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Write for me capstone mining history do my pulp and paper technology institute microsoft error report 2 98 hi I'm Bob Shawn physical therapist Brown handle a physical photo gallery on the most famous physical therapist on the internet and I'll pin it of course Bob man what do you want to talk about this well if I don't want to talk about hip replacements okay that's what we got the skeleton here we got that again facing the right for the camera so we can get right into it now if you need two hip replacements because you have pain there from arthritis typically so the doctor is gonna explain to you about all the procedure goes and right here yeah yeah this is gonna run the show here Bob all right like he thinks you know here's a hammer because we need some good close-ups all right I got it okay now a lot of people aren't really familiar with the hip is but you got the pelvis bone here this panel leg bone and then the ball and socket right there is your hip and what they're going to do is cut right through here take the ball off and replace it and actually well it's oh they're gonna saw it's amazing how they can take the acetabulum of the socket saw all the way around it and then they're going to cement in a new socket as well as the ball sometimes they'll do one or the other that's called a Hemi arthroplasty but we're gonna ever talk about a complete one and then they're gonna tell you about precautions what to do and per specifically what not to do because if this dislocates after surgery it's a big problem you do not want that to happen and it can easily happen can you show just location on there brother is that too tight oh no we can just locate this model so dislocating means basically the hip comes out of joint right so if you dislocate the hip literally who's gonna pop out like this and you know I said obvious is not gonna come off there's enough connective tissue that's gonna hold it close to there but it's going to be painful and they have to get that back in where it belongs and then the tissues that you ripped apart from doing the wrong movements to give up again yep big hold on I at least a half a dozen people in the last 15 years do this so I've had a couple myself that to go to a restaurant and get in and out of a booth interesting yeah so and you can imagine my mother after you go through the precautions no there's two major surgeries that they're going to do the most popular one and it's a posterior hip surgery and that's really gonna cut in more from the back leg of the buttock there I'm here it's going to be back in here they're going to get it into their work and then there's the anterior and then what that means is they're going to come in through the front side anterior means front they're going to cut in here and open it up from the front okay no but I firmly skeleton off to the side now and we're going to go through precautions posterior if you got a posterior the most common one and the back one of the big known hose goes with sinners well it's get a chair if you're Bob okay this is the one they're going to tell you about the loss because it's the most easiest thing to happen is if you lean forward you drop your stand and you lean forward to pick that up that is a really good way to dislocate that hip if it's a posterior procedure okay so no bending forward here's the hip as I mean degrees you do not want to bit forward when you're sitting or if you're standing you're not gonna bend over to pick something up so when you say 90 degrees bread you're talking about a right angle right so exactly so don't put intended yeah right here so one line runs here one line right here no that's a right angle as soon as he leans forward that's less than the right angle and stressing all okay the next one posterior you can't cross your legs okay this ignored action or if you're sitting like this you don't want to do this either there's the midline here that's right down the middle of your body if this was the hip that was done we can't go past that midline that's number two and number three yes if this is the leg that's done don't let those toes turn inwards like that now the biggest problems all still posterior right right I'll pull this to your hip and where this is going to happen most is if you're standing and go right down to the feet Bob yeah here they put those Doug and I'm gonna turn the Walker this way when I keep my foot planted and right there okay it's under matter when I turn show it doing wrong when spread do it go all the way through it once and do it wrong here I'm turning and going that way that is gonna be a show I want to do it right now okay can you simply take take little steps and keep going total as point of the direction you're going yeah small steps take this dress off and just as a reference that is exactly how the two or three that I have had actually dislocated their hip what as they were standing and they did exactly what you just showed yeah they stood on the one leg and then crossed over the other one now the anterior procedure come in from the front this actually has some of the opposite precautions because they come in from the opposite side you can bend over all you want and it's not going to this okay because I didn't come in from the backside okay so that's nice however this one's kind of hard to do this to be probably not gonna do this anyway but you're not supposed to bring your hip back like this or extend back like that typically you're not going to do that anyway is you're a walk and a normal walk but you're probably not going to do a stretch like this after hip surgery Souter that's not a big deal the other one is hip external rotation we just talked about the hip you can't point in but now with that anterior you cannot point out and this one's a little easier to do because if you're sitting a lot of people may have a natural tendency to let that leg come out like that so you gotta be attentive to that foot so the toe is straight out do not leak long you can let it go in you know some people have that natural tendency I'm one of those people that that's comfortable I'd really have to be careful for that okay so and also when you're walking you're walking you get to a right-hand turn and the right leg is the bald one I'm not going to point like this and make the turn again small small little steps the other was really easy you cannot lay on your stomach most people have no interest and remain in their stomach after a trip surgery and the last one this is a very common strengthening exercise or they do that's called bridging it's used very commonly but you cannot do this and bridge up they do not want that to happen okay like that no bridging all right so go so quickly get posterior coming from the back side no hip flexion greater than Aang you can bend forward you cannot cross the midline in other words crossing your legs and you don't let the tool or two point in interior opposite you can bend forward you can have been backwards the foot you cannot X truly rotate or point that pull is out come out the end use and no rigid okay what do you think about I would say with all these Brad I'll make sure to confirm these with your therapist or your doctor maybe they might even have a couple other precautions sure I've had patients that are not allowed to go into abduction at all sure there's that one right now yeah I'm not certain why but there there may be something that they found in the surgery so yeah these are good to go over with your visited physician or DA are usually your physical therapist and then you can these are all what he says is correct then you can review it on our video kay you've got our believe it of sounds yeah and if you're flirting over 4d and over you might need to speech there but spigots that's right but otherwise tune in to our video please subscribe you better believe it alright thanks business research topics for college students Columbia College.