Describe typical postoperative rehabilitation milestones after a total hip replacement.

• A. Bed rest for 6 weeks
• B. Full weight-bearing immediately
• C. Early ROM and walking with assistive devices; progression to full weight-bearing as tolerated; 6-12 weeks return to functional activities
• D. Delay walking until 3 months

Answer: (C)

Postoperative rehabilitation after total hip replacement focuses on restoring motion and walking while protecting the new joint. Initiating range-of-motion exercises early and starting walking with assistive devices (like a walker or crutches) helps prevent stiffness and maintains muscle strength. Progression to full weight-bearing is guided by the surgeon and typically occurs as tolerated, aligning with how the joint is healing. Most people regain functional activities within roughly 6 to 12 weeks as strength and motion improve. This approach contrasts with prolonged bed rest, which raises risks like blood clots and deconditioning, and with walking being delayed or being too aggressive too soon, which can jeopardize stability and healing.