no abduction pillow w/ THR

I work on the orthopedic floor and I have never seen a THR with no abductor pillow... Only hip pinnings and arthoplastys and what not but not total hip replacements. What would the knee immobilizer do?? They can still use their knee, its just the hip that had the surgery! Does this doctor always do this? I find this very strange...

We have 4 ortho's on the ortho floor where I work, and not one of them uses an abduction pillow. They use braces on some, CPM's on others, and sometimes alternating both. It seems to work just fine.

Not strange at all here. I think it was around the time press fit /no cement hips came out, maybe 1990 or so. Try this: Hold your knee stiff then try to flex your hip over 90 deg. Pretty difficult, no? Imagine you are 70 years old and just had surgery. Impossible. I only know of one doc around here who still used the abd wedge and I believe he's retired now.
edited to add:

Re dislocation. Depending on the type of incision and the way the hip was disarticulated, there may or may not be the potential there with the knee immobilizer. Nonetheless most patients will not be able to SLR enough to get the operative leg/hip past midline.

I haven't seen an abduction pillow used in 2-3 years. Our surgeons stopped ordering them a while back---I don't really know the reason why they're no longer used, but we haven't had any increase in the number of dislocations, and I for one am glad we don't have to deal with them anymore. Most patients hated them, especially females who were brought up in an era when a lady was supposed to keep her legs together! They were hot, awkward, bulky, and confining, and I didn't blame patients for wanting to be rid of them.

If I remember my ortho correctly, there are 2 approaches to a THR, anterior and posterior. And I think with the pos. you typically use an abduction pillow, but with ant. you are not suppose to. But I recall seeing some pts with them and some without who had the pos. aproach...But I think P_RN's response is right on...they decrease mobility.

what is an abduction pillow? we just use an ordinary pillow to lay between the patients legs while in bed and while swivelling around i.e. to get out of bed.... was wondering if this is what you mean when talking bout the abduction pillow, tho it almost sounds as if it's some special device that's strapped on or something!?
interesting all the same, it probably means that in a few more years (when we catch up) we'll probably be using knee immobilisers too

Ours were pink, but this is the general idea. Mind you it's been years since we used them. Always on when in the bed,& removed to ambulate.

I dont see abductor pillows being used as often.

I kinda miss those things. They kept the leg in proper position when we needed to logroll the patient to change positions and provide skin care.

There is hope... I was hoping that pillow would leave soon..........I hate that pillow and would not like it as a patient at all.

renerian

I just had a bilat THR in October for osteoarthritis. I did not have abductor pillow...just pillows between my legs...worked fine and more comfortable..

However I was not turned at all except when I was assinged a student and then never repositioned on my side and ended up with stage II sacral decub after 4 days
I have been out clinical for awhile and just wondering if you are not suppose to turn bilateral thr pts? Is this something new? We always turned them when I was in the hospital just 5 years ago... I had an epidural block for almost 2 days...so I felt comfortable of course on my back

I also went to rehab and was not encouraged to turn in rehab either either....granted I was out of bed every chance I had but however very surprised I was not encouraged to turn when in bed
Just an honest question as maybe there was a reason for it...not sure and would appreciate any reponses.