Rehabilitation after Total Hip Replacement Surgery

Abstract

Rad opisuje važnost totalne endoproteze kuka kao standardnog zahvata za liječenje degenerativnih promjena, uz naglasak na individualnoj rehabilitaciji. Proučava se anatomija kuka, pri čemu se prikazuje građa zgloba, mišići i uzroci ozljeda s fokusom na biomehaničku kompleksnost tog područja. Stavlja se naglasak također i na vrste kirurških zahvata, indikacije, moguće komplikacije, vrste proteza i operativne pristupe. U fizioterapijskoj procjeni prikazane su metode mjerenja pokretljivosti, boli i funkcionalnosti kako bi se pratilo stanje pacijenta tijekom rehabilitacije. Prijeoperacijski protokol naglašava pripremu pacijenta kroz edukaciju, fizičku procjenu i psihološku podršku. Poslijeoperacijski protokol donosi detaljan prikaz rehabilitacije po fazama, uključujući vježbe, mjere opreza, kontrolu boli i postupno povećanje opterećenja. Uspješan oporavak nakon ugradnje proteze ovisi o individualiziranoj fizioterapiji, timskom pristupu i podršci pacijentu kroz sve faze rehabilitacije i oporavka.The paper describes the importance of total hip arthroplasty as the standard procedure for treating degenerative changes, with an emphasis on individualized rehabilitation. It examines the anatomy of the hip, presenting the structure of the joint, the surrounding muscles, and the causes of injuries, with a focus on the biomechanical complexity of this region. Attention is also given to the types of surgical procedures, indications, possible complications, types of prostheses, and surgical approaches. In the physiotherapeutic assessment, methods for measuring range of motion, pain, and functionality are presented to monitor the patient’s condition throughout rehabilitation. The preoperative protocol emphasizes patient preparation through education, physical assessment, and psychological support. The postoperative protocol provides a detailed overview of phase-based rehabilitation, including exercises, precautionary measures, pain management, and the gradual increase of load. Successful recovery following prosthesis implantation depends on individualized physiotherapy, a multidisciplinary approach, and support for the patient throughout all stages of rehabilitation and recovery