An artificial joint is often the first step back to an active, independent life. Whether it's a hip or knee replacement, the right support in everyday life is crucial after joint replacement surgery. Forearm crutches , also walking sticks , are indispensable companions.
They relieve pressure on the new joint, promote safe mobility, and help prevent complications. But: Using crutches correctly takes practice!
In this blog post, we'll show you everything you need to know – from choosing the right crutches and the correct technique to everyday tips and psychological support.
Our goal: Your safe return to mobility – step by step.

Please supplement reading the text with  watching relevant videos (click  here ).

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What are forearm crutches?

Forearm crutches are mobility aids that help patients take weight off one or both legs while moving. They consist of:

• Handle: For holding on and supporting.
• Cuff: Encloses the forearm for better control.
• Tube: Connection between handle and ground contact.
• Rubber buffers: Ensure slip resistance on the floor.

Crutches vs. forearm crutches

In everyday language, the terms are often used synonymously. Strictly speaking, "crutches" refers to all types of walking aids, while "forearm crutches" specifically refer to those that involve the forearm.

Modern development

Today's forearm crutches are lightweight, ergonomic, and some even shock-absorbing. Materials like aluminum or carbon ensure high stability at a low weight.

Why are forearm crutches important after joint replacement?

Whether it's a hip or knee replacement : the new joint is still sensitive immediately after the operation. Forearm crutches can help with this.

• To reduce pressure: The weight is distributed evenly.
• Avoiding dislocations: Especially important with an artificial hip joint.
• To improve coordination: They provide security when walking.
• Rebuilding muscle: Through targeted training with crutches.

Important: Premature full weight-bearing can jeopardize the surgical outcome. Crutches provide both protection and a training aid.

Choosing the right forearm crutches

material

• Aluminum: Lightweight and robust. Ideal for everyday use.
• Carbon: Extremely light, expensive, ideal for active sports enthusiasts.
• Steel: Very strong, but heavy. Rare today.

Grip types

• Ergonomically shaped handles: Relieve strain on hands and wrists.
• Soft grips: Especially comfortable during long periods of use.
• Standard handles: Cheap, but less comfortable.

cuff

A closed or semi-open cuff holds the crutch securely to the arm.
Semi-open models are ideal – they are easier to remove when needed.

Correct crutch adjustment

Incorrectly adjusted crutches can lead to pain or falls.
  Here's how to adjust them correctly:

• Handle height: When standing upright, the handles should be at wrist height.
• Cuff: 2.5–5 cm below the elbow.
• Distance: Place crutches approximately 15 cm to the side of the body.

Tip: Have the settings checked by a specialist or physiotherapist!

Why it's important to familiarize yourself with crutches before surgery – prehabilitation for greater success

Many patients only consider using forearm crutches or walking aids . However, it is crucial to familiarize oneself with their safe use
before the procedure This early training is part of a modern concept called prehabilitation .

What does prehabilitation mean?

Prehabilitation is a combination of "pre" (before) and "rehabilitation." It refers to targeted preparation for an upcoming surgery—for example, a hip or knee replacement .
The goal is to prepare the body and mind for the stresses of the procedure in order to achieve better postoperative results

Why is prehabilitation so important?

• Faster learning: walking safely forearm crutches before surgery
• Less uncertainty: Fears and uncertainties regarding the use of crutches can be specifically reduced before surgery.
• Improved muscle strength: Prehabilitation exercises strengthen muscles and improve balance – a great advantage for rehabilitation.
• Reduced complications: Patients who can move safely with crutches fall less often and optimally stress their new artificial joint .
• Active participation: Through prehabilitation, patients take on an active role in their recovery – this strengthens self-confidence and motivation.

What does prehabilitation entail?

• Instruction in the correct use of crutches
• Gait training with simulated load
• Strengthening exercises for legs, arms and torso
• Balance training
• Information on surgery preparation

👉 In summary: prehabilitation early lays the foundation for a faster and safer return to everyday life. This investment in your health pays off doubly, hip and knee replacements

First steps: A safe start with crutches

Preparation at home

• Remove tripping hazards such as carpets
• Rearrange furniture to create more space
• Lay out non-slip mats in the bathroom

Learning to walk

• Place both crutches forward simultaneously
• Pull the healthy leg forward
• Adjust the level of exertion to the doctor's instructions

Practice makes perfect! Train short distances and increase gradually.

Typical mistakes when using forearm crutches – and how to avoid them

Mistake 1: Incorrect crutch height

Problem:
Crutches that are too high or too low lead to poor posture and pain in the back, shoulders, or wrists.

