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Module 4: What wheelchair adaptations should be included for a patient who has recently had a total hip replacement? High reclining back, pommel cushion, and solid seat insert Hemi-height, one wheel drive, and gel cushion Wedge cushion, seat belt, and built up wheel rims Solid seat insert, inflatable cell cushion, and elevating footrests Marked as spam
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Private answer
High reclining back, pommel cushion, and solid seat insert. Patients who have had a total hip replacement (THR) using a posterior surgical approach (the most common method) must be careful to not flex the affected hip beyond 90 degrees of flexion, adduct the hip, or internally rotate the hip. A wheelchair with a sling type seat should include a solid seat insert to prevent the sling seat from pushing the hip toward internal rotation, a pommel cushion to position the patient’s hips in abduction, and a high reclining back to allow the patient to sit with the hip positioned at less than 90 degrees of hip flexion. Marked as spam
 Posted by Stephanie (Questions: 14, Answers: 14) Answered on February 14, 2018 9:10 am
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