Hip Arthroscopy / Labral Repair — Hip Arthroscopy with Labral Repair / Osteoplasty / Microfracture

Hughston Clinic (Florida) · Vonda J. Wright, MD

Weight-Bearing

30% WB on involved leg 0-3 wks; crutch wean begins at 3-4 wks (50% for half a week, 75% for half a week, then 100% with crutches for half a week); FWB without crutches and no limp about 2 wks after starting wean; crutches off by 6 wks

Key Restrictions

Passive hip ROM 0-3 wks: avoid external rotation, emphasize internal rotation; piriformis stretch with horizontal adduction, not ER; stationary bike seat high enough to avoid painful hip flexion; contact surgeon if gait not normal by 6 wks or ROM not normal by 3 months; slow jogging on even ground only at 3-5 months (no treadmill, cutting, jumping or pivoting); cutting and plyometrics not until 5-8 months; full return to sport, activity and work only with surgeon approval

Timeline & Phases

0-3 wks: 1-2 PT visits/wk plus home program 5x/wk, bike without resistance 20 min, glute/quad sets, heel slides, passive hip ROM, isometrics, balance, cryotherapy; 3-6 wks: 2-3 visits/wk, crutch wean, bike resistance, SLRs, clams, pool walking/jogging; 6 wks-3 months: hip flexor stretch, long-axis distraction and A/P mobs, bridges, mini-squats, step-ups, elliptical/stair climber, trunk strength, ROM normal by end; 3-5 months: closed-chain strengthening (light weight, high reps, smooth and slow), single-leg work, lateral agility, jump rope, slow jogging; 5-8 months: weighted squats/lunges, plyometrics, cutting and running drills, graded return to sport

Notes

Return-to-sport criteria: normal lower extremity strength, jog and full-speed run without limp, full ROM, satisfactory clinical exam; pool program starts at 3-6 wks and adds swimming with fins and bounding at 6 wks-3 months; title covers labral repair, osteoplasty and microfracture, but the document gives no microfracture-specific weight-bearing or CPM instructions

Surgeon / Author

Vonda J. Wright, MD

Published

January 2022