A systematic search of the literature was carried out in order to find high-quality studies and reviews on the subject of pre- and post-operative treatment of patients with total hip replacements. Our efforts revealed 196 potentially relevant studies as well as 119 review articles. Of these, 10 studies and 2 review articles met the selection criteria and requirement standards for a high degree of evidence. The results of our evaluation were: (a) treadmill training with partial weight-bearing can significantly improve the Harris score for patients with THR; (b) bed exercises in the acute phase do not lead to a significant improvement in the ILOA score, (c) venous return is improved for 30 minutes following one minute of active foot motions; (d) it is uncertain whether additional physiotherapy two months after a THR; or (e) pre-operative physiotherapy significantly influences the patient's post-operative status. Additionally, it was shown that pre-operative patient instruction made no significant improvement in the following post-operative outcome parameters: fears, length of hospital stay, mobility, pain, or patient satisfaction.

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