Solution:
The handles must be adjusted to wrist height when you are standing upright. The cuff must not touch the elbow.

Error 2: Unsafe ground contact

Problem:
Worn rubber buffers or smooth floors increase the risk of falls.

Solution:
Regularly check the rubber buffers and replace them if necessary. Wear non-slip footwear!

Error 3: Overload

Problem:
Increasing walking distance or load too quickly damages the new joint.

Solution:
Follow your doctor's or physiotherapist's training plans. Listen to your body's signals and take a break if you experience pain.

Mistake 4: Putting crutches down incorrectly

Problem:
Crutches easily slip away if they are not supported properly.

Solution:
Use crutch holders or secure storage locations. Never leave them loose on the floor.

Stress after hip or knee replacement – ​​How much can I do?

In the ENDOPROTHETICUM, full weight-bearing is permitted in the vast majority of cases after surgery!

Load levels

• Full weight-bearing: Immediate weight-bearing on the operated leg (usually with cemented prostheses).
• Partial weight-bearing: Only a portion of the body weight may be applied to the leg.
• Initially no burden: Rarely occurs in complicated operations or revisions.

How do I know what's right for me?

• Final approval for activity will be given after the operation!
• Physiotherapeutic support.
• Consider individual factors such as age, bone density, and surgical technique.

Important: Modern prostheses and techniques often allow for early full weight-bearing!

Techniques for safe walking with forearm crutches

3-point gear

• Push both crutches forward.
• Move the operated leg forward.
• Pull the healthy leg forward.

Ideal for partial load use.

4-point gear

• Move your left crutch and right leg.
• Move your right crutch and left leg.

For greater stability, e.g. in older patients.

Climbing stairs with crutches

Up:

• Healthy leg first.
• Using crutches, dragging the operated leg along.

Down:

• Crutches and operated leg first.
• Pull the healthy leg forward.

Rule of thumb:
"Good things go up, bad things go down."

Everyday safety – How to master every situation

Floor coverings

• Securing carpet edges
• Use non-slip carpets

bathroom

• Install grab handles
• Use a shower stool
• Lay out non-slip mats

Kitchen

• Place everything important at an easily accessible height
• Use trolleys for transport

Tips for everyday life with crutches

• a backpack or shoulder bag to keep your hands free.
• ergonomic crutches to protect your wrists.
• crutch pads for added comfort.
• Take a break: Regular breaks from sitting help to avoid overexertion.

Forearm crutches and rehabilitation – How they optimally support your recovery

Crutches in the early stages of rehabilitation

After surgery, e.g., hip or knee , crutches help with:

• To relieve the new joint.
• To gradually accustom muscles and tendons to the movement.
• To avoid injuries and complications such as dislocations.

Goal:
To learn to walk safely at an early age in order to regain mobility and independence.

Training with physiotherapy

Under the guidance of a therapist, patients learn:

• Proper walking technique: Gradually build up weight-bearing capacity step by step.
• Balance and coordination: Specific exercises improve stability.
• Muscle strengthening: Targeted training protects the artificial joint in the long term.

When can crutches be omitted?

That depends on:

• Type of implant (e.g. short stem prosthesis → often faster load build-up possible)
• Healing process
• Muscle power
• Stability while walking

Typical rule of thumb:
Use crutches for at least 4–6 weeks, sometimes less in optimal cases.

FAQ – Frequently Asked Questions about Forearm Crutches

How long will I have to use crutches?

Answer: Depending on the surgery and the healing process, between 4 and 8 weeks.

Can I drive a car with crutches?

Answer: As soon as you can walk safely without crutches and your mobility is sufficient – ​​please obtain medical clearance beforehand!

What to do about wrist pain?

Answer: Use ergonomic handles and, if necessary, try crutches with suspension.

Are crutches available on prescription?

Answer: Yes, the doctor can issue a prescription. Health insurance usually covers the costs.

Conclusion: Safe mobility with forearm crutches after joint replacement

Forearm crutches are indispensable aids after hip replacement surgery (total hip arthroplasty) , knee replacement surgery (total knee arthroplasty) , or surgery for other artificial joints . They not only help to manage the load on the new joint but also promote safe and rapid rehabilitation.
With the correct technique, optimal crutch adjustment, and targeted training, every patient can quickly regain their mobility.

Important:

• Make sure you use high-quality crutches.
• Use accessories such as reflectors or rubber bumpers.
• Practice proper walking technique early on with a physiotherapist.
• View forearm crutches as a sign of your recovery, not as an obstacle.

With patience, practice and the right attitude, nothing stands in the way of an active and self-determined life after joint replacement!