Surgical Techniques for Total Hip Replacement

Preoperative and Intraoperative Considerations

The posterior approach is a commonly used surgical technique for total hip replacement with excellent outcomes, though surgical technique should depend on surgeon and patient preference as there is inconclusive evidence for choosing a specific approach based on postoperative pain outcomes 1
Implement multimodal pain management including paracetamol and NSAIDs/COX-2 inhibitors as baseline therapy, consider fascia iliaca block or local infiltration analgesia, and reserve opioids for rescue analgesia 1
Implement multimodal pain management including paracetamol and NSAIDs/COX-2 inhibitors as baseline therapy, and consider additional treatments 2

Begin early mobilization and physical therapy on postoperative day 0-1, focusing on weight-bearing exercises and hip abductor strengthening 2
The American College of Surgeons or similar guideline society recommends early mobilization and physical therapy, though the specific society is not mentioned in the article, begin early mobilization and physical therapy on postoperative day 0-1 2

Improper positioning can lead to impingement, dislocation, and instability, according to a medical insight or similar guideline society, though the specific society is not mentioned in the article 2