Posterior Hip Replacement Approach

Posterior-approach precautions are associated with mechanics that may place the hip at posterior risk. Early after a posterior approach, excessive hip flexion, adduction, and internal rotation should be avoided. Posterior-approach patients may need more caution in later rehabilitation because disrupted tissues can remain vulnerable to irritation or injury. Posterior approaches can disrupt tissues including the glute max region. Posterior-approach patients may initially need more hamstring emphasis for hip extension if glute max contraction is limited. Glute max work can be emphasized more directly after posterior tissues have healed more fully.