Hip Arthroscopy / Labral Repair — Hip Arthroscopy — Labral Repair or Reconstruction (with or without Osteoplasty / Microfracture)

NYU Langone Health · Dr. Daniel J. Kaplan, MD

Weight-Bearing

FFWB (20 lbs)

Key Restrictions

20 lb flat-foot WB 0-2/3 wks (6 wks if microfracture); wean crutches at 3-4 wks (6 wks if microfracture); ROM limits x3 wks: flexion <90 deg, extension <0 deg, ER <30 deg at 90 deg flexion, IR <20 deg at 90 deg flexion, abduction <30 deg; no active open-chain hip flexor activation; no sitting >30-45 min at a time x3 wks; prone lying 2-3 hrs/day

Timeline & Phases

Phase I: 0-2 wks (FFWB 20 lbs, protected ROM, stationary bike, isometrics); Phase II: 2-6 wks (WBAT, wean crutches, gait normalization, advance squat/step progression); Phase III: 6-12 wks (full ROM, functional strengthening in all planes); Phase IV: 3-6 months (sport-specific: Alter-G running, agility, cutting, plyometrics; RTS typically 4-6 months, up to 1 year for maximal recovery)

Notes

CPM used if applicable (4 hrs/day; reduce to 3 hrs if stationary bike used); microfracture adds 2-3 wks to WB and crutch timeline

Surgeon / Author

Dr. Daniel J. Kaplan, MD

Published

2025-01