Optimizing Gait After Hip Arthroplasty

Video Runtime: 79 Minutes; Learning Assessment Time: 17 Minutes

While total hip replacement is often considered the ”operation of the century” due to its high success rates, many patients continue to experience persistent altered gait patterns and decreased walking speeds for a year or more after surgery. This course addresses the clinical challenge of moving beyond simple pain relief to achieve superior functional outcomes through evidence-based gait analysis and corrective exercise. Participants will evaluate the biomechanical advantages and disadvantages of contemporary surgical approaches, including the reemergence of the posterior approach and the specialized “bikini incision.” The curriculum focuses on identifying key determinants of recovery, such as gluteus medius strength and terminal hip extension, while providing a framework for managing complications like leg length discrepancies. Designed for physical therapists in outpatient and home health settings, this course provides actionable strategies to minimize fall risks and safely return high-activity patients to demanding sports and recreational activities.

Learning Objectives

• Analyze historical and contemporary hip arthroplasty procedures to identify key differences in surgical approaches and techniques
• Examine statistical data related to hip arthroplasty to interpret trends and clinical implications
• Categorize the advantages and disadvantages of various surgical approaches—including the reemergent posterior approach—based on current levels of evidence
• Organize the phases of postoperative rehabilitation with emphasis on promoting a quicker and safer return to normal gait
• Determine appropriate strategies for managing leg length discrepancies at different stages of patient recovery