Evid Based Nurs 8:115 doi:10.1136/ebn.8.4.115
  • Treatment

Relaxing hip precautions increased patient satisfaction and promoted quicker return to normal activities after total hip arthroplasty

 Q In patients who have had uncemented primary total hip arthroplasty (THA), does removal of several postoperative functional restrictions (PFR) reduce the risk of postoperative dislocation?



randomised controlled trial.


not concealed.



GraphicFollow up period:

⩾6 months


a university hospital in Philadelphia, Pennsylvania, USA.


265 patients (303 hips) (mean age 58 y, 52% men) who received uncemented primary THA through an anterolateral approach. Exclusion criteria included previous surgery on the ipsilateral hip, hyperflexibility syndromes, and neuromuscular compromise (eg, Alzheimer’s or Parkinson’s disease).


PFR (n = 152) or no PFR (n = 151). All patients were expected to limit the range of motion of the hip for the first 6 weeks to <90° of flexion and 45° of external and internal rotation, and to avoid adduction (crossing legs). Furthermore, patients in the PFR group were managed with the placement of an abduction pillow in the operating room before bed transfer; used pillows to maintain abduction …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article