, use your elbowsand hands to lower your upper body onto thebed. Move your body as a unit—don’t twist. Position yourself comfortably. Do not reach to the end of the bed to pull theblankets up. Use a reacher to pull them up. Keep your walker within easy reach of yourbed.56
H I P SA FETY: SI TTI N GLearn the right moves to protect your new hip.Follow your “hip precautions” and the instructionsbelow.To Sit DownBack up untilyou feel the chairtouching you.Sitting SafelyTo protect your new hip, you must sit with yourknees lower than or level with your hips. To do this,sit in chairs with high seats. Placing a firm pillowon the seat of a chair can help raise it.Reach for thearmrests. Keepyour operatedleg slightly outin front. Loweryourself withoutleaning forward.A natural hip allows you to sit with your knees higherthan your hips.Sit, then lean backin the chair. Keepyour hips higherthan your knees.To stand up, reverse these steps.Your new hip has a limited range of motion. Alwayssit with your knees lower than or level with yourhips.78
H I P SA FETY:US I N G THE TO I LETUsing the bathroom can be challenging after hipsurgery. Follow your “hip precautions” and the tipson this sheet to keep your new hip safe when usingthe toilet.H IP SAFETY:DRESS IN GCaution: Be careful not to bend forward or lift yourknee above your hip.To protect your hip, you must learn safe ways todo daily tasks. This includes getting dressed andundressed. Your health care provider may suggesttools to help you. These include a reacher, sockaid, and dressing stick.Putting On Socks Back up until you feel the toilet touch theback of your legs. Place your operated leg in front of you,keeping your weight on the other leg. Look behind you and grasp the grab bar (orside rails, if you’re using a toilet with rails). Lower yourself onto the front of the toilet,then scoot back. To get up, reverse these steps.Remember Your Hip Precautions Keep the angle at your hip greater than 90 .(Don’t move your knees and chest too fartoward each other.) Do not cross your legs or ankles or let youroperated thigh cross the middle of your body. Do not turn your operated hip or kneeinward.9 Sit on a chair or on the side of the bed. Pull the sock onto the sock aid as you havebeen shown. Hold the sock in front of the foot on youroperated side. Slip your foot into the sock.Pull the sock aid out of the sock. Put the other sock on with the sock aid, orbring your foot toward you and slip the sockon with your hands.Putting On Pants Sit on a chair or the side of the bed. Using a reacher, catch the waist of theunderwear or pants with the grasper. Slip the pants onto your operated leg first.Then slip your other leg into the pants. Use the reacher to pull the pants over yourfeet and above your knee. Pull them to whereyou can reach them with your hands. Hold the pants with one hand. Push up fromthe chair to stand. Steady yourself with yourwalker. With your hands, pull the pants the rest ofthe way up.Putting On Shoes Wear slip-on shoes or use elastic or velcroshoelaces so you don’t have to bend. Sit on a chair. Put your foot into the shoe.Use a reacher or long-handled shoehorn topull the shoe on10
AFTER HIP REPLACEMENT:HOME SAFETYBecoming more aware of hazards in your homecan help make your recovery safer. You mightwant to have furniture rearranged so it’s easier toget around. In the bathroom, aids like a showerhose and a raised toilet seat can help you stay safe.Don’t forget to watch out for hazards like wet floorsor uneven surfaces.Install grab bars inyour shower or tubfor support as youget in and out.11Use acart tomoveitems.Sit on a bath benchor shower chairwhile you bathe.Install a rail alongone side of thestaircase.Wear rubbersoled shoesto preventslipping.Remove throwrugs.Move electricalcords out of theway.Use a longhandledsponge towash hardto-reachareas.Use a rubber-backedbathroom mat to helpkeep the floor dry.Add a firmpillow to alow chair.Keepitems youuse oftenwithineasyreach.In the BathroomInstall ahand-heldshowerhead foreasierbathing.At HomeWatch forsmall petsor objectson thefloor.Use a commodechair or elevatedtoilet seat to raisethe height of yourtoilet.12
WA L KERS: BATHI NGSpecial shower chairs and tub benches are availablefor use while bathing. These chairs help you bathesafely. Ask your health care provider where youcan get one.Getting Into a TubNote: Try to make sure surfaces are dry before youwalk on them. Non-skid mats can help prevent falls.Getting Into a Shower Stall3. Back up until you feel the tub bench behindyou. Reach back for the bench first with onehand, then the other, as you begin to sit down.1. Back up over the lip of the shower stall withyour good leg until you feel the shower chairbehind you. Reach back for the shower chairfirst with one hand, then the other, as you beginto sit down.4. Lower yourself onto the bench and turnto face the faucet. Use your hands to help lifteach leg over the side of the tub. A hand-heldshower nozzle can make bathing on a bencheasier.2. Lower yourself onto the chair. Lift each footand turn to face the faucet.1314
HIP SAFETY: GETTINGINTO AND OUT OF A CARAfter hip surgery, getting into or out of a car canbe difficult. To keep your hip safe, follow your “hipprecautions” and the tips on this sheet. The stepsbelow help you get into a car. Reverse them togetout of a car.Before Getting Into a Car Have someone move the seat as far back asit will go. Recline the back of the seat if possible. Place a pillow on the seat to keep your hipsabove your knees, especially if the seat islow.1. Sit Down Stand with your backto the car. Keep youroperated leg straightand that foot slightlyforward. Feel the cartouch the back of yourother knee. Hold onto the side of the car and the walkeror dashboard. Lower yourself slowly onto the seat. Watchyour head.2. Bring Your Legs Into the Car Slide back intothe center ofthe seat. Lift your legsone at a timeinto the car. Asyou do so, moveyour body. Do not twist.15
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Follow your “hip precautions” to help you avoid injuring it. Use the tips on this sheet to help keep your new hip safe while sleeping. Be sure to follow any guidelines from your health care provider. Use pillows to keep your hip in a safe
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