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Hip precautions after total hip replacement and their discontinuation from practice: patient perceptions and experiences

Lightfoot, Courtney J.; Coole, Carol; Sehat, Khosrow R.; Drummond, Avril E.R.

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Authors

Courtney J. Lightfoot

Carol Coole

Khosrow R. Sehat

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research



Abstract

Background: Hip precautions are routinely provided to reduce the risk of dislocation following total hip replacement despite evidence suggesting they provide no additional benefit and may, actually, impede recovery. Our aim was to report the views of patients who had been recruited into a trial comparing outcomes in participants who were prescribed hip precautions with those who were not. Methods: Semi-structured interviews were conducted. Topics explored included experiences and opinions of the service (either hip precautions or no hip precautions), information offered, and equipment provided. Thematic analysis was used to identify and report themes. Results: Six themes were identified: perceived justification, and advantages and disadvantages for the postoperative recovery regime prescribed, perceived risk, and fear of dislocation, adherence to the postoperative regime prescribed, and experiences of adaptive equipment. Conclusions: Participants who received hip precautions had mixed views about their use: some felt they were restrictive whilst others believed they provided reassurance. Participants who did not receive hip precautions were less anxious about dislocating their hip but were unsure how to progress their rehabilitation. The discontinuation of precautions may decrease patients’ fears about dislocation but more guidance from rehabilitation staff about how to move safely during recovery is required.Implications for rehabilitation Hip precautions may unnecessarily exacerbate patients’ anxieties and fear about dislocation following total hip replacement. Hip precautions impact on patients’ recovery both physically and psychologically. Patients should be advised about moving and returning to activities following total hip replacement, whether they receive hip precautions or not.

Citation

Lightfoot, C. J., Coole, C., Sehat, K. R., & Drummond, A. E. (2021). Hip precautions after total hip replacement and their discontinuation from practice: patient perceptions and experiences. Disability and Rehabilitation, 43(20), 2890-2896. https://doi.org/10.1080/09638288.2020.1722262

Journal Article Type Article
Acceptance Date Jan 23, 2020
Online Publication Date Feb 11, 2020
Publication Date 2021
Deposit Date Jan 24, 2020
Publicly Available Date Mar 28, 2024
Journal Disability and Rehabilitation
Print ISSN 0963-8288
Electronic ISSN 1464-5165
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
Volume 43
Issue 20
Pages 2890-2896
DOI https://doi.org/10.1080/09638288.2020.1722262
Keywords Rehabilitation
Public URL https://nottingham-repository.worktribe.com/output/3792925
Publisher URL https://www.tandfonline.com/doi/abs/10.1080/09638288.2020.1722262
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 11/02/2020, available online: https://www.tandfonline.com/doi/10.1080/09638288.2020.1722262

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